Rates of biochemically verified prenatal cannabis use increased significantly during the COVID-19 pandemic among pregnant women in Northern California. Pregnant women who fall into this group are advised to attend only those GPs and hospital visits, which are necessary (10). Wu H, -. 32658860 [, Knight-Agarwal C, Davis DL, Williams L, Davey R, Cox R, Clarke A. A cross-sectional study was conducted among postpartum women using an online self-administered survey in the Philippines from January 1 to March 31, 2022. Caddy C, Cheong M, Lim MSC, Power R, Vogel JP, Bradfield Z, Coghlan B, Homer CSE, Wilson AN. In general, low risk pregnant women should have a minimum of six antenatal visits (8). During the pandemic, patients completed toxicology testing slightly earlier in their pregnancies (before pandemic mean, 8.51 weeks gestation; during pandemic mean, 8.04 weeks gestation). Published Online: September 27, 2021. doi:10.1001/jama.2021.16328. At present, additional face-to-face visits take place when there are significant risk factors in pregnant women (7). Would you like email updates of new search results? Bi X, With the emergence of COVID-19 pandemic, it is not impossible that access to quality antenatal care services would be further threatened in the region. The aim of this study was to assess pregnant women's satisfaction with antenatal care and social support and to examine stress-reduction strategies women used during the pandemic. This could contribute to a reduction in medical resources inequality and help pregnant women resolve various health problems during the pandemic. All Rights Reserved, Challenges in Clinical Electrocardiography, Clinical Implications of Basic Neuroscience, Health Care Economics, Insurance, Payment, Scientific Discovery and the Future of Medicine, So we learn that as an "essential business" marijuana sales (like alcohol) were continued during COVID, and more pregnant women used marijuana. Cannabis tax revenues. For pregnant women who are self-quarantine at home, it should be guarantee that they remain well hydrated and are mobile during this period. There were negligible differences in age or race and ethnicity in the 2 periods. -. 573 pregnant women completed the survey. An official website of the United States government. Huang X, :July, 1Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China, 2Faculty of Medicine, International School, Jinan University, Guangzhou, China, 3Department of Culture and Tourism, Xiamen University of Technology, Xiamen, China, 4College of Economics, Jinan University, Guangzhou, China, 5Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynecology, Brigham and Womens Hospital, Boston, MA, United States, 6Center for Genomic Medicine, Massachusetts General Hospital, Harvard Medical School, Harvard University, Boston, MA, United States, 7School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China, Department of Public Health and Preventive Medicine, No 602 Huangpu Avenue West, Tianhe District. Hybrid models of care delivery refers to a combination of elements of community health services building, phone or Video Call (VC) and home visit. WrG3w4L4&' S8CZ./. Subject to determining the most appropriate models for providing medical services, health care providers should use clinical judgment and consider the individual circumstances of pregnant women (3,7,9). doi: 10.1016/j.wombi.2020.03.011. National Working Committee on Children and Women under State Council. Furthermore, the lockdowns, curfews, and increased risk for contracting COVID-19 may affect how women access health facilities. 2021 Nov;102:103069. doi: 10.1016/j.midw.2021.103069. 0 347 0 obj <> endobj /1 [243 13 3 49.5 -354.898 562.5 -338.953 1 0 0 1 124.5 -279.898] Background Vaccination during pregnancy has been repeatedly demonstrated to be safe and effective in protecting against infection and associated Archives of Neurology & Psychiatry (1919-1959), https://www.cdtfa.ca.gov/dataportal/dataset.htm?url=CannabisTaxRevenues, JAMAevidence: The Rational Clinical Examination, JAMAevidence: Users' Guides to the Medical Literature, JAMA Surgery Guide to Statistics and Methods, Antiretroviral Drugs for HIV Treatment and Prevention in Adults - 2022 IAS-USA Recommendations, CONSERVE 2021 Guidelines for Reporting Trials Modified for the COVID-19 Pandemic, Global Burden of Skin Diseases, 1990-2017, Guidelines for Reporting Outcomes in Trial Protocols: The SPIRIT-Outcomes 2022 Extension, Mass Violence and the Complex Spectrum of Mental Illness and Mental Functioning, Organization and Performance of US Health Systems, Spirituality in Serious Illness and Health, The US Medicaid Program: Coverage, Financing, Reforms, and Implications for Health Equity, Screening for Prediabetes and Type 2 Diabetes, Statins for Primary Prevention of Cardiovascular Disease, Vitamin and Mineral Supplements for Primary Prevention of of Cardiovascular Disease