Influence of Covid-19 Pandemic on Prenatal Care Utilization and Birth outcome - Qualitative Systematic Review Protocol
DOI:
https://doi.org/10.54536/ajmsi.v2i2.2226Keywords:
COVID, Prenatal, Pregnancy, Postnatal, HealthcareAbstract
The COVID pandemic disrupted routine prenatal care, yet little is known about expectant mothers’ experiences during this time. This qualitative systematic review aims to synthesize evidence on the experiences, views and impact of COVID on prenatal care utilization and birth outcomes. A systematic search is conducted in 5 databases and Google Scholar. Studies providing qualitative data on pregnant women’s experiences accessing prenatal care during COVID are included. Methodological quality is assessed using CASP and thematic synthesis is used to analyse the data. Even among these patients from affluent backgrounds, those who responded to the survey stated that the pandemic had significantly disrupted many parts of their daily lives and medical care, especially regarding social activities and postpartum support. Our findings make it clear that, in addition to increased support from healthcare systems, counseling on coping mechanisms and stressor adaptation techniques should be a part of perinatal care during public health emergencies for everyone. Results have provided an in-depth understanding of pregnant women’s experiences with barriers and facilitators to prenatal care during COVID, and the impact on maternal and neonatal outcomes. This review has identified recommendations to improve prenatal care access and quality during future health crises, contributing to more resilient and equitable maternity care systems.
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References
Akowuah, J. A., Agyei-Baffour, P., & Awunyo-Vitor, D. (2018). Determinants of antenatal healthcare utilisation by pregnant women in third trimester in peri-urban Ghana. Journal of tropical medicine, 2018.
Alabi, Q. K., Oyedeji, A. S., Kayode, O. O., & Kajewole-Alabi, D. I. (2023). Impact of COVID-19 pandemic on mother and child health in Sub-Saharan Africa–a review. Pediatric Research, 1-6.
Ayalew, T. W., & Nigatu, A. M. (2018). Focused antenatal care utilization and associated factors in Debre Tabor Town, northwest Ethiopia, 2017. BMC research notes, 11(1), 1-6.
Aziz, N. A., Pindus, D. M., Mullis, R., Walter, F. M., & Mant, J. (2016). Understanding stroke survivors’ and informal carers’ experiences of and need for primary care and community health services-a systematic review of the qualitative literature: protocol. BMJ open, 6(1), e009244.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative research in psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa.
Campbell, S. (2010). Comparative case study. Encyclopedia of case study research, 1, 174-176.
Chmielewska, B., Barratt, I., Townsend, R., Kalafat, E., van der Meulen, J., Gurol-Urganci, I., O’Brien, P., Morris, E., Draycott, T., & Thangaratinam, S. (2021). Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis. The Lancet Global Health, 9(6), e759-e772.
Chua, J. Y. X., Choolani, M., Lalor, J. G., Yi, H., Chong, Y. S., & Shorey, S. (2023). Perceptions of healthcare professionals regarding labour induction and augmentation: A qualitative systematic review. Women and Birth.
Coates, R., Cupples, G., Scamell, A., & McCourt, C. (2019). Women’s experiences of induction of labour: qualitative systematic review and thematic synthesis. Midwifery, 69, 17-28.
Cox, L., Alfredsson, E., & Psouni, E. (2023). Coparent exclusion, prenatal experiences, and mental health during COVID-19 in Sweden. Journal of Family Psychology.
Cruz-Ramos, M. C., Resurrección, D. M., & Hernández-Albújar, Y. (2023). Childbirth experience during the COVID-19 pandemic: A qualitative thematic analysis. Midwifery, 121, 103669.
De Genna, N. M., Hossain, F., Dwarakanath, M., Ms Balascio, P., Ms Moore, M., & Hill, A. V. (2023). Pandemic stressors and vaccine hesitancy among young, pregnant Black people: A qualitative study of health disparities during a global pandemic. Birth Defects Research.
DeSantis, L., & Ugarriza, D. N. (2000). The concept of theme as used in qualitative nursing research. Western journal of nursing research, 22(3), 351-372.
El Debek, K. (2023). Covid Infection and Variables Affecting its Severity Among Pregnant Women in Dubai. American Journal of Chemistry and Pharmacy, 2(1), 32-37.
Ephi, I. C. F. (2019). Ethiopia mini demographic and health survey 2019: key indicators. Rockville, Maryland, USA: EPHI and ICF.
Geleto, A., Taylor, J., & Beyene, T. (2023). Interruptions in contraception and unintended pregnancy during the COVID-19 pandemic: A protocol for systematic review and meta-analysis. Women’s Health, 19, 17455057221147382.
Goyal, M., Singh, P., Singh, K., Shekhar, S., Agrawal, N., & Misra, S. (2021). The effect of the COVID‐19 pandemic on maternal health due to delay in seeking health care: experience from a tertiary center. International Journal of Gynecology & Obstetrics, 152(2), 231-235.
Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today, 24(2), 105-112.
Hale, T., Angrist, N., Goldszmidt, R., Kira, B., Petherick, A., Phillips, T., Webster, S., Cameron-Blake, E., Hallas, L., & Majumdar, S. (2021). A global panel database of pandemic policies (Oxford COVID-19 Government Response Tracker). Nature human behaviour, 5(4), 529-538.
