Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study

Abstract Background In the context of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, consultations and pregnancy monitoring examinations had to be reorganised urgently. In addition, women themselves may have postponed or cancelled their medical monitoring for organisation...

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Autores principales:	Alexandra Doncarli, Lucia Araujo-Chaveron, Catherine Crenn-Hebert, Virginie Demiguel, Julie Boudet-Berquier, Yaya Barry, Maria-Eugênia Gomes Do Espirito Santo, Andrea Guajardo-Villar, Claudie Menguy, Anouk Tabaï, Karine Wyndels, Alexandra Benachi, Nolwenn Regnault
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Pregnant women SARS-CoV-2 Lockdown Pregnancy monitoring Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/595c0e99367d48a182ac791cbf449073
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spelling	oai:doaj.org-article:595c0e99367d48a182ac791cbf4490732021-12-05T12:20:43ZImpact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study10.1186/s12884-021-04256-91471-2393https://doaj.org/article/595c0e99367d48a182ac791cbf4490732021-11-01T00:00:00Zhttps://doi.org/10.1186/s12884-021-04256-9https://doaj.org/toc/1471-2393Abstract Background In the context of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, consultations and pregnancy monitoring examinations had to be reorganised urgently. In addition, women themselves may have postponed or cancelled their medical monitoring for organisational reasons, for fear of contracting the disease caused by SARS-CoV-2 (COVID-19) or for other reasons of their own. Delayed care can have deleterious consequences for both the mother and the child. Our objective was therefore to study the impact of the SARS-CoV-2 pandemic and the first lockdown in France on voluntary changes by pregnant women in the medical monitoring of their pregnancy and the associated factors. Methods A cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 adult (> 18 years old) pregnant women during the first French lockdown (March–May 2020). A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPRs). Results Almost one women of five (23.4%) reported having voluntarily postponed or foregone at least one consultation or pregnancy check-up during the lockdown. Women who were professionally inactive (aPR = 1.98, CI95%[1.24–3.16]), who had experienced serious disputes or violence during the lockdown (1.47, [1.00–2.16]), who felt they received little or no support (1.71, [1.07–2.71]), and those who changed health professionals during the lockdown (1.57, [1.04–2.36]) were all more likely to have voluntarily changed their pregnancy monitoring. Higher level of worry about the pandemic was associated with a lower probability of voluntarily changing pregnancy monitoring (0.66, [0.46–0.96]). Conclusions Our results can guide prevention and support policies for pregnant women in the current and future pandemics.Alexandra DoncarliLucia Araujo-ChaveronCatherine Crenn-HebertVirginie DemiguelJulie Boudet-BerquierYaya BarryMaria-Eugênia Gomes Do Espirito SantoAndrea Guajardo-VillarClaudie MenguyAnouk TabaïKarine WyndelsAlexandra BenachiNolwenn RegnaultBMCarticlePregnant womenSARS-CoV-2LockdownPregnancy monitoringGynecology and obstetricsRG1-991ENBMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pregnant women SARS-CoV-2 Lockdown Pregnancy monitoring Gynecology and obstetrics RG1-991
spellingShingle	Pregnant women SARS-CoV-2 Lockdown Pregnancy monitoring Gynecology and obstetrics RG1-991 Alexandra Doncarli Lucia Araujo-Chaveron Catherine Crenn-Hebert Virginie Demiguel Julie Boudet-Berquier Yaya Barry Maria-Eugênia Gomes Do Espirito Santo Andrea Guajardo-Villar Claudie Menguy Anouk Tabaï Karine Wyndels Alexandra Benachi Nolwenn Regnault Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study
description	Abstract Background In the context of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, consultations and pregnancy monitoring examinations had to be reorganised urgently. In addition, women themselves may have postponed or cancelled their medical monitoring for organisational reasons, for fear of contracting the disease caused by SARS-CoV-2 (COVID-19) or for other reasons of their own. Delayed care can have deleterious consequences for both the mother and the child. Our objective was therefore to study the impact of the SARS-CoV-2 pandemic and the first lockdown in France on voluntary changes by pregnant women in the medical monitoring of their pregnancy and the associated factors. Methods A cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 adult (> 18 years old) pregnant women during the first French lockdown (March–May 2020). A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPRs). Results Almost one women of five (23.4%) reported having voluntarily postponed or foregone at least one consultation or pregnancy check-up during the lockdown. Women who were professionally inactive (aPR = 1.98, CI95%[1.24–3.16]), who had experienced serious disputes or violence during the lockdown (1.47, [1.00–2.16]), who felt they received little or no support (1.71, [1.07–2.71]), and those who changed health professionals during the lockdown (1.57, [1.04–2.36]) were all more likely to have voluntarily changed their pregnancy monitoring. Higher level of worry about the pandemic was associated with a lower probability of voluntarily changing pregnancy monitoring (0.66, [0.46–0.96]). Conclusions Our results can guide prevention and support policies for pregnant women in the current and future pandemics.
format	article
author	Alexandra Doncarli Lucia Araujo-Chaveron Catherine Crenn-Hebert Virginie Demiguel Julie Boudet-Berquier Yaya Barry Maria-Eugênia Gomes Do Espirito Santo Andrea Guajardo-Villar Claudie Menguy Anouk Tabaï Karine Wyndels Alexandra Benachi Nolwenn Regnault
author_facet	Alexandra Doncarli Lucia Araujo-Chaveron Catherine Crenn-Hebert Virginie Demiguel Julie Boudet-Berquier Yaya Barry Maria-Eugênia Gomes Do Espirito Santo Andrea Guajardo-Villar Claudie Menguy Anouk Tabaï Karine Wyndels Alexandra Benachi Nolwenn Regnault
author_sort	Alexandra Doncarli
title	Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study
title_short	Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study
title_full	Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study
title_fullStr	Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study
title_full_unstemmed	Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study
title_sort	impact of the sars-cov-2 pandemic and first lockdown on pregnancy monitoring in france: the covimater cross-sectional study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/595c0e99367d48a182ac791cbf449073
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Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study

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