| Title: |
Perinatal care in SARS-CoV-2 infected women: the lesson learnt from a national prospective cohort study during the pandemic in Italy |
| Authors: |
Corsi Decenti, E; Salvatore, M; Mandolini, D; Sampaolo, L; D'Aloja, P; Alberi, I; Arena, S; Brunelli, R; Cagnacci, A; Camandona, F; Casucci, P; Caudullo, S; Cetin, I; Ceccaroni, M; Ciavattini, A; Cromi, A; Rì, P; Di Cerbo, L; Di Sebastiano, F; Farsetti, D; Franchi, M; Iurlaro, E; Leo, L; Liberati, M; Sacchi, L; Livio, S; Locci, M; Lovotti, M; Marozio, L; Martini, C; Maso, G; Mecacci, F; Meloni, A; Mignuoli, A; Mondo, L; Morano, D; Patanè, L; Paradiso, R; Pellegrino, A; Perotti, F; Perrone, E; Piccino, R; Prefumo, F; Ramenghi, L; Rocca, M; Sala, A; Sangaletti, M; Savasi, V; Schettini, S; Simeone, D; Simeone, S; Steinkasserer, M; Taddei, F; Tesorone, M; Trojano, V; Tronci, C; Veneziano, M; Vergani, P; Vimercati, A; Donati, S; Corsi Decenti E.; Salvatore M. A.; Mandolini D.; Sampaolo L.; D'Aloja P.; Alberi I.; Arena S.; Brunelli R.; Cagnacci A.; Camandona F.; Casucci P.; Caudullo S.; Cetin I.; Ceccaroni M.; Ciavattini A.; Cromi A.; Rì P. D.; Di Cerbo L.; Di Sebastiano F.; Farsetti D.; Franchi M. P.; Iurlaro E.; Leo L.; Liberati M.; Sacchi L. L.; Livio S.; Locci M.; Lovotti M.; Marozio L.; Martini C.; Maso G.; Mecacci F.; Meloni A.; Mignuoli A. D.; Mondo L.; Morano D.; Patanè L.; Paradiso R.; Pellegrino A.; Perotti F.; Perrone E.; Piccino R.; Prefumo F.; Ramenghi L.; Rocca M.; Sala A.; Sangaletti M.; Savasi V.; Schettini S. C. A.; Simeone D.; Simeone S.; Steinkasserer M.; Taddei F.; Tesorone M.; Trojano V.; Tronci C.; Veneziano M.; Vergani P.; Vimercati A.; Donati S. |
| Publisher Information: |
BioMed Central Ltd country:GB 2023 |
| Document Type: |
Electronic Resource |
| Abstract: |
Background: Despite the growing importance given to ensuring high-quality childbirth, perinatal good practices have been rapidly disrupted by SARS-CoV-2 pandemic. This study aimed at describing the childbirth care provided to infected women during two years of COVID-19 emergency in Italy. Methods: A prospective cohort study enrolling all women who gave birth with a confirmed SARS-CoV-2 infection within 7 days from hospital admission in the 218 maternity units active in Italy during the periods February 25, 2020-June 30, 2021, and January 1-May 31, 2022. Perinatal care was assessed by evaluating the prevalence of the following indicators during the pandemic: presence of a labour companion; skin-to-skin; no mother–child separation at birth; rooming-in; breastfeeding. Logistic regression models including women’ socio-demographic, obstetric and medical characteristics, were used to assess the association between the adherence to perinatal practices and different pandemic phases. Results: During the study period, 5,360 SARS-CoV-2 positive women were enrolled. Overall, among those who had a vaginal delivery (n = 3,574; 66.8%), 37.5% had a labour companion, 70.5% of newborns were not separated from their mothers at birth, 88.1% were roomed-in, and 88.0% breastfed. These four indicators showed similar variations in the study period with a negative peak between September 2020 and January 2021 and a gradual increase during the Alpha and Omicron waves. Skin-to-skin (mean value 66.2%) had its lowest level at the beginning of the pandemic and gradually increased throughout the study period. Among women who had a caesarean section (n = 1,777; 33.2%), all the indicators showed notably worse outcomes with similar variations in the study period. Multiple logistic regression analyses confirm the observed variations during the pandemic and show a lower adherence to good practices in southern regions and in maternity units with a higher annual number of births. Conclusions: Despite the |
| Index Terms: |
Breastfeeding; Childbirth care; COVID-19; Perinatal care; Pregnancy; Rooming-in; SARS-CoV-2; Skin-to-skin; info:eu-repo/semantics/article |
| URL: |
https://hdl.handle.net/10281/522921; info:eu-repo/semantics/altIdentifier/pmid/38129838; info:eu-repo/semantics/altIdentifier/wos/WOS:001128876600014; volume:23; issue:1; journal:BMC PUBLIC HEALTH |
| Availability: |
Open access content. Open access content; info:eu-repo/semantics/openAccess; license:Creative Commons; license uri:http://creativecommons.org/licenses/by/4.0 |
| Note: |
ELETTRONICO; English |
| Other Numbers: |
ITBAO oai:boa.unimib.it:10281/522921; 10.1186/s12889-023-17390-0; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85180509924; 1472555165 |
| Contributing Source: |
BICOCCA OPEN ARCH; From OAIster®, provided by the OCLC Cooperative. |
| Accession Number: |
edsoai.on1472555165 |
| Database: |
OAIster |