Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study

BMC Pregnancy and Childbirth

Catherine Crenn-Hebert¹  Alexandra Benachi²  Karine Wyndels³  Anouk Tabaï⁴  Andrea Guajardo-Villar⁵  Lucia Araujo-Chaveron⁶  Yaya Barry⁶  Alexandra Doncarli⁶  Maria-Eugênia Gomes Do Espirito Santo⁶  Claudie Menguy⁶  Nolwenn Regnault⁶  Virginie Demiguel⁶  Julie Boudet-Berquier⁶ 

[1] Department of Gynecology and Obstetrics, Louis Mourier University Hospital, AP-HP, Colombes, France;Division of Obstetrics and Gynecology, Antoine Béclère Hospital, AP-HP, Clamart, France;Paris Saclay University, Clamart, France;Santé Publique France, French national public health agency, Hauts-de-France regional office, Saint-Maurice, France;Santé publique France, French national public health agency, Alert and crisis department, Saint-Maurice, France;Santé publique France, French national public health agency, Data processing, support and analysis department, Saint-Maurice, France;Santé publique France, French national public health agency, Non-Communicable Diseases and Trauma Division, Perinatology, Early childhood and Mental Health Unit, 14, rue du Val d’Osne, F-94415, Saint-Maurice, France;

关键词: Pregnant women;    SARS-CoV-2;    Lockdown;    Pregnancy monitoring;   

DOI  :  10.1186/s12884-021-04256-9

来源: Springer

【 摘 要 】

BackgroundIn the context of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, consultations and pregnancy monitoring examinations had to be reorganised urgently. In addition, women themselves may have postponed or cancelled their medical monitoring for organisational reasons, for fear of contracting the disease caused by SARS-CoV-2 (COVID-19) or for other reasons of their own. Delayed care can have deleterious consequences for both the mother and the child. Our objective was therefore to study the impact of the SARS-CoV-2 pandemic and the first lockdown in France on voluntary changes by pregnant women in the medical monitoring of their pregnancy and the associated factors.MethodsA cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 adult (> 18 years old) pregnant women during the first French lockdown (March–May 2020). A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPRs).ResultsAlmost one women of five (23.4%) reported having voluntarily postponed or foregone at least one consultation or pregnancy check-up during the lockdown. Women who were professionally inactive (aPR = 1.98, CI95%[1.24–3.16]), who had experienced serious disputes or violence during the lockdown (1.47, [1.00–2.16]), who felt they received little or no support (1.71, [1.07–2.71]), and those who changed health professionals during the lockdown (1.57, [1.04–2.36]) were all more likely to have voluntarily changed their pregnancy monitoring. Higher level of worry about the pandemic was associated with a lower probability of voluntarily changing pregnancy monitoring (0.66, [0.46–0.96]).ConclusionsOur results can guide prevention and support policies for pregnant women in the current and future pandemics.

【 授权许可】

CC BY