Gupta Madhu, Kaur Nimran, Sengupta Paramita, Majhi Jitendra, Banerjee Preetika, Rajeev Tushara, Agarwal Smisha, Pocius Stephanie, Das Aritrik, Acharjee Arita, Mehta Kayur, Shet Anita
Department of Community Medicine and School of Public Health, Postgraduate Institute for Medical Education and Research, Room Number 126, Ground Floor, Sector 12, Chandigarh, 160012 India.
Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Kalyani (AIIMS Kalyani), NH-34 Connector, Saguna, Basantapur, Nadia, West Bengal 741245 India.
J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):355-364. doi: 10.1007/s13224-024-02001-8. Epub 2024 Jun 18.
Maternal health services may be adversely impacted during pandemics especially in the low- and middle-income countries. COVID-19 pandemic was such a situation. Here, we describe the status of maternal health services prior to and during the COVID-19 pandemic in India.
A retrospective cross-sectional household-based survey was conducted among randomly selected 820 mothers with children less than 2 years in Chandigarh and Kalyani, West Bengal, to assess the utilization of antenatal, intrapartum and postnatal care services before March 2020 (pre-pandemic period, = 413) and after March 2020 (pandemic period, = 407). Data were managed using REDCap and were analyzed using Statistical Package for Social Sciences (version 25.0). Multivariate logistic regression analysis was used to estimate the adjusted odds ratios (aOR) and significant differences between groups at 95% confidence intervals (CIs).
There was a significant increase in the reporting of pregnancy-related complications during the pandemic (aOR 1.45; 95% CI 1.08-1.94) and a significant increase in utilization of supplementary nutrition services from anganwadis (aOR 1.81; 95% CI 1.33-2.46) during the pandemic. There was a significant decrease in the proportion of women who received financial assistance during delivery in the pandemic period (aOR 0.36; 95% CI 0.17-0.79). Postpartum checkups by healthcare workers significantly decreased during the pandemic period (82.6%) as compared with the pre-pandemic period (82.6%) [aOR 0.84; 95% CI 0.71-0.97].
The COVID-19 pandemic significantly changed the utilization of antenatal, intrapartum and postpartum services in our study areas. While the existing national program and timely pandemic guidelines helped ensure that some services remained uninterrupted, postpartum care was the most affected possibly due to restrictions of field visits by the healthcare workers. Financial assistance for delivery care was also heavily affected during the pandemic.
在大流行期间，孕产妇保健服务可能会受到不利影响，尤其是在低收入和中等收入国家。2019冠状病毒病大流行就是这样一种情况。在此，我们描述了印度在2019冠状病毒病大流行之前和期间孕产妇保健服务的状况。
在昌迪加尔和西孟加拉邦的卡利亚尼，对随机选择的820名有2岁以下子女的母亲进行了一项基于家庭的回顾性横断面调查，以评估2020年3月之前（大流行前时期，n = 413）和2020年3月之后（大流行时期，n = 407）产前、产时和产后护理服务的利用情况。数据使用REDCap进行管理，并使用社会科学统计软件包（版本25.0）进行分析。多变量逻辑回归分析用于估计调整后的优势比（aOR）以及95%置信区间（CI）内各组之间的显著差异。
在大流行期间，与妊娠相关并发症的报告显著增加（aOR 1.45；95% CI 1.08 - 1.94），并且在大流行期间，来自安格瓦迪中心的补充营养服务的利用率显著增加（aOR 1.81；95% CI 1.33 - 2.46）。在大流行期间，分娩时获得经济援助的妇女比例显著下降（aOR 0.36；95% CI 0.17 - 0.79）。与大流行前时期（82.6%）相比，在大流行期间医护人员进行的产后检查显著减少（82.6%）[aOR 0.84；95% CI 0.71 - 0.97]。
在我们的研究地区，2019冠状病毒病大流行显著改变了产前、产时和产后服务的利用情况。虽然现有的国家计划和及时的大流行指南有助于确保一些服务保持不间断，但产后护理可能受影响最大，这可能是由于医护人员实地探访受到限制。在大流行期间，分娩护理的经济援助也受到严重影响。