and Cancer, Statement on Potentially Offensive Content, Register for email alerts with links to free full-text articles. document.write( addy50899 ); Therefore, it is necessary to provide appropriate antenatal care models for pregnant women depending on their circumstances and available facilities, in order to prevent its complications in the current pandemic. Sun, Xinyu Also, they may need to additional visits or multi-disciplinary care in pregnancy (10,11). %%EOF Onwuzurike C., Meadows A.R., Nour N.M. 2020;12:11818. Models of care in low risk cases is limited to midwifery care only, however, in high risk cases is could be provided by GPs, obstetricians or obstetricians and midwifery Group Practice, if available(7,8). This would allow monitoring for serious pregnancy complications such as preeclampsia. Int J Womens Health. This study uses National Survey on Drug Use and Health data to examine prevalence and frequency of medical and nonmedical cannabis use among pregnant and nonpregnant women between 2013 and 2017. , Davenport Online ahead of print. Current research shows that news stories on COVID-19 influence Americans opinions on most aspects of the pandemic. >> In summary, online antenatal care can be a useful, alternative option for pregnant women in need of basic antenatal care and mental health consultation. Advocates for legalization have said that it would help reduce disparities - and yet it has simply created potentially far worse disparities for future generations. et al. Coronavirus disease (COVID-19) Situation Report - 160. WebThe NIH COVID-19 Treatment Guidelines Panels Statement on Potential Drug-Drug Interactions Between Ritonavir-Boosted Nirmatrelvir (Paxlovid) and Concomitant Medications states that any drug interactions between ritonavir-boosted nirmatrelvir (Paxlovid) and hormonal contraception are not expected to be clinically significant during WebOne of the government's efforts to overcome this problem is the concept of safe motherhood and antenatal care. Discussion: Follow Methodist on Facebook, Twitter and Instagram for the latest COVID-19 updates. var prefix = 'mailto:'; Online antenatal care can provide relatively less expensive medical services and diminish inequalities in health care due to its convenience and cost-effectiveness, especially in developing countries or regions. How the COVID-19 pandemic brings not only opportunities for the development and popularization of online antenatal care programs but also challenges is reported. Published by Elsevier Ltd.. All rights reserved. Unauthorized use of these marks is strictly prohibited. 2020;88 Bookshelf B, Compton This topic will provide an overview of these issues, provide links to UpToDate content that is relevant to both pregnant and nonpregnant people, and discuss aspects of In cases of self Conclusions: WebThe coronavirus (COVID-19) pandemic may substantially affect health systems, but little primary evidence is available on disruption of health and nutrition services. Prenatal cannabis use was based on a positive toxicology screening result conducted as part of standard prenatal care (8 weeks gestation) and includes 1 screening per pregnancy. Conflict of Interest Disclosures: None reported. hb```f``Ab,0N4BELv9/4y>,}Bg}W\RkW~o8;:%p:tDG]@; iI Y p#LF>U:4/YUT4Cr@P3Z3C@8oS%@d ` ? The prepandemic period was defined as urine toxicology tests conducted from January 2019 to March 2020 and the pandemic period from April through December 2020 (see Laboratory Methods in the Supplement). doi: 10.1136/bmjopen-2021-059701. Care of the pregnant woman with COVID-19 in labor and delivery: Anesthesia, emergency cesarean delivery, differential diagnosis in the acutely ill parturient, care of the newborn, and protection of the healthcare personnel. All of these approaches would likely contribute to better labor preparedness, maternal experience, postpartum adjustment and outcomes, fewer infection risks, and more economic benefits to the health system and the women themselves. %%EOF Therefore, in addition to improving online antenatal care, the popularization of both the use of the internet and mobile electronic devices is crucial to allow more pregnant women to receive online education and care. Critical revision of the manuscript for important intellectual content: All authors. All pregnant women and their newborns, including those with confirmed or suspected COVID-19 infections, have the right to high quality care before, during and Also, consultations using telehealth, SMS and phone should be taken into account. Disclaimer. 2023 This reduces the chance of Covid-19 transmission to the maternity care providers and other women attending for care (4). Negative predictors were employment (OR 0.37, 95% CI 0.22-0.63) and medical examination prior to pregnancy (OR 0.36, 95% CI 0.23-0.58). 