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Restructuring maternal services during the covid-19 pandemic: Early results of a scoping review for non-infected women.

Authors
  • Montagnoli, Caterina1
  • Zanconato, Giovanni2
  • Ruggeri, Stefania3
  • Cinelli, Giulia4
  • Tozzi, Alberto Eugenio5
  • 1 Verona University Hospital, Verona, Italy; Department of Midwifery, Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts of Western Switzerland, Geneva, 47, av. de Champel, Switzerland. Electronic address: [email protected] , (Switzerland)
  • 2 Department of Surgery, Odontostomatology and Maternal and Child Health, University of Verona, Verona, Italy. Electronic address: [email protected] , (Italy)
  • 3 Research Centre for Food and Nutrition-CREA, Roma, Italy. Electronic address: [email protected] , (Italy)
  • 4 Predictive and Preventive Medicine Research Unit, Bambino Gesù Children's Hospital IRCCS, 00165 Rome, Italy; School of Specialization in Food Sciences, University of Rome Tor Vergata, Rome Italy. Electronic address: [email protected] , (Italy)
  • 5 Predictive and Preventive Medicine Research Unit, Bambino Gesù Children's Hospital IRCCS, 00165 Rome, Italy. Electronic address: [email protected] , (Italy)
Type
Published Article
Journal
Midwifery
Publication Date
Mar 01, 2021
Volume
94
Pages
102916–102916
Identifiers
DOI: 10.1016/j.midw.2020.102916
PMID: 33412360
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The novel coronavirus outbreak has caused substantial changes in societal norms as well as adjustments in health systems worldwide. To date the impact of these pandemic-related variations has yet to be fully understood also in the field of maternal health for which continuity of care is a proven life-saving preventive measure. Following the PRISMA guidelines for reviews, a literature search was carried out to assess different approaches that combine quality of maternal care with the imposed social-distancing rules. Nine studies were included in the scoping review. Reduction of in-person visits is the preferred overall solution. Yet, fewer consultations can still guarantee essential services and appropriate care through integration with telemedicine. Referral to epidemic-free community centres is an alternative option and new paths need to include the interdisciplinary contribution of medical consultants and IT experts, among others. In this context, delaying access for symptomatic expectant mothers is still debated since it carries the potential risk of untimely detection of pregnancy complications. Preliminary experiences provide an overview of the different attempts put in place to reshape health services to contain the pandemic hazards. These early prototypes may inspire future innovative health solutions compatible with local resources and specific population preferences and needs. Copyright © 2020. Published by Elsevier Ltd.

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