The Impact of the COVID-19 Pandemic on the Care of Women Experiencing Abortion in a University Hospital in Brazil
Abstract Objective To evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with miscarriage and legal termination of pregnancy in a university hospital in Brazil. Methods A cross-sectional study of women admitted for abortion due to any cause at Hospital...
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| Format: | Article |
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Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
2023-07-01
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| Series: | Revista Brasileira de Ginecologia e Obstetrícia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032023000300113&lng=en&tlng=en |
| _version_ | 1827904287717457920 |
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| author | Priscilla Brenda Fonseca Dantas Carolina Braga Trabach Aline Aparecida Junqueira Carina Cordeiro Nunes Nelio Neves Veiga-Junior Luiz Francisco Baccaro |
| author_facet | Priscilla Brenda Fonseca Dantas Carolina Braga Trabach Aline Aparecida Junqueira Carina Cordeiro Nunes Nelio Neves Veiga-Junior Luiz Francisco Baccaro |
| author_sort | Priscilla Brenda Fonseca Dantas |
| collection | DOAJ |
| description | Abstract Objective To evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with miscarriage and legal termination of pregnancy in a university hospital in Brazil. Methods A cross-sectional study of women admitted for abortion due to any cause at Hospital da Mulher Prof. Dr. J. A. Pinotti of Universidade Estadual de Campinas (UNICAMP), Brazil, between July 2017 and September 2021. Dependent variables were abortion-related complications and legal interruption of pregnancy. Independent variables were prepandemic period (until February 2020) and pandemic period (from March 2020). The Cochran-Armitage test, Chi-squared test, Mann-Whitney test, and multiple logistic regression were used for statistical analysis. Results Five-hundred sixty-one women were included, 376 during the prepandemic period and 185 in the pandemic period. Most patients during pandemic were single, without comorbidities, had unplanned pregnancy, and chose to initiate contraceptive method after hospital discharge. There was no significant tendency toward changes in the number of legal interruptions or complications. Complications were associated to failure of the contraceptive method (odds ratio [OR] 2.44; 95% confidence interval [CI] 1.23–4.84), gestational age (OR 1.126; 95% CI 1.039–1.219), and preparation of the uterine cervix with misoprostol (OR 1.99; 95% CI 1.01–3.96). Conclusion There were no significant differences in duration of symptoms, transportation to the hospital, or tendency of reducing the number of legal abortions and increasing complications. The patients’ profile probably reflects the impact of the pandemic on family planning. |
| first_indexed | 2024-03-13T00:24:42Z |
| format | Article |
| id | doaj.art-f4176d730dd442c98e556994492f367d |
| institution | Directory Open Access Journal |
| issn | 0100-7203 |
| language | English |
| last_indexed | 2024-03-13T00:24:42Z |
| publishDate | 2023-07-01 |
| publisher | Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
| record_format | Article |
| series | Revista Brasileira de Ginecologia e Obstetrícia |
| spelling | doaj.art-f4176d730dd442c98e556994492f367d2023-07-11T07:45:42ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032023-07-0145311312010.1055/s-0042-1759749The Impact of the COVID-19 Pandemic on the Care of Women Experiencing Abortion in a University Hospital in BrazilPriscilla Brenda Fonseca Dantashttps://orcid.org/0000-0002-0772-0727Carolina Braga Trabachhttps://orcid.org/0000-0002-1665-0177Aline Aparecida Junqueirahttps://orcid.org/0000-0003-4311-5580Carina Cordeiro Nuneshttps://orcid.org/0000-0002-4761-7951Nelio Neves Veiga-Juniorhttps://orcid.org/0000-0002-3977-0817Luiz Francisco Baccarohttps://orcid.org/0000-0002-8837-8061Abstract Objective To evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on the care of patients with miscarriage and legal termination of pregnancy in a university hospital in Brazil. Methods A cross-sectional study of women admitted for abortion due to any cause at Hospital da Mulher Prof. Dr. J. A. Pinotti of Universidade Estadual de Campinas (UNICAMP), Brazil, between July 2017 and September 2021. Dependent variables were abortion-related complications and legal interruption of pregnancy. Independent variables were prepandemic period (until February 2020) and pandemic period (from March 2020). The Cochran-Armitage test, Chi-squared test, Mann-Whitney test, and multiple logistic regression were used for statistical analysis. Results Five-hundred sixty-one women were included, 376 during the prepandemic period and 185 in the pandemic period. Most patients during pandemic were single, without comorbidities, had unplanned pregnancy, and chose to initiate contraceptive method after hospital discharge. There was no significant tendency toward changes in the number of legal interruptions or complications. Complications were associated to failure of the contraceptive method (odds ratio [OR] 2.44; 95% confidence interval [CI] 1.23–4.84), gestational age (OR 1.126; 95% CI 1.039–1.219), and preparation of the uterine cervix with misoprostol (OR 1.99; 95% CI 1.01–3.96). Conclusion There were no significant differences in duration of symptoms, transportation to the hospital, or tendency of reducing the number of legal abortions and increasing complications. The patients’ profile probably reflects the impact of the pandemic on family planning.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032023000300113&lng=en&tlng=enCLAP MUSA networkperinatal information systempopulation surveillanceabortionEviSIPCOVID-19 |
| spellingShingle | Priscilla Brenda Fonseca Dantas Carolina Braga Trabach Aline Aparecida Junqueira Carina Cordeiro Nunes Nelio Neves Veiga-Junior Luiz Francisco Baccaro The Impact of the COVID-19 Pandemic on the Care of Women Experiencing Abortion in a University Hospital in Brazil Revista Brasileira de Ginecologia e Obstetrícia CLAP MUSA network perinatal information system population surveillance abortion EviSIP COVID-19 |
| title | The Impact of the COVID-19 Pandemic on the Care of Women Experiencing Abortion in a University Hospital in Brazil |
| title_full | The Impact of the COVID-19 Pandemic on the Care of Women Experiencing Abortion in a University Hospital in Brazil |
| title_fullStr | The Impact of the COVID-19 Pandemic on the Care of Women Experiencing Abortion in a University Hospital in Brazil |
| title_full_unstemmed | The Impact of the COVID-19 Pandemic on the Care of Women Experiencing Abortion in a University Hospital in Brazil |
| title_short | The Impact of the COVID-19 Pandemic on the Care of Women Experiencing Abortion in a University Hospital in Brazil |
| title_sort | impact of the covid 19 pandemic on the care of women experiencing abortion in a university hospital in brazil |
| topic | CLAP MUSA network perinatal information system population surveillance abortion EviSIP COVID-19 |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032023000300113&lng=en&tlng=en |
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