新冠肺炎大流行对熟练助产士Anc诊所就诊和分娩的影响:卡杜纳州的回顾性分析

A. Ajibola, Saude Sagir
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摘要

2019年12月,由严重急性呼吸综合征冠状病毒2型(SARS-COV-2)引起的新冠肺炎大流行首次在中国武汉被发现,并于2020年3月11日被世界卫生组织宣布为大流行。本研究旨在评估COVID -19大流行及其伴随的封锁感染预防对卡杜纳州ANC使用和熟练助产士分娩的影响。这是对来自1722个卫生机构的18个月ANC门诊就诊和熟练分娩数据的回顾性数据审查。2019年10月至2021年3月的数据取自DHIS 2。统计分析采用SPSS单因素方差分析(One Way ANOVA)。与covid -19之前相比,首次预约的产前出勤率下降了13.5%。新冠肺炎后略有上升3.5%。与COVID-19之前相比,在COVID-19期间进行四次推荐的产前检查的孕妇人数也减少了4.1%。然而,在COVID-19封锁后返回的孕妇减少了10.2%。该研究显示,在COVID-19期间和之后分娩的孕妇数量有所增加。在covid -19期间和之后分别增加了2753人和1699人。在95%置信区间,显著性值为0.610(即p = .610),显著性大于0.05。因此,在Covid-19大流行之前、期间和之后,ANC的使用率和技能接生率没有统计学上的显著差异。因此,Covid-19不影响ANC和熟练分娩。
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Impact of Covid-19 Pandemic on Anc Clinic Visits and Deliveries by Skill Birth Attendant: A Retrospective Analysis in Kaduna State
COVID-19 pandemic caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV-2) was first discovered in December 2019 in Wuhan, China and later declared a pandemic on March 11, 2020 by the WHO. This study was conducted to assess the impact of COVID -19 pandemic and its attendant infection prevention of lockdown on ANC utilization and deliveries by skilled birth attendants in Kaduna State. It is a retrospective data review of 18 months data on ANC clinic visit and skill birth delivery from 1,722 health facilities. October 2019 to March 2021 data was extracted from the DHIS 2. The analysis was carried out on SPSS using One Way ANOVA. A decline of 13.5% antenatal attendance for first booking compared to pre-COVID-19 was recorded. There was a slight increase of 3.5% Post-COVID-19. There was also a reduction of 4.1% in the number of pregnant women who had the four recommended ANC visits during the COVID-19 compared to pre-COVID-19 period. However, there was a reduction of 10.2% of pregnant women returning post COVID-19 lockdown. The study revealed increased number of pregnant women that delivered during and post COVID-19. There was an increase of 2, 753 and 1,699 during and post-COVID-19, respectively. At 95% confidence interval using significance value is 0.610 (i.e., p = .610), the significance is more than 0.05. Therefore, there is no statistically significant difference in the ANC utilization and skill birth attendance before, during and after the Covid-19 pandemic. Therefore Covid-19 did not affect ANC and skill birth deliveries.
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