Santé publique France, French national public health agency, Non-Communicable Diseases and Trauma Division, Perinatology, Early childhood and Mental Health Unit, 14, rue du Val d'Osne, F-94415, Saint-Maurice, France.
Department of Gynecology and Obstetrics, Louis Mourier University Hospital, AP-HP, Colombes, France.
BMC Pregnancy Childbirth. 2021 Nov 30;21(1):799. doi: 10.1186/s12884-021-04256-9.
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.
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).
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]).
Our results can guide prevention and support policies for pregnant women in the current and future pandemics.
在严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）大流行的背景下，咨询和妊娠监测检查不得不紧急进行重组。此外，由于组织原因，女性自身可能会推迟或取消她们的医疗监测，因为担心感染由 SARS-CoV-2（COVID-19）引起的疾病，或出于其他自身原因。延迟护理会对母婴双方都产生有害后果。因此，我们的目的是研究 SARS-CoV-2 大流行和法国第一次封锁对孕妇自愿改变妊娠监测的影响及其相关因素。
2020 年 7 月，我们使用网络问卷对 500 名成年（>18 岁）孕妇进行了一项横断面研究，这些孕妇在法国第一次封锁期间（2020 年 3 月至 5 月）完成了问卷。使用稳健方差泊松回归模型估计调整后的患病率比（aPR）。
近五分之一（23.4%）的孕妇报告说，在封锁期间至少自愿推迟或放弃了一次咨询或妊娠检查。在封锁期间职业不活跃的孕妇（aPR=1.98，95%CI[1.24-3.16]）、在封锁期间经历过严重争执或暴力的孕妇（1.47，[1.00-2.16]）、感到自己几乎没有得到支持的孕妇（1.71，[1.07-2.71]）和在封锁期间更换过卫生保健专业人员的孕妇（1.57，[1.04-2.36]）更有可能自愿改变妊娠监测。对大流行的担忧程度较高与自愿改变妊娠监测的可能性较低相关（0.66，[0.46-0.96]）。
我们的研究结果可以为当前和未来的大流行中孕妇的预防和支持政策提供指导。
