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  1. Article ; Online: Impacts of Neonatal Hospitalization on Families during the 2019 Coronavirus Pandemic.

    Vance, Ashlee J / Malin, Kathryn J / Chen, Bingxin / Shuman, Clayton J / Moore, Tiffany A

    American journal of perinatology

    2021  Volume 38, Issue 11, Page(s) 1201–1208

    Abstract: ... whose infants were hospitalized during the 2019 coronavirus (COVID-19) pandemic. The study objective was ... hospitalization in the context of COVID-19 is largely unknown.. · In a cohort of NICU parents during COVID-19 ... life.: Conclusion: Parents reported significant family and financial impacts during their infant's ...

    Abstract Objective: Limited data are available regarding family and financial well-being among parents whose infants were hospitalized during the 2019 coronavirus (COVID-19) pandemic. The study objective was to evaluate the family and financial well-being of parents whose infants were hospitalized in the neonatal intensive care unit (NICU) during COVID-19.
    Study design: Parents were recruited for this online, cross-sectional survey via support groups on social media. Data collection was completed between May 18, 2020 and July 31, 2020. The final sample consisted of 178 parents, who had an infant hospitalized in an NICU between February 1, 2020 and July 31, 2020. The primary outcomes were impact on family life and financial stability, as measured by the Impact on Family scale, an instrument that evaluates changes to family life as a result of infant or childhood illness.
    Results: Of the 178 parent respondents, 173 (97%) were mothers, 107 (59.4%) were non-Hispanic White, and 127 (69.5%) of the infants were born prematurely. Parents reported significant family impact and greater financial difficulty. Extremely premature infants, lower household income, parent mental health, and lower parental confidence were predictive of greater impacts on family life.
    Conclusion: Parents reported significant family and financial impacts during their infant's hospitalization amid COVID-19. Further studies are needed to guide clinical practice and inform family-supportive resources that can mitigate consequences to family well-being.
    Key points: · Impact of infant hospitalization in the context of COVID-19 is largely unknown.. · In a cohort of NICU parents during COVID-19, they reported changes to family life and finances.. · Greater impacts were reported by parents with lower income, confidence, and very premature infants..
    MeSH term(s) Adult ; COVID-19/epidemiology ; COVID-19/prevention & control ; Child, Hospitalized/psychology ; Cross-Sectional Studies ; Family Health/economics ; Family Health/statistics & numerical data ; Female ; Financial Stress ; Hospitalization/economics ; Humans ; Infant, Newborn ; Infant, Premature ; Intensive Care Units, Neonatal/statistics & numerical data ; Intensive Care, Neonatal/psychology ; Male ; Mental Health ; Parents/psychology ; SARS-CoV-2 ; United States/epidemiology
    Language English
    Publishing date 2021-07-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/s-0041-1731649
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Impacts of Neonatal Hospitalization on Families during the 2019 Coronavirus Pandemic

    Vance, Ashlee J. / Malin, Kathryn J. / Chen, Bingxin / Shuman, Clayton J. / Moore, Tiffany A.

    American Journal of Perinatology

    2021  Volume 38, Issue 11, Page(s) 1201–1208

    Abstract: ... whose infants were hospitalized during the 2019 coronavirus (COVID-19) pandemic. The study objective was ... hospitalization in the context of COVID-19 is largely unknown. In a cohort of NICU parents during COVID-19 ... life.: Conclusion: Parents reported significant family and financial impacts during their infant's ...

