scholarly journals Online Antenatal Care During the COVID-19 Pandemic: Opportunities and Challenges

10.2196/19916 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e19916 ◽  
Author(s):  
Huailiang Wu ◽  
Weiwei Sun ◽  
Xinyu Huang ◽  
Shinning Yu ◽  
Hao Wang ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Obstetric Care ◽  
Online Information ◽  
Mutual Trust ◽  
Care Providers ◽  
Online Programs ◽  
Related Information ◽  
High Infection ◽  
Obstetric Care Providers

People across the world have been greatly affected by the ongoing coronavirus disease (COVID-19) pandemic. The high infection risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in hospitals is particularly problematic for recently delivered mothers and currently pregnant women who require professional antenatal care. Online antenatal care would be a preferable alternative for these women since it can provide pregnancy-related information and remote clinic consultations. 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. However, some pregnant women will doubt the reliability of such online information. Therefore, it is important to ensure the quality and safety of online services and establish a stable, mutual trust between the pregnant women, the obstetric care providers and the technology vis-a-vis the online programs. Here, we report how the COVID-19 pandemic brings not only opportunities for the development and popularization of online antenatal care programs but also challenges.

scholarly journals Online Antenatal Care During the COVID-19 Pandemic: Opportunities and Challenges (Preprint)

2020 ◽  
Author(s):  
Huailiang Wu ◽  
Weiwei Sun ◽  
Xinyu Huang ◽  
Shinning Yu ◽  
Hao Wang ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Obstetric Care ◽  
Online Information ◽  
Mutual Trust ◽  
Care Providers ◽  
Online Programs ◽  
Related Information ◽  
High Infection ◽  
Obstetric Care Providers

UNSTRUCTURED People across the world have been greatly affected by the ongoing coronavirus disease (COVID-19) pandemic. The high infection risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in hospitals is particularly problematic for recently delivered mothers and currently pregnant women who require professional antenatal care. Online antenatal care would be a preferable alternative for these women since it can provide pregnancy-related information and remote clinic consultations. 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. However, some pregnant women will doubt the reliability of such online information. Therefore, it is important to ensure the quality and safety of online services and establish a stable, mutual trust between the pregnant women, the obstetric care providers and the technology vis-a-vis the online programs. Here, we report how the COVID-19 pandemic brings not only opportunities for the development and popularization of online antenatal care programs but also challenges.

scholarly journals Online Pregnancy-Related Information: Reliability and Worries Among Expectant Women In Qatar

2021 ◽  
Author(s):  
Ayman Al-Dahshan ◽  
Mohamad Chehab ◽  
Nagah Selim
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional ◽  
Web Based ◽  
Related Information ◽  
University Degree ◽  
Self Administered Questionnaire

Abstract Background: Although the internet can be a source of reassurance and clarification for expectant women, it ‎could cause concerns or feelings of worry when reading about pregnancy-related ‎information. The current research sought to assess the feelings of worry and perceived reliability towards online pregnancy-related information and the associated factors among expectant women attending antenatal clinics at primary healthcare centers in Qatar.Methods: A cross-sectional study design was employed. The participants were recruited through a systematic random sampling technique. ‎A self-administered questionnaire was used to collect data from the participants. Descriptive and analytic statistics were used when appropriate‎.Results: A total of 327 expecting women completed the questionnaire. Most participants were aged between 26-34 years (74.1%), held a college/university degree (76.4%), and multigravidas (73.1%). About one-third of the women ‎(31.2‎%) reported feeling worried due to something they read online. The participants coped with these feelings by consulting their antenatal care provider at the next appointment (51.0%) or by talking with relatives and friends (47.0%). Furthermore, most women (79.2%) considered online pregnancy-related information to be reliable or highly reliable. Holding a college/university degree, primigravidae, and having no children were factors significantly associated with a high perception of reliability of online health information.Conclusion: Although online pregnancy information caused feelings of worry for some pregnant ‎women, most women perceived such information to be reliable. Thus, antenatal care providers should be equipped to guide pregnant women on how to access high-quality web-based information.

Anxiety, Depression, and Pain in the Perinatal Period: A Review for Obstetric Care Providers

2021 ◽  
Vol 76 (11) ◽  
pp. 692-713
Author(s):  
Pa Ta Xiong ◽  
John Poehlmann ◽  
Zachary Stowe ◽  
Kathleen M. Antony
Keyword(s):  
Obstetric Care ◽  
Perinatal Period ◽  
Care Providers ◽  
Obstetric Care Providers ◽  
Anxiety Depression

scholarly journals Asthma in pregnancy: An update

2020 ◽  
pp. 1753495X2096507
Author(s):  
Simon Couillard ◽  
Clare Connolly ◽  
Catherine Borg ◽  
Ian Pavord
Keyword(s):  
Asthma Management ◽  
Obstetric Care ◽  
Asthma Patient ◽  
Convincing Evidence ◽  
Care Providers ◽  
Inhaled Steroids ◽  
Obstetric Care Providers ◽  
New Biomarkers ◽  
Blood Eosinophils ◽  
In Pregnancy

