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Outcomes of low-risk birth care during the Covid-19 pandemic: A cohort study from a tertiary care center in Lithuania

According to the World Health Organization, midwife-led care is the most appropriate and cost-effective type of perinatal care. As the Covid-19 pandemic with its drastic changes and challenges for the health systems and the medical staff made large adjustments to the healthcare delivery system, midw...

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Autores principales: Poškienė, Ingrida, Minkauskienė, Meilė, Kregždytė, Rima, Jarienė, Kristina, Kliučinskas, Mindaugas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: De Gruyter 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10224623/
https://www.ncbi.nlm.nih.gov/pubmed/37251540
http://dx.doi.org/10.1515/med-2023-0720
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author Poškienė, Ingrida
Minkauskienė, Meilė
Kregždytė, Rima
Jarienė, Kristina
Kliučinskas, Mindaugas
author_facet Poškienė, Ingrida
Minkauskienė, Meilė
Kregždytė, Rima
Jarienė, Kristina
Kliučinskas, Mindaugas
author_sort Poškienė, Ingrida
collection PubMed
description According to the World Health Organization, midwife-led care is the most appropriate and cost-effective type of perinatal care. As the Covid-19 pandemic with its drastic changes and challenges for the health systems and the medical staff made large adjustments to the healthcare delivery system, midwife-led care became an even more important supportive tool in maintaining unnecessary interventions. This retrospective cohort study aims to compare the outcomes of midwife-led care and team-led care in low-risk births between the Covid-19 pandemic and non-Covid-19 pandemic period. The total studied population was 1,185 singleton births and consisted of 727 births during the non-Covid-19 period and 458 births from the Covid-19 period. The study revealed the safety of low-risk birth care during the first wave of the Covid-19 pandemic in both groups. The maternal and perinatal outcomes remained stable without an increased rate of unsuccessful vaginal births and newborn asphyxia; moreover, birth care of low-risk women provided by midwives preserved autonomy, integrity, and resistance to responding to a disaster. The aforementioned results exhibit that high-quality, safe supervision by midwives in low-risk births can be provided even in high-stress circumstances.
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spelling pubmed-102246232023-05-28 Outcomes of low-risk birth care during the Covid-19 pandemic: A cohort study from a tertiary care center in Lithuania Poškienė, Ingrida Minkauskienė, Meilė Kregždytė, Rima Jarienė, Kristina Kliučinskas, Mindaugas Open Med (Wars) Research Article According to the World Health Organization, midwife-led care is the most appropriate and cost-effective type of perinatal care. As the Covid-19 pandemic with its drastic changes and challenges for the health systems and the medical staff made large adjustments to the healthcare delivery system, midwife-led care became an even more important supportive tool in maintaining unnecessary interventions. This retrospective cohort study aims to compare the outcomes of midwife-led care and team-led care in low-risk births between the Covid-19 pandemic and non-Covid-19 pandemic period. The total studied population was 1,185 singleton births and consisted of 727 births during the non-Covid-19 period and 458 births from the Covid-19 period. The study revealed the safety of low-risk birth care during the first wave of the Covid-19 pandemic in both groups. The maternal and perinatal outcomes remained stable without an increased rate of unsuccessful vaginal births and newborn asphyxia; moreover, birth care of low-risk women provided by midwives preserved autonomy, integrity, and resistance to responding to a disaster. The aforementioned results exhibit that high-quality, safe supervision by midwives in low-risk births can be provided even in high-stress circumstances. De Gruyter 2023-05-27 /pmc/articles/PMC10224623/ /pubmed/37251540 http://dx.doi.org/10.1515/med-2023-0720 Text en © 2023 the author(s), published by De Gruyter https://creativecommons.org/licenses/by/4.0/This work is licensed under the Creative Commons Attribution 4.0 International License.
spellingShingle Research Article
Poškienė, Ingrida
Minkauskienė, Meilė
Kregždytė, Rima
Jarienė, Kristina
Kliučinskas, Mindaugas
Outcomes of low-risk birth care during the Covid-19 pandemic: A cohort study from a tertiary care center in Lithuania
title Outcomes of low-risk birth care during the Covid-19 pandemic: A cohort study from a tertiary care center in Lithuania
title_full Outcomes of low-risk birth care during the Covid-19 pandemic: A cohort study from a tertiary care center in Lithuania
title_fullStr Outcomes of low-risk birth care during the Covid-19 pandemic: A cohort study from a tertiary care center in Lithuania
title_full_unstemmed Outcomes of low-risk birth care during the Covid-19 pandemic: A cohort study from a tertiary care center in Lithuania
title_short Outcomes of low-risk birth care during the Covid-19 pandemic: A cohort study from a tertiary care center in Lithuania
title_sort outcomes of low-risk birth care during the covid-19 pandemic: a cohort study from a tertiary care center in lithuania
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10224623/
https://www.ncbi.nlm.nih.gov/pubmed/37251540
http://dx.doi.org/10.1515/med-2023-0720
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