CONCLUSION
[Link]
s12978-021-01070-6
Pregnant women and mothers were not found to be at higher risk for
COVID-19 infection than people who are not pregnant, however pregnant
people with symptomatic COVID-19 may experience more adverse
outcomes compared to non-pregnant people and seem to face
disproportionate adverse socio-economic consequences. High income and
low- and middle-income countries alike faced significant struggles. Further
resources should be directed towards quality epidemiological studies.
Mental health
Pregnant women and new mothers are more likely to experience mental
illness than non-pregnant individuals [52]. Several COVID-19-related
studies in India, China, and Italy of the intrapartum and postpartum
periods considered clinically relevant anxiety and depression and their
symptoms through self-reports and clinical assessments. Additional
maternal mental health issues including substance use disorders and
hostility aggression have yet to be studied in depth.
The pandemic significantly impacted maternal mental health. Feelings of
anxiety and depression were associated with maternal fear of vertical
transmission of the virus to their infants, limited accessibility of antenatal
care resources, and lack of social support [53, 54]; these experiences also
created a source of stress for pregnant and postpartum women without
COVID [27, 55]. Social distancing and isolation/quarantine procedures
implemented during the pandemic increased risk of psychological problems
among pregnant women and new mothers [53,54,55].
Healthcare infrastructure
The temporary closure of outpatient clinics during shelter at home orders
left many women without access to time-sensitive maternal and
reproductive health care, from routine gynecological checkups to prenatal
care to abortion. Classifying abortion care as “non-essential” severely
restricted access regionally or nationwide in many countries during periods
of lockdown [71, 72].
Domestic violence
Lockdown measures required individuals to stay inside for extended
periods of time, and early data demonstrated notable spikes in domestic
violence (DV). Police data were consulted as evidence of increased violence,
and surges in DV cases were noted in several countries [97,98,99,100,101].
WHY WAS THE USA ONE OF THE WORST AFFECTED COVID 19 COUNTRIES