Aim To update obstetric care providers about asthma management. Summary Asthma is the most frequent comorbid chronic illness in pregnancy. Convincing evidence shows that uncontrolled asthma magnifies the risk of maternal, fetal and neonate complications. Unfortunately, one in four women take no inhaler during pregnancy, and it is likely that decreased adherence, rather than changes in pathology, explains uncontrolled maternal asthma. Patient surveys reveal a need for information and reassurance. Although some molecules are preferred in pregnancy, there is currently no basis to withhold any asthma medication – old or new. Biomarkers such as blood eosinophils and fractional exhaled nitric oxide are an effective way to assess the risk of asthma attacks and the likelihood of responding to inhaled steroids. Furthermore, practice-changing trials in mild asthma show that switching reliever-only regimens to as-needed ‘controller-and-reliever’ therapy is effective. We suggest that applying these changes can alleviate women’s concerns and improve outcomes.

scholarly journals Prenatal Googling: Online Information Seeking by Israeli Women During Pregnancy

2013 ◽  
Vol 3 (2) ◽  
pp. 69-87
Author(s):  
Eimi Lev
Keyword(s):  
Pregnant Women ◽  
Information Seeking ◽  
Prenatal Testing ◽  
The Internet ◽  
Online Information ◽  
Informational Needs ◽  
Related Information ◽  
Popular Medium ◽  
Online Information Seeking

Abstract: In recent years, the internet has become a popular medium for pregnant women seeking pregnancy-related information (Gao et al., 2012; Lagan, Sinclair & Kernohan, 2010; Romano, 2007; Song, West, Lundy & Smith-Dahmen, 2012). This study which utilized a qualitative approach explores Israeli women’s online information seeking during pregnancy. Israel is an especially interesting and important case study for exploring pregnancy-related internet use, because Israel has the highest rate of prenatal testing in the world (Lavi, 2010). The findings of this study indicated that the most prominent type of information sought by Israeli pregnant women online was focused on prenatal tests. The internet as a source of pregnancy-related information seems to function not just as a means to fulfill personal informational needs, but also to represent a broader social phenomenon of a highly medicalized pregnancy that seem to intensify uncertainty and therefore, to increase the need to rely on the internet during pregnancy.

scholarly journals Knowledge, attitudes and practices on influenza vaccination during pregnancy in Quito, Ecuador

2020 ◽  
Author(s):  
Carlos E. Erazo ◽  
Carlos V. Erazo ◽  
Mario J. Grijalva ◽  
Ana L. Moncayo
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Influenza Vaccination ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Influenza Viruses ◽  
Care Providers ◽  
Factors Associated ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices

Abstract Background: Vaccination is the most effective way to prevent infection and severe outcomes caused by influenza viruses in pregnant women and their children. In Ecuador, the coverage of seasonal influenza vaccination in pregnant women is low. The aim of this study was to assess the knowledge, attitudes, and practices (KAP) of pregnant women toward influenza vaccination in Quito-Ecuador.Methods: A cross-sectional study enrolled 842 women who delivered at three main public gynecological-obstetric units of the Metropolitan District of Quito. A questionnaire regarding demographics, antenatal care, risk conditions and knowledge, attitudes and practices related to influenza vaccination was administered. We examined factors associated with vaccination using log-binomial regression models.Results: A low vaccination rate (36.6%) against influenza was observed among pregnant women. The factors associated with vaccination included the recommendations from health providers (adjusted PR: 15.84; CI 95% 9.62-26.10), belief in the safety of the influenza vaccine (adjusted PR: 1.53; CI 95% 1.03-2.37) and antenatal care (adjusted PR: 1.21; CI 95% 1.01-1.47). The most common reasons for not vaccinating included the lack of recommendation from health care providers (73.9%) and lack of access to vaccine (9.0%).Conclusions: Health educational programs aimed at pregnant women and antenatal care providers have the most potential to increase influenza vaccination rates. Further studies are needed to understand the barriers of health care providers regarding influenza vaccination in Ecuador.

scholarly journals Postpartum Pap Smear Results in Women with Abnormal Pap Smears Detected at First Antenatal Care: A Retrospective Study in a Songklanagarind Hospital

2021 ◽  
Vol 1 (2) ◽  
pp. 55-62
Author(s):  
Nungrutai Saeaib
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Cervical Cancer Screening ◽  
Pap Smear ◽  
Remission Rate ◽  
Pap Smears ◽  
Care Providers ◽  
Pregnancy And Postpartum

Objective: To assess the remission rate at postpartum periods of abnormal Pap smears during pregnancy, and to identify the demographic and clinical characteristics of pregnant women with abnormal Pap smears.Material and Methods: Pregnant women, who had antenatal care (ANC) in Songklanagarind Hospital in period of January 2011 to December 2019, were identified retrospectively. Exclusion criteria included inaccessible results of Pap smears during pregnancy and postpartum periods. Medical records of all pregnant women with abnormal Pap smears were reviewed. The association between Pap smear results during pregnancy and postpartum were analyzed by Cramer’s V statistic ranging from 0 to 1, with a 1 indicating perfect association.Results: Of these 8,238 pregnant women had available Pap smear results, 109 (1.3%) women were shown with abnormal results. The most common of abnormality from Pap smears were atypical squamous cells of undetermined significance. In postpartum period, 50 women who had abnormal Pap smear during pregnancy, underwent postpartum follow-up examination at six weeks postpartum, respectively. The majority of results (84.0%) were normal whilst rate of remission occurred in 45 women (90.0%). The association of Pap smears between during pregnancy and postpartum was shown to have a small association (Cramer’s V = 0.2).Conclusion: There was low prevalence of abnormal Pap smear during pregnancy and high remission rate at postpartum. However, health care providers should be aware of cervical cancer screening in all pregnant women, because many women had not undergone cervical cancer screening before pregnancy.

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