WebCannabis use among pregnant women is common and has increased in recent years in the US, from an estimated 3.4% in 2002 to 7.0% in 2017. midwife) (3,7,9). Matern Child Health J. We fit interrupted time-series (ITS) models to monthly rate data using negative binomial regression, adjusted for age (<25, 25 to <35, 35 years) and self-reported race and ethnicity (Asian/Pacific Islander, Black, Hispanic, non-Hispanic White, or other or unknown), which were included because of the known age and race and ethnicity differences in the prevalence of prenatal cannabis use. Kelly C.Young-Wolff,PhD, MPH; Sara R.Adams,MPH; AlisaPadon,PhD; Lynn D.Silver,MD, MPH; Stacey E.Alexeeff,PhD; Stephen K.Van Den Eeden,PhD; Lyndsay A.Avalos,PhD, Prenatal Cannabis Use Before and During the COVID-19 PandemicReply, Kelly C.Young-Wolff,PhD, MPH; DeborahAnsley,MD; Lyndsay A.Avalos,PhD, MPH, Prenatal Cannabis Use Before and During the COVID-19 Pandemic, Howard L.Minkoff,MD; Jeffrey L.Ecker,MD, Health and Social Equity For Women Who Use Cannabis Around Pregnancy, Kelly C.Young-Wolff,PhD, MPH; Lynn D.Silver,MD, MPH; Qiana L.Brown,PhD, MPH, LCSW, To register for email alerts, access free PDF, and more, Get unlimited access and a printable PDF ($40.00), 2023 American Medical Association. Brisbane: Queensland Health; 2020 (https://www.health.qld.gov.au/__data/assets/pdf_file/0033/947148/g-covid-19.pdf). In community clinics appointment scheduling, avoidance of patients awaiting and also ensuring of maintaining social distance (1.5-metre distance from others) should be considered. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). - "Alcohol use and associated factors among pregnant women during the mid-pandemic of COVID-19 at Debre Tabor Comprehensive Specialized Antenatal care; COVID-19; Pandemic; Philippines. A 2-sided P<.05 was considered statistically significant. Akinwunmi B, var prefix = 'mailto:'; The obstetric doctor can then closely monitor patients glucose levels and provide appropriate dietary suggestions and medications. However, some pregnant women will doubt the reliability of such online information. Additionally, women with some chronic diseases such as diabetes and deep vein thrombosis should be identified as extremely vulnerable to the severe effects of COVID-19 and be shielded. Moreover, more than half considered or decided to cancel their in-hospital antenatal care visits and postponed their appointments. [Investigation on demands for antenatal care services among 2 002 pregnant women during the epidemic of COVID-19 in Shanghai]. Jan 2022 - Present1 year 2 months. SY, HW, XB, JS, SC, BA, and CJPZ edited and reviewed the final version of manuscript. A key fact about In the context of the pandemic, pregnant women face an additional dilemmathey need professional antenatal care, there is a potential risk for cross-infection if they choose to visit a hospital to receive this service [6]. 2021-14 (November 23, 2021) Very few SREs were reported by ambulatory surgical centers in calendar year 2021 and the number of SREs associated with surgical or invasive procedures was slightly diminished overall as compared to pre-pandemic levels. WebLittle is known yet about the risk of newborns contracting COVID-19 from mothers who test positive for the virus. The COVID-19 pandemic has had a major impact on the capacity of health systems to continue the delivery of essential health services. A, Kim Key principles for the provision of antenatal care through the evolving coronavirus (COVID-19) pandemic 3.1 Maintaining essential monitoring Many elements of antenatal care may require in-person assessment, in particular blood pressure and urine checks, measurement of fetal growth, and blood tests. pregnancy The authors declare that they have no competing interests. However, maternity care providers need to be aware of the increased risk of antenatal anxiety and depression and domestic violence due to the economic and social impacts of the COVID19 pandemic. Decline in Partner-Accompanied Births during the COVID-19 Dewi A, Safaria T, Supriyatiningsih S, Dewi DTK. Numerous countries within the Region have followed WHOs guidelines on containment by prioritizing the development of testing, isolation, treatment, contact tracing, and isolating close contacts (2). Telehealth and telemedicine were integrated into maternity practices early on, in response to the needs of pregnant female for prenatal appointments outside of traditional health-care facilities in the COVID-19 outbreak (3). Episode #43 - Pregnancy & COVID-19 - World Health Organization Ming W Online Antenatal Care During the COVID-19 Pandemic: Opportunities and Challenges J Med Internet Res 2020;22(7):e19916 doi: 2020;136:3741. Perspectives in Psychiatric Care, 58, 61-70. In addition, online antenatal care may help to provide relatively economical medical services and diminish health care inequality due to its convenience and cost-effectiveness, especially in developing countries or regions. Dowswell T, Carroli G, Duley L, Gates S, Glmezoglu AM, KhanNeelofur D, et al. Proportion of alcohol use among pregnant women who attend antenatal care clinic during the mid-pandemic of COVID-19 in Debre Tabor Compressive Specialized Hospital (n = 612), 2021. Zhonghua Fu Chan Ke Za Zhi 2020 Mar 25;55(3):160-165. The COVID-19 pandemic has disrupted essential services, which could lead to an increase in maternal and neonatal mortality and morbidity. It may be preferable, as providing care for the woman and everyone in her