Impact of COVID-19 Pandemic on Antenatal Healthcare in Al-Ramadi city, Iraq | ||
| Al- Anbar Medical Journal | ||
| Article 7, Volume 18, Issue 1, June 2022, Pages 33-36 PDF (263.17 K) | ||
| Document Type: Original articles | ||
| DOI: 10.33091/amj.2022.174528 | ||
| Author | ||
| Haifa G. Al-Ani* | ||
| Department of Community Medicine, Al-Anbar Health Directorate, Ramadi, Anbar, Iraq. | ||
| Abstract | ||
| Background: Antenatal care (ANC) is a form of preventive medicine, pregnancy-specific, and general health advice effectively given in the antenatal period. ANC is conducted by healthcare personnel on pregnant women at regular intervals to protect and improve maternal and neonatal health. Objectives: The study aimed to know if the COVID-19 pandemic affects the coverage rate of ANC visits of pregnant women. Materials and methods: This is a retrospective cross-sectional study conducted at Al-Andalus Primary Healthcare Center which is located in the center of Al-Ramadi city, Iraq. We reviewed the records of all ANC first, second, and total visits of the months February, May, and October during the years 2019, 2020, and 2021. Results: The study showed the coverage rate of ANC visits was statistically significantly declined with the restrictions imposed in response to the COVID-19 pandemic. At the end of 2021, there are some elevation in the coverage rate of ANC visits. Conclusion:The study concluded that the lockdown period in the pandemic state due to COVID-19 led to a significant decline in the coverage rate of ANC visits. | ||
| Keywords | ||
| Covid_19; Antenatal care visits; Coverage rate; seasonal variation | ||
| References | ||
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[1] W. H. Organization, WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization, 2016.
[2] R. David, R. Evans, and H. S. F. Fraser, “Modelling Prenatal Care Pathways at a Central Hospital in Zimbabwe,” Heal. Serv. insights, vol. 14, p. 11786329211062742, 2021.
[3] T. Dowswell et al., “Alternative versus standard packages of antenatal care for low‐risk pregnancy,” Cochrane Database Syst. Rev., no. 7, 2015.
[4] W. H. Organization, “WHO recommendation on antenatal care contact schedules.” 2019.
[5] W. H. Organization, "Trends in maternal mortality 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group, and the United Nations Population Division," 2019.
[6] A.-B. Moller, M. Petzold, D. Chou, and L. Say, “Early antenatal care visit: a systematic analysis of regional and global levels and trends of coverage from 1990 to 2013,” Lancet Glob. Heal., vol. 5, no. 10, pp. e977–e983, 2017.
[7] Q. Li et al., “Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia,” N. Engl. J. Med., 2020.
[8] D. Cucinotta and M. Vanelli, “WHO declares COVID-19 a pandemic,” Acta Bio Medica Atenei Parm., vol. 91, no. 1, p. 157, 2020.
[9] T. A. Ghebreyesus, “Director-General’s opening remarks at the media briefing on COVID-19–12 April 2021.” 2020.
[10] S. F. Wong et al., “Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome,” Am. J. Obstet. Gynecol., vol. 191, no. 1, pp. 292–297, 2004.
[11] D. Di Mascio et al., “Outcome of coronavirus spectrum infections (SARS, MERS, COVID-19) during pregnancy: a systematic review and meta-analysis,” Am. J. Obstet. Gynecol. MFM, vol. 2, no. 2, p. 100107, 2020.
[12] M. Gilbert, M. Dewatripont, E. Muraille, J.-P. Platteau, and M. Goldman, “Preparing for a responsible lockdown exit strategy,” Nat. Med., vol. 26, no. 5, pp. 643–644, 2020.
[13] K. B. David and Y. A. Adebisi, “Proposed model for hospital and community pharmacy services during COVID-19 pandemic in Nigeria,” Int. J. Pharm. Pract., vol. 28, no. 5, pp. 544–545, 2020.
[14] M. Okereke et al., “Impact of COVID‐19 on access to healthcare in low‐and middle‐income countries: current evidence and future recommendations,” Int. J. Health Plann. Manage., vol. 36, no. 1, pp. 13–17, 2021.
[15] H. Dempster, T. Ginn, J. Graham, M. G. Ble, D. Jayasinghe, and B. Shorey, “Locked down and left behind: the impact of COVID-19 on refugees’ economic inclusion,” Cent. Glob. Dev. Refug. Int. Int. Rescue Comm., 2020.
[16] Y. A. Adebisi et al., “COVID-19 highlights the need for inclusive responses to public health emergencies in Africa,” Am. J. Trop. Med. Hyg., vol. 104, no. 2, p. 449, 2021.
[17] J. E. Suk et al., “Post-Ebola measles outbreak in Lola, Guinea, January–June 2015,” Emerg. Infect. Dis., vol. 22, no. 6, p. 1106, 2016.
[18] J. W. T. Elston, C. Cartwright, P. Ndumbi, and J. Wright, “The health impact of the 2014–15 Ebola outbreak,” Public Health, vol. 143, pp. 60–70, 2017.
[19] T. Roberton et al., "Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modeling study," Lancet Glob. Heal., vol. 8, no. 7, pp. e901–e908, 2020.
[20] S. Saxena, H. Skirrow, and H. Bedford, “Routine vaccination during covid-19 pandemic response [Internet],” BMJ. BMJ Publ. Gr., 2020.
[21] W. H. Organization, “COVID-19: operational guidance for maintaining essential health services during an outbreak: interim guidance, 25 March 2020,” World Health Organization, 2020.
[22] R. Townsend et al., “Global changes in maternity care provision during the COVID-19 pandemic: A systematic review and meta-analysis,” EClinicalMedicine, vol. 37, p. 100947, 2021.
[23] B. Kotlar, E. Gerson, S. Petrillo, A. Langer, and H. Tiemeier, “The impact of the COVID-19 pandemic on maternal and perinatal health: a scoping review,” Reprod. Health, vol. 18, no. 1, pp. 1–39, 2021.
[24] D. UNICEF, “Tracking the situation of children during COVID-19,” Dashboard, August 2020.
[25] U. Rabbani, A. A. Saigul, A. Sulaiman, and T. H. Ibrahim, “Impact of COVID-19 on Antenatal Care Utilization Among Pregnant Women in Qassim, Saudi Arabia,” Cureus, vol. 13, no. 11, 2021.
[26] D. De Beni and F. Maurizio, “Coronavirus is leaving pregnant women with tough choices and bleaker outcomes,” in World Economic Forum, 2020.
[27] D. Stein, K. Ward, and C. Cantelmo, “Estimating the potential impact of COVID-19 on mothers and newborns in low-and middle-income countries,” Heal. Policy Plus, 2020.
[28] E. Tadesse, “Antenatal care service utilization of pregnant women attending antenatal care in public hospitals during the COVID-19 pandemic period,” Int. J. Women's. Health, vol. 12, p. 1181, 2020. | ||
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