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  1. Article ; Online: Maintaining Maternal-Newborn Safety During the COVID-19 Pandemic.

    Patrick, Nancy A / Johnson, Teresa S

    Nursing for women's health

    2021  Volume 25, Issue 3, Page(s) 212–220

    Abstract: COVID-19, the disease caused by the SARS-CoV-2 virus, was declared a global pandemic ... conditions, maternal and newborn populations were also identified as being at greater risk. It became ... critical for hospitals and clinicians to maintain the safety of individuals in the facility and minimize ...

    Abstract COVID-19, the disease caused by the SARS-CoV-2 virus, was declared a global pandemic by the World Health Organization on March 11, 2020. In addition to older individuals and those with underlying chronic health conditions, maternal and newborn populations were also identified as being at greater risk. It became critical for hospitals and clinicians to maintain the safety of individuals in the facility and minimize the transmission of COVID-19 while continuing to strive for optimized outcomes by providing family-centered care. Rapid change during the pandemic made it appropriate to use the plan-do-study-act (PDSA) cycle to continually evaluate proposed and standard practices. Our team established an obstetric COVID-19 unit for women and newborns, developed guidelines for visitation and for the use of personal protective equipment, initiated universal COVID-19 testing, and provided health education to emphasize shared decision making.
    MeSH term(s) COVID-19/prevention & control ; COVID-19 Testing ; Female ; Humans ; Infant, Newborn ; Infectious Disease Transmission, Vertical/prevention & control ; Pregnancy ; Pregnancy Complications, Infectious/prevention & control ; SARS-CoV-2
    Language English
    Publishing date 2021-03-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2275619-X
    ISSN 1751-486X ; 1751-4851
    ISSN (online) 1751-486X
    ISSN 1751-4851
    DOI 10.1016/j.nwh.2021.03.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Maintaining Continuity of Care for Expectant Mothers in Kenya During the COVID-19 Pandemic: A Study of MomCare.

    Sanctis, Teresa De / Etiebet, Mary-Ann / Janssens, Wendy / van der Graaf, Mark H / van Montfort, Colette / Waiyaiya, Emma / Spieker, Nicole

    Global health, science and practice

    2022  Volume 10, Issue 4

    Abstract: ... in MomCare during the COVID-19 lockdowns, while quality of care and outcomes were maintained. Public health ... through the MomCare platform during the 6 months before the first confirmed COVID-19 case in Kenya (September 2019 ... In Kenya, early coronavirus disease (COVID-19) modeling studies predicted that disruptions ...

    Abstract In Kenya, early coronavirus disease (COVID-19) modeling studies predicted that disruptions in antenatal care and hospital services could increase indirect maternal and neonatal deaths and stillbirths. As the Kenyan government enforced lockdowns and a curfew, many mothers-to-be were unable to safely reach hospital facilities, especially at night. Fear of contracting COVID-19, increasing costs of accessing care, stigma, and falling incomes forced many expectant mothers to give birth at home. MomCare, which primarily serves communities in remote areas and urban slums, links mothers-to-be with payers and health care providers, following a standardized pregnancy program based on World Health Organization guidelines at a predetermined cost and quality. Expectant mothers gain access to care through a mobile wallet on their feature phone (voice, text, and basic internet), and providers are paid after appropriate care is given. Within the first 3 weeks of the pandemic in Kenya, the following services were added to the MomCare bundle: emergency ambulance services during curfew hours, extended bed allowances to encourage early care, phone calls to check on mothers approaching their delivery dates and to promote the generation of a birth plan, SMS messages to inform mothers of open facilities and COVID-19 protocols, and training for clinic staff in managing COVID-19 patients and infection prevention. We compare data collected through the MomCare platform during the 6 months before the first confirmed COVID-19 case in Kenya (September 2019-February 2020) with data collected during the 6 months that followed. This study shows that care-seeking behaviors (enrollment, antenatal/postnatal care, skilled deliveries) increased for mothers-to-be enrolled in MomCare during the COVID-19 lockdowns, while quality of care and outcomes were maintained. Public health practitioners can promote interactive, patient-driven technology like MomCare to augment traditional responses, quickly linking payments with patients and providers in times of crisis.
    MeSH term(s) COVID-19/epidemiology ; Communicable Disease Control ; Continuity of Patient Care ; Female ; Humans ; Infant, Newborn ; Kenya/epidemiology ; Mothers ; Pandemics ; Pregnancy
    Language English
    Publishing date 2022-08-30
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2710875-2
    ISSN 2169-575X ; 2169-575X
    ISSN (online) 2169-575X
    ISSN 2169-575X
    DOI 10.9745/GHSP-D-21-00665
    Database MEDical Literature Analysis and Retrieval System OnLINE

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