Pregnancy Care during the COVID-19 Pandemic in Germany: A Public Health Lens.

Autor: Leiße A; School of Public Health, Bielefeld University, 33615 Bielefeld, Germany., Dötzer J; School of Public Health, Bielefeld University, 33615 Bielefeld, Germany., Ruhnau A; School of Public Health, Bielefeld University, 33615 Bielefeld, Germany., Aschentrup L; School of Public Health, Bielefeld University, 33615 Bielefeld, Germany.; Faculty of Engineering and Mathematics, University of Applied Sciences Bielefeld, 33619 Bielefeld, Germany.; Faculty of Health, University of Applied Sciences Bielefeld, 33619 Bielefeld, Germany., Fischer F; Institute of Public Health, Charité-Universitätsmedizin Berlin, 10117 Berlin, Germany., Wrona KJ; Faculty of Engineering and Mathematics, University of Applied Sciences Bielefeld, 33619 Bielefeld, Germany.; Faculty of Health, University of Applied Sciences Bielefeld, 33619 Bielefeld, Germany.
Jazyk: angličtina
Zdroj: International journal of environmental research and public health [Int J Environ Res Public Health] 2023 Feb 03; Vol. 20 (3). Date of Electronic Publication: 2023 Feb 03.
DOI: 10.3390/ijerph20032721
Abstrakt: The COVID-19 pandemic has led to various challenges in German health care, including pregnancy care. This paper aims to provide an overview of the pandemic-related challenges faced by pregnant women, new mothers, and their families in maternal and newborn care. A literature review was performed by including international literature as well as recommendations of institutions and official stakeholders. These challenges refer to restrictions at all stages of pregnancy, including wearing masks during labour, limitations of a companion of choice during birth, and restrictions of unvaccinated women from attending, e.g., antenatal classes. Compared with the general population, COVID-19 vaccination of pregnant women was recommended later, as pregnant women were initially excluded from clinical trials. Women who gave birth during the COVID-19 pandemic also reported mental health issues. The findings stress the importance of the inclusion of pregnant women in clinical trials. This might also help to overcome vaccine hesitancy among pregnant women and women seeking family planning. Taking the COVID-19 pandemic as an example, one must weigh the changes and restrictions associated with the potential disadvantages for mothers, newborns, and their families in pregnancy care against the measures to control the pandemic.
Databáze: MEDLINE