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Article ; Online: Effect of the unfavorable maternal-fetal environment cause by mitigation measures of the covid-19 pandemic in the public maternity of reference of Uruguay.

Briozzo, Leonel / Tomasso, Giselle / Viroga, Stephanie / Selma, Hugo / Cardozo, Virginia / Niz, Clara / Nozar, Fernanda / Bianchi, Ana

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

2021  Volume 35, Issue 25, Page(s) 7312–7315

Abstract: ... determinants of the health of pregnant women who use the Public Maternity of reference in Uruguay ... Introduction: The mitigation measures to face the health emergency due to the COVID 19 pandemic ... available in the database that reflect maternal conditions that lead to an unfavorable maternal environment ...

Abstract Introduction: The mitigation measures to face the health emergency due to the COVID 19 pandemic generated a deep economic, social, and psychological crisis at the community level. This effect is greater in the people, who are the most violated in their rights. In relation to the social crisis and gender perspective, women are particularly affected by the pandemic. Given the disadvantaged situation of women socially, economically, and politically, their self-care is diminished.
Objective: To identify whether there is an association between the classic risk factors for prematurity and fetal growth restriction and the increase in these pathologies in the period March-September 2020, in a maternity hospital that assists women from low resources.
Materials and methods: A retrospective study, with a comparative analysis of the periods between 15 March and 30 September 2019 and the same period in 2020. The data were obtained from an electronic clinical database. The prevalence of preterm birth and small-for-gestational age newborn was analyzed. Indicators available in the database that reflect maternal conditions that lead to an unfavorable maternal environment were selected and they were classified into categories.
Results: In the period of 2019, 3225 births were registered and in the period of 2020, 3036 births. In the 2019 period, 12.2% of prematurity was evidenced, while in the 2020 period, 14.5% (RR = 1.19, IC 95% = 1.05-1.35,
Conclusion: The economic, psychological and social crises, in the 1st semester of the health emergency, seriously affected the social determinants of the health of pregnant women who use the Public Maternity of reference in Uruguay. This situation is at the base of the poor perinatal results in the period of the maximum mediated mitigation of the pandemic.
MeSH term(s) Female ; Infant, Newborn ; Pregnancy ; Humans ; COVID-19/epidemiology ; Pandemics/prevention & control ; Premature Birth/epidemiology ; Retrospective Studies ; Uruguay/epidemiology ; Infant, Newborn, Diseases/epidemiology ; Fetal Growth Retardation/epidemiology
Language English
Publishing date 2021-07-05
Publishing country England
Document type Journal Article
ZDB-ID 2077261-0
ISSN 1476-4954 ; 1057-0802 ; 1476-7058
ISSN (online) 1476-4954
ISSN 1057-0802 ; 1476-7058
DOI 10.1080/14767058.2021.1946791
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