Corona Virus Disease 2019 Pandemic Contributed to Pregnancy Devastating Outcomes in Low Income Countries

Callixte Yadufashije, Liliane Muhimpundu, Lydia Mwanzia, G. Sangano
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Abstract

Corona Virus Disease 2019 (COVID-19) pandemic has been a public health threat of the 21st century. This pandemic has unexpectedly occurred, and countries have faced challenges to implement the preventive strategies against this unexpected killer. Pregnancy is a critical state among women, and special care should be provided to prevent pregnancy related complications as early as possible. COVID-19 pandemic has restricted services provided to pregnant women due to some prevention measures and treatment programs. Previous studies reported the high increase of obstetric complications among women infected or ever infected by COVID-19. Depression, suicidal intention, low quality of life during pregnancy, gestational hypertension and gestational diabetes mellitus, the premature rupture of membranes, miscarriage, preterm delivery, edema, maternal death, and hypoxia and other respiratory conditions were observed among women infected by COVID-19. Strategies for protecting pregnant women during pandemics should be enhanced to prevent pregnancy related complications and maternal death. There should be home health care nurses and midwives working with community health workers to assist pregnant women at home. Governments should develop policies and plans about maintaining maternal and child health during pandemics requiring travel ban and other prevention measures.
2019年冠状病毒病大流行导致低收入国家怀孕灾难性后果
2019冠状病毒病(COVID-19)大流行已成为21世纪的公共卫生威胁。这一流行病出人意料地发生了,各国在实施预防战略以对付这一意想不到的杀手方面面临挑战。妊娠期是妇女的危重期,应给予特别照顾,尽早预防妊娠相关并发症。由于一些预防措施和治疗方案,COVID-19大流行限制了向孕妇提供的服务。先前的研究报告称,感染或曾经感染过COVID-19的妇女的产科并发症发生率很高。新冠肺炎感染妇女出现抑郁、自杀倾向、妊娠期生活质量低下、妊娠期高血压、妊娠期糖尿病、胎膜早破、流产、早产、水肿、孕产妇死亡、缺氧等呼吸系统疾病。应加强在大流行病期间保护孕妇的战略,以预防与妊娠有关的并发症和孕产妇死亡。应该有家庭保健护士和助产士与社区卫生工作者合作,在家中帮助孕妇。各国政府应制定政策和计划,在需要旅行禁令和其他预防措施的大流行病期间保持孕产妇和儿童健康。
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