    Abstract Objective: Limited data are available regarding family and financial well-being among parents whose infants were hospitalized during the 2019 coronavirus (COVID-19) pandemic. The study objective was to evaluate the family and financial well-being of parents whose infants were hospitalized in the neonatal intensive care unit (NICU) during COVID-19.
    Study Design: Parents were recruited for this online, cross-sectional survey via support groups on social media. Data collection was completed between May 18, 2020 and July 31, 2020. The final sample consisted of 178 parents, who had an infant hospitalized in an NICU between February 1, 2020 and July 31, 2020. The primary outcomes were impact on family life and financial stability, as measured by the Impact on Family scale, an instrument that evaluates changes to family life as a result of infant or childhood illness.
    Results: Of the 178 parent respondents, 173 (97%) were mothers, 107 (59.4%) were non-Hispanic White, and 127 (69.5%) of the infants were born prematurely. Parents reported significant family impact and greater financial difficulty. Extremely premature infants, lower household income, parent mental health, and lower parental confidence were predictive of greater impacts on family life.
    Conclusion: Parents reported significant family and financial impacts during their infant's hospitalization amid COVID-19. Further studies are needed to guide clinical practice and inform family-supportive resources that can mitigate consequences to family well-being.
    Key Points: Impact of infant hospitalization in the context of COVID-19 is largely unknown. In a cohort of NICU parents during COVID-19, they reported changes to family life and finances. Greater impacts were reported by parents with lower income, confidence, and very premature infants.
    Keywords neonatal intensive care ; COVID-19 ; parents ; financial well-being
    Language English
    Publishing date 2021-07-05
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/s-0041-1731649
    Database Thieme publisher's database

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  3. Article ; Online: Impact of visiting restrictions on Edinburgh postnatal depression scale screening scores at one month postpartum during the spread of COVID-19: a single-center case-control study in Japan.

    Kudo, Sho / Banno, Harumichi / Itou, Taro / Kawamura, Hiroshi / Inoue, Daisuke / Takahashi, Nozomu / Orisaka, Makoto / Yoshida, Yoshio

    BMC pregnancy and childbirth

    2023  Volume 23, Issue 1, Page(s) 655

    Abstract: ... EPDS screening.: Conclusion: Visiting restrictions on family during the hospitalization period ... to the coronavirus disease 2019 (COVID-19) pandemic are a risk factor for postpartum depression using the Edinburgh ... 95% confidence interval (CI): 0.18-0.68), neonatal hospitalization (OR: 2.17, 95% CI: 1.08-4.35), and ...

    Abstract Background: This study aimed to evaluate whether "visiting restrictions" implemented due to the coronavirus disease 2019 (COVID-19) pandemic are a risk factor for postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS).
    Methods: This case-control study participants who gave birth during the spread of COVID-19 (COVID-19 study group) and before the spread of COVID-19 (control group). Participants completed the EPDS at 2 weeks and 1 month after childbirth.
    Results: A total of 400 cases (200 in each group) were included in this study. The EPDS positivity rate was significantly lower with visiting restrictions than without (8.5% vs.18.5%, p = 0.002). Multivariate analysis of positive EPDS screening at the 1st month checkup as the objective variable revealed that visiting restrictions (odds ratio (OR): 0.35, 95% confidence interval (CI): 0.18-0.68), neonatal hospitalization (OR: 2.17, 95% CI: 1.08-4.35), and prolonged delivery (OR: 2.87, 95% CI: 1.20-6.85) were factors associated with an increased risk of positive EPDS screening.
    Conclusion: Visiting restrictions on family during the hospitalization period for delivery during the spread of COVID-19 pandemic did not worsen EPDS screening scores 1 month postpartum, but stabilized the mental state of some mothers.
    MeSH term(s) Infant, Newborn ; Female ; Humans ; Japan/epidemiology ; Case-Control Studies ; Pandemics ; COVID-19/diagnosis ; COVID-19/epidemiology ; COVID-19/prevention & control ; Postpartum Period ; Psychiatric Status Rating Scales
    Language English
    Publishing date 2023-09-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2059869-5
    ISSN 1471-2393 ; 1471-2393
    ISSN (online) 1471-2393
    ISSN 1471-2393
    DOI 10.1186/s12884-023-05979-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The NICU during COVID-19 Pandemic: Impact on Maternal Pediatric Medical Traumatic Stress (PMTS).

