Fear is the Path to the Dark Side: Unsafe Delivery, One of the Consequences of Fear of the SARS-CoV-2 Pandemic, A Case Report

Abstract. Indirect effects of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic are difficult to calculate. Fear of intrahospital infection has led to a decrease in the use of emergency services and the performance of elective procedures. Several low- and middle-income countr...

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Main Authors: Albaro José Nieto-Calvache, Iván Padilla, Mario Fernando Tabares-Blanco, María Camila López-Girón, Lina María Vergara Galliadi, Dandan Shi
Format: Article
Language:English
Published: Wolters Kluwer Health 2021-10-01
Series:Maternal-Fetal Medicine
Online Access:http://journals.lww.com/10.1097/FM9.0000000000000112
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author Albaro José Nieto-Calvache
Iván Padilla
Mario Fernando Tabares-Blanco
María Camila López-Girón
Lina María Vergara Galliadi
Dandan Shi
author_facet Albaro José Nieto-Calvache
Iván Padilla
Mario Fernando Tabares-Blanco
María Camila López-Girón
Lina María Vergara Galliadi
Dandan Shi
author_sort Albaro José Nieto-Calvache
collection DOAJ
description Abstract. Indirect effects of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic are difficult to calculate. Fear of intrahospital infection has led to a decrease in the use of emergency services and the performance of elective procedures. Several low- and middle-income countries have seen the number of institutional deliveries reduced, even in the absence of a follow-up program for home births. We present the case of a patient with adequate prenatal care and an institutional delivery plan who, due to the SARS-CoV-2 pandemic, chose to have a home delivery with unsafe conditions. The lack of supervision by health personnel and the absence of an immediate consultation plan facilitated the presentation of postpartum hemorrhage and poor neonatal results. Little attention has been paid during the pandemic to pregnant women who decide to have their birth at home. A broad discussion is necessary in this regard, to regain the confidence of the population and strengthen institutional births, or to strengthen midwife-assisted home births programs. Patients’ fear to acquiring SARS-CoV-2 infection inside hospitals is a factor that must be taken into account in prenatal care programs.
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spelling doaj.art-fc4a33f931504161afb0863b53df1c662022-12-21T21:23:38ZengWolters Kluwer HealthMaternal-Fetal Medicine2641-58952021-10-013429229410.1097/FM9.0000000000000112202110000-00012Fear is the Path to the Dark Side: Unsafe Delivery, One of the Consequences of Fear of the SARS-CoV-2 Pandemic, A Case ReportAlbaro José Nieto-CalvacheIván PadillaMario Fernando Tabares-BlancoMaría Camila López-GirónLina María Vergara GalliadiDandan ShiAbstract. Indirect effects of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic are difficult to calculate. Fear of intrahospital infection has led to a decrease in the use of emergency services and the performance of elective procedures. Several low- and middle-income countries have seen the number of institutional deliveries reduced, even in the absence of a follow-up program for home births. We present the case of a patient with adequate prenatal care and an institutional delivery plan who, due to the SARS-CoV-2 pandemic, chose to have a home delivery with unsafe conditions. The lack of supervision by health personnel and the absence of an immediate consultation plan facilitated the presentation of postpartum hemorrhage and poor neonatal results. Little attention has been paid during the pandemic to pregnant women who decide to have their birth at home. A broad discussion is necessary in this regard, to regain the confidence of the population and strengthen institutional births, or to strengthen midwife-assisted home births programs. Patients’ fear to acquiring SARS-CoV-2 infection inside hospitals is a factor that must be taken into account in prenatal care programs.http://journals.lww.com/10.1097/FM9.0000000000000112
spellingShingle Albaro José Nieto-Calvache
Iván Padilla
Mario Fernando Tabares-Blanco
María Camila López-Girón
Lina María Vergara Galliadi
Dandan Shi
Fear is the Path to the Dark Side: Unsafe Delivery, One of the Consequences of Fear of the SARS-CoV-2 Pandemic, A Case Report
Maternal-Fetal Medicine
title Fear is the Path to the Dark Side: Unsafe Delivery, One of the Consequences of Fear of the SARS-CoV-2 Pandemic, A Case Report
title_full Fear is the Path to the Dark Side: Unsafe Delivery, One of the Consequences of Fear of the SARS-CoV-2 Pandemic, A Case Report
title_fullStr Fear is the Path to the Dark Side: Unsafe Delivery, One of the Consequences of Fear of the SARS-CoV-2 Pandemic, A Case Report
title_full_unstemmed Fear is the Path to the Dark Side: Unsafe Delivery, One of the Consequences of Fear of the SARS-CoV-2 Pandemic, A Case Report
title_short Fear is the Path to the Dark Side: Unsafe Delivery, One of the Consequences of Fear of the SARS-CoV-2 Pandemic, A Case Report
title_sort fear is the path to the dark side unsafe delivery one of the consequences of fear of the sars cov 2 pandemic a case report
url http://journals.lww.com/10.1097/FM9.0000000000000112
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