Pregnant women և their babies are performing worse during COVID-19 epidemics ողները Researchers are calling for immediate action to avoid decades of global investment in safe obstetrics.
According to the analysis of 40 studies published in 17 countries last year, stillbirths and maternal mortality rates increased by one third. According to a report in The Lancet medical journal on Wednesday, the results were worse in low- and middle-income countries.
Researchers say the increase may be due to COVID-19 suppression of health care systems, not to measures to limit the spread of the virus. Studies from individual countries suggest that pregnant women reduce their need for care due to fear of infection, as well as reduced delivery services.
“From our study, other data show that the epidemic caused the death of both the mother and the baby, especially in low- and middle-income countries,” said Asma Khalil, of St. Petersburg. George’s Lorry University of London.
The meta-analysis included studies from Botswana, Brazil, Canada, China, Denmark, India, Israel, Mexico, Nepal, the United Kingdom, and the United States. Although the report is the first global assessment of the impact of the pledged maternity epidemic. baby health, it has its limitations. The studies included in the analysis differ in their methods, making it more difficult to compare the results.
The results represent a reversal of recent progress in making pregnancies safer for mothers and children around the world. This was stated by Andrea Kreanga, Associate Professor at the Department of International Health, Gynecology and Obstetrics, University of Hopkins University.
The world has made progress in providing antenatal care and childbirth in health care providers, and in recent years the focus has shifted to improving the quality of care for women and newborns.
“Now we are going to return to make sure that women come to institutions to get the care they need for their babies,” she said. “There is a difficult road ahead.”
In Sierra Leone, which until recently had the highest maternal mortality rate in the world and suffered from a deadly Ebola outbreak, government officials and partners made no effort to provide day-to-day health care.
The use of health services during the Ebola outbreak has declined due to fears and economic instability, so the country has acted quickly this time, said Jon Onatan Lasscher, CEO of Partners In Health in Sierra Leone, an organization that has worked with the Ministry of Health for the past six years. during:
“We went to the radio stations and started talking about the fact that the hospital and the clinics that we support are open,” Lascher said. “People have to keep coming because it’s safe.”
There has been a decline in prenatal care and regular hospital visits. This was said by Isata Dumbuya, a nurse midwife at PIH մ Mother և Child Health Manager.
“Remember, this is a region that has experienced a very serious Ebola epidemic, they still have very bad memories of what happens when you come to the hospital or when an epidemic breaks out,” Dumbuya said. “That’s why people stayed away.”
Since then, through the efforts of the Ministry և others, visits have resumed as awareness of COVID-19 և its risks have become clearer to the public. But Dumbuya said he was concerned about the impact of supply cuts and funding on the health of mothers and children in the country.
“Reductions in the budget of large aid programs have already begun to affect other programs in the country, as a result of which maternal health providers are being removed from their departments,” she said.
“This is how our women-patients will suffer, not as a direct aftermath of COVID-19, but indirectly,” she said. “If our suppliers are no longer able to extract the resources we need in a timely manner, or if our donors can no longer provide as much funding as they once did, we can no longer sustain those programs on our own.”