The COVID-19 Pandemic and Routine Prenatal Care: Use of Online Visits.

Autor: Mobeen S; Department of Obstetrics and Gynecology, South Brooklyn Health, 2601 Ocean Parkway, Brooklyn, New York, 11235, USA., Fogel J; Department of Obstetrics and Gynecology, South Brooklyn Health, 2601 Ocean Parkway, Brooklyn, New York, 11235, USA.; Department of Management, Marketing, and Entrepreneurship, Brooklyn College, Brooklyn, New York, USA., Harishankar K; Department of Obstetrics and Gynecology, Elmhurst Hospital Center, Queens, New York, USA.; Department of Obstetrics and Gynecology, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Jacobs AJ; Department of Obstetrics and Gynecology, South Brooklyn Health, 2601 Ocean Parkway, Brooklyn, New York, 11235, USA. allanjoeljacobs@gmail.com.; Department of Obstetrics and Gynecology, Downstate Medical Center, Brooklyn, New York, USA. allanjoeljacobs@gmail.com.
Jazyk: angličtina
Zdroj: Maternal and child health journal [Matern Child Health J] 2024 Jul; Vol. 28 (7), pp. 1219-1227. Date of Electronic Publication: 2024 Jan 25.
DOI: 10.1007/s10995-024-03904-8
Abstrakt: Objective: To evaluate whether prenatal visits or screening/testing were fewer or occurred later during the initial phase of the COVID-19 pandemic in 2020 (CINT) as compared to the prior year (PreCINT).
Methods: A retrospective cohort study compared CINT (n = 2,195) to PreCINT (n = 2,395) at seven public hospitals in New York City. The primary outcome was total number of prenatal-care visits. Secondary outcomes were components of prenatal-care visits completion, timing of standard pregnancy screening tests, and adverse neonatal outcomes.
Results: CINT patients had more total prenatal-care visits (B = 1.30, 95% CI:1.04, 1.56, p < 0.001), lower odds for initiation of prenatal care which was inadequate according to widely used criteria (OR:0.39, 95% CI:0.34, 0.45, p < 0.001), and lower gestational age at initial visit (B=-4.51, 95% CI:-5.10, -3.93, p < 0.001) than PreCINT patients. In-person visits did not differ between the two groups. PreCINT patients had no televisits, while CINT patients had a median of one televisit (Median = 1, p < 0.001). CINT patients had increased odds for group B Streptococcus screening (OR:1.27, 95% CI: 1.10, 1.48, p = 0.001), quadrivalent screening (OR:1.30, 95% CI:1.15, 1.48, p < 0.001), and anatomy sonogram (OR:2.30, 95% CI:2.04, 2.59, p < 0.001) but decreased odds for glucose challenge test screening (OR:0.81, 95% CI:0.72, 0.91, p < 0.001). Adverse neonatal outcome did not differ between CINT and PreCINT pregnancies.
Conclusions for Practice: Despite the difficulties and perceived dangers of in-person visits during the COVID-19 pandemic, the COVID-19 pandemic had little negative impact upon the outpatient prenatal care received by patients in this hospital system.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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