Jahromi, A. S., Jokar, M., Sharifi, N., Omidmokhtarloo, B., & Rahmanian, V. (2023). Global knowledge, attitude, and practice towards COVID-19 among pregnant women: a systematic review and meta-analysis. BMC Pregnancy and Childbirth, 23(1), 278.
Kezelee, W., Africa, L. S., Barba, C. V., Bustos, A. R., & Arboleda, M. B. (2023). Effects of Mobile Phone Tele-Reminder on the Prevalence of Malaria and Antenatal Care Satisfaction among Pregnant Women Availing Antenatal Care at Phebe and Charles B. Dunbar Hospitals, Bong County, Monrovia-Liberia A Cluster-Randomized Controlled Trial. American Journal of Medical Science and Innovation, 2(2), 122-131.
Khalil, A., Von Dadelszen, P., Draycott, T., Ugwumadu, A., O’Brien, P., & Magee, L. (2020). Change in the incidence of stillbirth and preterm delivery during the COVID-19 pandemic. Jama, 324(7), 705-706.
Kozhimannil, K. B., Shippee, T. P., Adegoke, O., & Virnig, B. A. (2013). Trends in hospital-based childbirth care: the role of health insurance. The American journal of managed care, 19(4), e125.
Lalor, J. G., Sheaf, G., Mulligan, A., Ohaja, M., Clive, A., Murphy-Tighe, S., Ng, E. D., & Shorey, S. (2023). Parental experiences with changes in maternity care during the Covid-19 pandemic: A mixed-studies systematic review. Women and Birth, 36(2), e203-e212.
Lee, H., & Singh, G. K. (2023). The differential impact of the COVID-19 pandemic on prenatal care utilization among US women by Medicaid expansion and race and ethnicity. Journal of Public Health Management and Practice, 29(4), E137-E146.
Long, H. A., French, D. P., & Brooks, J. M. (2020). Optimising the value of the critical appraisal skills programme (CASP) tool for quality appraisal in qualitative evidence synthesis. Research Methods in Medicine & Health Sciences, 1(1), 31-42.
Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., & Stewart, L. A. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic reviews, 4(1), 1-9.
Montagnoli, C., Zanconato, G., Ruggeri, S., Cinelli, G., & Tozzi, A. E. (2021). Restructuring maternal services during the covid-19 pandemic: Early results of a scoping review for non-infected women. Midwifery, 94, 102916.
Sandelowski, M. (2000). Whatever happened to qualitative description? Research in nursing & health, 23(4), 334-340.
Senkyire, E. K., Ewetan, O., Azuh, D., Asiedua, E., White, R., Dunlea, M., Barger, M., & Ohaja, M. (2023). An integrative literature review on the impact of COVID-19 on maternal and child health in Africa. BMC Pregnancy and Childbirth, 23(1), 6.
Septianingrum, Y., Nurjanah, S., Fitriasari, A., Hatmanti, N. M., & Triharini, M. (2023). Experiences of pregnant women and midwives facing the Covid-19 pandemic: A qualitative systematic review. AIP Conference Proceedings,
Stern, C., Jordan, Z., & McArthur, A. (2014). Developing the review question and inclusion criteria. AJN The American Journal of Nursing, 114(4), 53-56.
Thapaliya, B., Yadav, S. K., Bhattarai, S., Giri, S., Sapkota, S., Arjyal, A., Harris-Fry, H., Saville, N., Hillman, S., & Baral, S. (2023). Health worker perspectives on access to antenatal care in rural plains Nepal during the COVID-19 pandemic. Plos one, 18(4), e0284796.
Tikouk, J., Boubkr, A. A., & Chentoufi, M. A. (2023). Impact of COVID-19 on the antenatal care services utilization in the region of Guelmim Oued Noun, Morocco. Journal of Public Health in Africa, 14(4).
Toh, R. K. C., & Shorey, S. (2023). Experiences and needs of women from ethnic minorities in maternity healthcare: A qualitative systematic review and meta-aggregation. Women and Birth, 36(1), 30-38.
Tong, A., Flemming, K., McInnes, E., Oliver, S., & Craig, J. (2012). Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC medical research methodology, 12(1), 1-8.
Tungwarara, N., & Godfrey Musuka, D. (2023). Accessibility and utilization of antenatal care services in sub-Saharan Africa during the COVID-19 pandemic: A rapid.
Wall, S., & Dempsey, M. (2023). The effect of COVID-19 lockdowns on women’s perinatal mental health: a systematic review. Women and Birth, 36(1), 47-55.
Węgrzynowska, M., Doroszewska, A., Witkiewicz, M., & Baranowska, B. (2020). Polish maternity services in times of crisis: in search of quality care for pregnant women and their babies. Health Care for Women International, 41(11-12), 1335-1348.
Wright, K., Golder, S., & Lewis-Light, K. (2015). What value is the CINAHL database when searching for systematic reviews of qualitative studies? Systematic reviews, 4(1), 1-8.
Zhu, H., Wei, L., & Niu, P. (2020). The novel coronavirus outbreak in Wuhan, China. Global health research and policy, 5, 1-3.
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Copyright (c) 2023 Khulud Alhussain, Fatimah Alhussain, Jasmine Mirasol, Najla Alotaibi
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