    Raho, Laura / Bucci, Silvia / Bevilacqua, Francesca / Grimaldi, Teresa / Dotta, Andrea / Bagolan, Pietro / Aite, Lucia

    American journal of perinatology

    2021  Volume 39, Issue 13, Page(s) 1478–1483

    Abstract: ... changes due to the coronavirus disease 2019 (COVID-19) pandemic impact pediatric medical traumatic stress ... to provide family-centered care during the COVID-19 pandemic and beyond.: Key points: · COVID-19 acted ... in the NICU at birth during the COVID-19 pandemic and mothers of infants admitted in the NICU before the COVID ...

    Abstract Objective: The objective of this paper was to assess how hospital and outpatient clinic policies changes due to the coronavirus disease 2019 (COVID-19) pandemic impact pediatric medical traumatic stress (PMTS) symptoms in mothers of newborns admitted in a neonatal intensive care unit (NICU).
    Study design: Observational case-control study included the comparison between mothers of infants admitted in the NICU at birth during the COVID-19 pandemic and mothers of infants admitted in the NICU before the COVID-19 pandemic. The control group was selected matching 1:1 with the study group for the following infants' clinical variables: gender, type of pathology, gestational age, weight at birth, day of recovery, ventilator time days, and associated malformations. The Italian version of the Impact of Event Scale-Revised (IES-R) was used as a measure of PMTS.
    Result: Mothers of the study group (50) scored significantly higher than mothers of the control group on three of four scales of IES-R ("IES-R total":
    Conclusion: The COVID-19 pandemic acted as superimposed stress in mothers of newborns admitted in the NICU at birth determining high levels of PMTS. Clinicians and researchers should identify and implement novel strategies to provide family-centered care during the COVID-19 pandemic and beyond.
    Key points: · COVID-19 acted as superimposed stress on NICU population.. · PMTS in mothers got significantly worse during the COVID-19 pandemic.. · Alert on long-term consequences on child development..
    MeSH term(s) COVID-19/epidemiology ; Case-Control Studies ; Child ; Estrenes ; Female ; Humans ; Infant ; Infant, Newborn ; Intensive Care Units, Neonatal ; Mothers ; Pandemics ; Pyridinium Compounds
    Chemical Substances Estrenes ; Pyridinium Compounds ; pyridinium 3-methoxyestra-1,3,5(10)-trien-6-yl sulfate (134223-97-5)
    Language English
    Publishing date 2021-12-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/a-1717-4021
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: The Impact of COVID-19 Lockdown on Pediatric Hospital Admissions in Turkey

    Erdede, Ozlem / Sarı, Erdal / Uygur Külcü, Nihan / Sezer Yamanel, Rabia Gönül

    Journal of Pediatric Infectious Diseases

    2022  Volume 17, Issue 05, Page(s) 227–233

    Abstract: Objective: Health care utilization has declined significantly during the coronavirus disease 2019 ... health care utilization. The public must be educated about the safety of hospital environments, and families ... during the lockdown period compared to the preceding year. In addition to the impact of COVID-19 ...