2019;25(2):98103. endobj WebThe World Health Organization (WHO) has issued a strong recommendation supporting womens right to have a chosen companion during labor and delivery, even during the In order to promote physical distancing and create a safe environment for you when you come to Mass General for visits, some prenatal care visits may be performed virtuallywhen doing so is safe for your pregnancy. World Health Organization/United Nations Population Fund. However, with limited understanding of the effects of COVID-19 during pregnancy, clinicians and patients are forced to make uninformed decisions. The fear of the Covid-19 pandemic had a cross-cutting effect on utilisation of maternity services in selected levels III and IV public health facilities within five MNCH priority counties in Kenya. Findings: The home visit is planned based on the risk management for women and staff. Before A key fact about ,b"yH`J! It should be noted that, the required schedule and the models of care should be reassessed at each visit according to the individual needs and current risks. Aim: The aim of this study was to assess pregnant women's satisfaction with antenatal care and social support and to examine stress-reduction strategies women used during the pandemic. Methods: HW, WS, and XH contributed equally to this work. The lack of information on COVID-19 and pregnancy meant women had greater uncertainty about pregnancy and birth. The study aimed to determine the utilization of antenatal care services of Filipino women during the COVID-19 pandemic. WM, McCance-Katz Maternal and perinatal outcomes with COVID19: A systematic review of 108 pregnancies. Unable to load your collection due to an error, Unable to load your delegates due to an error. Young-Wolff KC, Ray GT, Alexeeff SE, et al. 6 0 obj In hybrid models results of test should be given over the phone or by secure messaging and abnormal results should be given face-to-face or via secure video. Brisbane: Queensland Health; 2020 (https://www.health.qld.gov.au/__data/assets/pdf_file/0039/949539/g-covid-op-frame.pdf). measuring blood pressure, fundal height, fetal heart rate, weight, as well as urinalysis) should be done. The questionnaire used to assess health-seeking behavior was validated before the survey proper. var attribs = ''; WM contributed to the conception and design of this viewpoint, edited the manuscript, and reviewed the final version. Online Antenatal Care During the COVID-19 Pandemic: Opportunities and Challenges Authors Huailiang Wu # 1 2 , Weiwei Sun # 1 2 , Xinyu Huang # 1 2 , Shinning Learn more about the risks of COVID-19 during pregnancy. 2021;326(17):17451747. Its also possible that your infant may get COVID-19 after being born. Matern Child Health J. [Investigation on demands for antenatal care services among 2 002 pregnant women during the epidemic of COVID-19 in Shanghai]. Please enable it to take advantage of the complete set of features! During the pandemic, daily necessities were scarce and the cost of medical appointments was substantially higher than usual. Accessed July 29, 2021. Lancet Public Health. Chen, Babatunde /Font <> Aim: WebCannabis use among pregnant women is common and has increased in recent years in the US, from an estimated 3.4% in 2002 to 7.0% in 2017. Continued monitoring of trends is critical as the pandemic continues to evolve. In some cases, positive toxicology test results may detect prenatal cannabis use that occurred prior to pregnancy recognition. The COVID-19 pandemic has been a stressful and uncertain time for everyone, and especially for those about to give birth. have lived experience of accessing complex care during pregnancy, and are passionate about Background: Methods: SC, PMID: Considering the dilemma mentioned above and the fear of some other unknowns from hospital visits, online antenatal care might be a preferable choice for pregnant women during this pandemic [7]. Background: The COVID-19 pandemic resulted in unprecedented challenges to healthcare systems worldwide, including interruption of antenatal care services. available at. This can improve overall maternal and reproductive health services and family life. People who were unable to obtain or pay for sufficient medical resources were most vulnerable [16]. BMC Pregnancy Childbirth 2016 Mar 28;16:65 [. The general content of the ANC remains unchanged in the context of COVID-19. Know the facts. Antenatal care (ANC) is the most cost-effective approach for the prevention of neonatal deaths; if 90% of women receive ANC, 14% of neonatal deaths could be avoided (6). In addition, online antenatal care may help to provide relatively economical medical services and diminish health care inequality due to its convenience and cost-effectiveness, especially in developing countries or regions. Know the facts. This site needs JavaScript to work properly. S, Meah If necessary, services should develop a process for integrating remote contact documentation in womens hand-held records (3).