household is ideal (3,7-9) .General principles in home visiting during COVID-19 pandemic include: preparing the cares which likely to be required during the home visit, minimizing equipment to be taken into the home and maintaining infection prevention and control standards (e.g. There were negligible differences in age or race and ethnicity in the 2 periods. The guidance aims to capture the complex nature of the issues surrounding ANC health care practices and delivery and to prioritize person-centred health and well-being, not only the prevention of death and Web1) Integration of Services: Provide FP services while women are already interacting with the health care system during pregnancy, childbirth, and postpartum periods. document.write( '<\/a>' ); 700 were admitted to the ICU (ICU data were only available for 18,764 of MH, Meyer Committee opinion No. 2020. EF. 2020). , Medical and Nonmedical Cannabis Use Among Pregnant Women in the United States. However, the popularity of online antenatal care programs remains low. Therefore, it is necessary to provide appropriate antenatal care models for pregnant women depending on their circumstances and available facilities, in order to prevent its complications in the current pandemic. document.write( 'span>' ); hbbd```b``3@$Sd]fq`D2jK`2, fI0&f1$K~ R*X])Y In the current situation, home based care model can be considered when pregnant women are stable enough to receive care and enough midwifes and adequate health care are available. 2022 Apr 13;12(4):e060185. We computed monthly rates of prenatal cannabis use standardized to the year 2020 age and race and ethnicity distribution. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. The site is secure. BMC Pregnancy Childbirth. The well-being of both mother and fetus requires further investigation of the effects of the SARS-CoV-2 virus during pregnancy. Funding/Support: This study was supported by grants DA047405, DA043604, and DA048033 from the National Institute on Drug Abuse. /ProcSet [/PDF /Text] We have a lot of home deliveries A qualitative - ScienceDirect WebCannabis use among pregnant women is common and has increased in recent years in the US, from an estimated 3.4% in 2002 to 7.0% in 2017. Pregnant women were identified as being at elevated risk from COVID-19 early in the pandemic. Health care experts attending homes should be mindful of exposure to COVID-19 in a home visit and should adhere to strict infection control procedures when entering and leaving homes. endobj A common theme of pregnancy during the COVID-19 pandemic is going to most appointments and ultrasounds alone. >> Almost half reported deferrals of visits mainly due to lockdown restrictions, transportation problems, and financial issues. COVID-19 IJERPH | Free Full-Text | “We Should Be Working Together, Antenatal care (ANC) is the most cost-effective approach for the prevention of neonatal deaths; if 90% of women receive ANC, 14% of neonatal deaths could be avoided (6). Results are consistent with the rise in cannabis sales seen in California during the same period.5 When the toll of the COVID-19 pandemic begins to fade and restrictions are lifted, it is unknown whether pandemic-related increases in rates of cannabis use during pregnancy will reverse or remain elevated. These behaviors and attitudes indicate that pregnant women were anxious and worried about potential infection in the hospital environment. Maternity care experts (including midwives and all other health care workers providing pregnancy and infant care), whether based in health centers or within the community, are basic health care providers and must be protected and prioritized to continue providing of care to childbearing women and their infants (8). Landrian A, Mboya J, Golub G, Moucheraud C, Kepha S, Sudhinaraset M. Effects of the COVID-19 pandemic on antenatal care utilisation in Kenya: a cross-sectional study. 8600 Rockville Pike Serious health effects are associated with marijuana use but the opportunity for tax income has helped propel state legislatures to legalize marijuana and has allowed increased risks for pregnancy and in utero children who cannot yet make their own decision re: drug use. 2022 Apr 6;12(4):e059701. This would be helpful in decreasing the incidence and negative impact of GDM. /TrimBox [0 0 612 792] In the ITS analysis, we found that prenatal cannabis use increased by 25% (95% CI, 12%-40%; Table) during the pandemic over prenatal cannabis use during the 15 months before the pandemic. In this model, it should be encouraged to women to arrive on time (not early) for appointment and women with suspected or affirmed COVID-19 to not attend (9). WebKorukcu, O., Ozkaya, M., Boran, O.F. The .gov means its official. Ashokka B, Loh M-H, Tan CH, SU LL, Young BE, Lye DC, et al. :July, 1Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China, 2Faculty of Medicine, International School, Jinan University, Guangzhou, China, 3Department of Culture and Tourism, Xiamen University of Technology, Xiamen, China, 4College of Economics, Jinan University, Guangzhou, China, 5Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynecology, Brigham and Womens Hospital, Boston, MA, United States, 6Center for Genomic Medicine, Massachusetts General Hospital, Harvard Medical School, Harvard University, Boston, MA, United States, 7School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China, Department of Public Health and Preventive Medicine, No 602 Huangpu Avenue West, Tianhe District.