    Abstract Objective: Health care utilization has declined significantly during the coronavirus disease 2019 (COVID-19) pandemic. We aimed to analyze the impact of COVID-19 lockdowns on pediatric admissions in a Turkish medical center.
    Methods: This retrospective study was conducted by analyzing the numbers and records, including diagnoses, of patients admitted to our pediatric department between March 11, 2020 (the day of the first confirmed COVID-19 case in Turkey) and June 11, 2020 and comparing it with the diagnoses and numbers for the same period in 2019. The most common reasons for admissions were investigated.
    Results: Totally, 89,607 patients were included. Patient visits reduced drastically by 63.11 to 36.89% during the lockdown period compared to the preceding year. In addition to the impact of COVID-19 lockdowns on the total volume of patients, we observed significant variations in the distribution of diagnoses among children. The percentage of respiratory, gastrointestinal, immunological, and ophthalmologic diseases and allergic reactions statistically decreased ( p  < 0.001). In contrast, the relative percentage of neonatal, urogenital, neurological, cardiovascular, hematological, and dermatological diseases significantly increased ( p  < 0.001) among emergency department (ED) admissions. Notably, the percentage of respiratory diseases among ED patients decreased by 66.81 to 33.19%.
    Conclusion: COVID-19 strongly affected health care utilization. The public must be educated about the safety of hospital environments, and families should be encouraged to visit hospitals in case of emergencies. Additionally, changes in public health advice may help alter health care consumption patterns.
    Keywords COVID-19 ; children ; public health ; health care utilization ; Turkey
    Language English
    Publishing date 2022-08-02
    Publisher Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2236947-8
    ISSN 1305-7693 ; 1305-7707 ; 1871-0336
    ISSN (online) 1305-7693
    ISSN 1305-7707 ; 1871-0336
    DOI 10.1055/s-0042-1755237
    Database Thieme publisher's database

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  6. Article: The NICU during COVID-19 Pandemic: Impact on Maternal Pediatric Medical Traumatic Stress (PMTS)

    Raho, Laura / Bucci, Silvia / Bevilacqua, Francesca / Grimaldi, Teresa / Dotta, Andrea / Bagolan, Pietro / Aite, Lucia

    American Journal of Perinatology

    2021  Volume 39, Issue 13, Page(s) 1478–1483

    Abstract: ... changes due to the coronavirus disease 2019 (COVID-19) pandemic impact pediatric medical traumatic stress ... strategies to provide family-centered care during the COVID-19 pandemic and beyond.: Key Points: COVID-19 ... in the NICU at birth during the COVID-19 pandemic and mothers of infants admitted in the NICU before the COVID ...

    Abstract Objective: The objective of this paper was to assess how hospital and outpatient clinic policies changes due to the coronavirus disease 2019 (COVID-19) pandemic impact pediatric medical traumatic stress (PMTS) symptoms in mothers of newborns admitted in a neonatal intensive care unit (NICU).
    Study Design: Observational case-control study included the comparison between mothers of infants admitted in the NICU at birth during the COVID-19 pandemic and mothers of infants admitted in the NICU before the COVID-19 pandemic. The control group was selected matching 1:1 with the study group for the following infants' clinical variables: gender, type of pathology, gestational age, weight at birth, day of recovery, ventilator time days, and associated malformations. The Italian version of the Impact of Event Scale—Revised (IES-R) was used as a measure of PMTS.
    Result: Mothers of the study group (50) scored significantly higher than mothers of the control group on three of four scales of IES-R (“IES-R total”: F  = 6.70; p  = 0.011; IES-R subscale “intrusion”: F  = 7.45; p  = 0.008; IES-R subscale “avoidance”: F  = 8.15; p  = 0.005). A significantly higher number of mothers in the study group scored above the IES-R total clinical cut-off compared with mothers of control group (72 vs. 48%; Chi 2  = 6.00; p  = 0.012).
    Conclusion: The COVID-19 pandemic acted as superimposed stress in mothers of newborns admitted in the NICU at birth determining high levels of PMTS. Clinicians and researchers should identify and implement novel strategies to provide family-centered care during the COVID-19 pandemic and beyond.
    Key Points: COVID-19 acted as superimposed stress on NICU population. PMTS in mothers got significantly worse during the COVID-19 pandemic. Alert on long-term consequences on child development.
    Keywords pediatric medical traumatic stress ; NICU ; COVID-19 ; maternal psychological distress
    Language English
    Publishing date 2021-12-09
    Publisher Thieme Medical Publishers, Inc.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 605671-4
    ISSN 1098-8785 ; 0735-1631
    ISSN (online) 1098-8785
    ISSN 0735-1631
    DOI 10.1055/a-1717-4021
    Database Thieme publisher's database

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