Impact of COVID‐19 pandemic on reproductive, maternal, newborn, and child health care services in Phuentsholing General Hospital: A retrospective descriptive study

Abstract Background COVID‐19 pandemic has derailed health care services. The health resources and manpower were prioritized and diverted to curb the COVID‐19 infections at the cost of routine medical services to the people. The impact of the COVID‐19 pandemic on maternal and child health is unknown....

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Main Authors: Yeshey Dorjey, Yezer Tshomo, Dorji Wangchuk, Purushottami Bhandari, Choki Dorji, Diptika Pradhan, Rinzin Pemo, Phub Wangdi
Format: Article
Language:English
Published: Wiley 2022-11-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.946
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author Yeshey Dorjey
Yezer Tshomo
Dorji Wangchuk
Purushottami Bhandari
Choki Dorji
Diptika Pradhan
Rinzin Pemo
Phub Wangdi
author_facet Yeshey Dorjey
Yezer Tshomo
Dorji Wangchuk
Purushottami Bhandari
Choki Dorji
Diptika Pradhan
Rinzin Pemo
Phub Wangdi
author_sort Yeshey Dorjey
collection DOAJ
description Abstract Background COVID‐19 pandemic has derailed health care services. The health resources and manpower were prioritized and diverted to curb the COVID‐19 infections at the cost of routine medical services to the people. The impact of the COVID‐19 pandemic on maternal and child health is unknown. This study aimed to assess the impact of the Covid‐19 pandemic on maternal and child health care services in Phuentsholing General Hospital. Methods A descriptive retrospective study was conducted at Phuentsholing General Hospital from January 1 to June 30, 2022. The patient medical records were reviewed for the prepandemic years 2018, and 2019, and the pandemic years 2020, and 2021. The medical records of all the female patients and newborns who came to the Maternal and Child Health Unit (MCH), those who were admitted to the gynecology ward, and who underwent obstetrical and gynecological surgeries were reviewed. The data were analyzed using SPSS version 23. Descriptive statistics such as frequencies and percentages were used to describe the study variables. The line graph and bar graph were used to determine the trends and to compare the impact of COVID‐19 on MCH services between the pre‐pandemic and pandemic years. Results During the COVID‐19 pandemic, the total admission dropped by 10% to 14.4%; the total deliveries dropped by 16.1%; Cesarean section rate dropped to 12.9%; and fewer gynecological surgeries were performed (13.9% from 20.6%). There was a significant drop in antenatal and postnatal follow‐up visits (31.5% and 24.51%) respectively; Pap smear dropped by 93% and colposcopy by 52%. The overall immunization coverage has dropped drastically during the pandemic period. Conclusion The pregnant mothers and newborn babies missed antenatal and postnatal follow‐up visits, missed immunization, and women were not able to be screened for cervical cancers during the pandemic. These negative impacts of the COVID‐19 pandemic on maternal and child health care were profound.
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spelling doaj.art-9e91e17b2e95491ea94a8443b122a9e22023-07-26T04:31:47ZengWileyHealth Science Reports2398-88352022-11-0156n/an/a10.1002/hsr2.946Impact of COVID‐19 pandemic on reproductive, maternal, newborn, and child health care services in Phuentsholing General Hospital: A retrospective descriptive studyYeshey Dorjey0Yezer Tshomo1Dorji Wangchuk2Purushottami Bhandari3Choki Dorji4Diptika Pradhan5Rinzin Pemo6Phub Wangdi7Phuentsholing General Hospital Chukha BhutanPhuentsholing General Hospital Chukha BhutanPhuentsholing General Hospital Chukha BhutanPhuentsholing General Hospital Chukha BhutanPhuentsholing General Hospital Chukha BhutanPhuentsholing General Hospital Chukha BhutanPhuentsholing General Hospital Chukha BhutanPhuentsholing General Hospital Chukha BhutanAbstract Background COVID‐19 pandemic has derailed health care services. The health resources and manpower were prioritized and diverted to curb the COVID‐19 infections at the cost of routine medical services to the people. The impact of the COVID‐19 pandemic on maternal and child health is unknown. This study aimed to assess the impact of the Covid‐19 pandemic on maternal and child health care services in Phuentsholing General Hospital. Methods A descriptive retrospective study was conducted at Phuentsholing General Hospital from January 1 to June 30, 2022. The patient medical records were reviewed for the prepandemic years 2018, and 2019, and the pandemic years 2020, and 2021. The medical records of all the female patients and newborns who came to the Maternal and Child Health Unit (MCH), those who were admitted to the gynecology ward, and who underwent obstetrical and gynecological surgeries were reviewed. The data were analyzed using SPSS version 23. Descriptive statistics such as frequencies and percentages were used to describe the study variables. The line graph and bar graph were used to determine the trends and to compare the impact of COVID‐19 on MCH services between the pre‐pandemic and pandemic years. Results During the COVID‐19 pandemic, the total admission dropped by 10% to 14.4%; the total deliveries dropped by 16.1%; Cesarean section rate dropped to 12.9%; and fewer gynecological surgeries were performed (13.9% from 20.6%). There was a significant drop in antenatal and postnatal follow‐up visits (31.5% and 24.51%) respectively; Pap smear dropped by 93% and colposcopy by 52%. The overall immunization coverage has dropped drastically during the pandemic period. Conclusion The pregnant mothers and newborn babies missed antenatal and postnatal follow‐up visits, missed immunization, and women were not able to be screened for cervical cancers during the pandemic. These negative impacts of the COVID‐19 pandemic on maternal and child health care were profound.https://doi.org/10.1002/hsr2.946child careCOVID‐19infectionmaternal‐child health servicespandemics
spellingShingle Yeshey Dorjey
Yezer Tshomo
Dorji Wangchuk
Purushottami Bhandari
Choki Dorji
Diptika Pradhan
Rinzin Pemo
Phub Wangdi
Impact of COVID‐19 pandemic on reproductive, maternal, newborn, and child health care services in Phuentsholing General Hospital: A retrospective descriptive study
Health Science Reports
child care
COVID‐19
infection
maternal‐child health services
pandemics
title Impact of COVID‐19 pandemic on reproductive, maternal, newborn, and child health care services in Phuentsholing General Hospital: A retrospective descriptive study
title_full Impact of COVID‐19 pandemic on reproductive, maternal, newborn, and child health care services in Phuentsholing General Hospital: A retrospective descriptive study
title_fullStr Impact of COVID‐19 pandemic on reproductive, maternal, newborn, and child health care services in Phuentsholing General Hospital: A retrospective descriptive study
title_full_unstemmed Impact of COVID‐19 pandemic on reproductive, maternal, newborn, and child health care services in Phuentsholing General Hospital: A retrospective descriptive study
title_short Impact of COVID‐19 pandemic on reproductive, maternal, newborn, and child health care services in Phuentsholing General Hospital: A retrospective descriptive study
title_sort impact of covid 19 pandemic on reproductive maternal newborn and child health care services in phuentsholing general hospital a retrospective descriptive study
topic child care
COVID‐19
infection
maternal‐child health services
pandemics
url https://doi.org/10.1002/hsr2.946
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