8/7/2023 0 Comments Prenatal visits during covid![]() ![]() Although there is insufficient data, COVID-19 during pregnancy could be associated with fetal structural anomalies. Studies have reported COVID-19 fetal complications such as abortion, preterm delivery, stillbirth, and intrauterine growth retardation. Pregnant women are more likely admitted to an intensive care unit, require invasive ventilation, receive extracorporeal membrane oxygenation, and die than non-pregnant women. ĬOVID-19 has a poor clinical course and high morbidity and mortality in susceptible individuals, including pregnant women. Although vaccination has been carried out worldwide, viral mutations have made it difficult to control the pandemic. Despite restrictions, the coronavirus outbreak has caused more than 180 million cases and more than four million deaths. After that, severe restrictions were imposed to limit the spread of the disease. The first case reported in Turkey was on March 11, 2020. The World Health Organization declared the COVID-19 outbreak a worldwide pandemic on March 11, 2020, because of the number of cases, deaths, and affected countries. Prenatal fetal screening and diagnosis was adversely affected by the pandemic in terms of detecting genetic and structural anomalies. The COVID-19 pandemic has severely impacted antenatal care. There was significant decrease in the detection of fetuses with trisomy 21 (p=0.047) and a significant increase in the detection of fetuses with Turner syndrome (p=0.017) during COVID-19 period. Among indications of prenatal diagnostic tests, maternal anxiety was significantly higher in COVID-19 period (p=0.023). Statistically significant correlation was not observed between deaths related to COVID-19 and outpatient visits (p=0.210), ultrasound examinations (p=0.265), prenatal screening (p=0.781) and diagnostic tests (p=0.158). During COVID-19 pandemic, number of outpatient visits decreased by 25.2%, ultrasound examinations decreased by 44.2%, prenatal screening tests decreased by 36.2% and prenatal diagnostic tests decreased by 30.7%. ResultsĪ total of 38,918 patients were examined and 28,452 ultrasound examinations, 26,672 prenatal screening tests and 1,471 prenatal diagnostic tests were performed over two years. The correlation of deaths related to COVID-19 pandemic on these parameters was also assessed. Both periods were compared in terms of outpatient visits, ultrasound examinations, prenatal screening and diagnostic tests. ![]() The pre-COVID-19 period between 11 March 2019 and 10 March 2020 and COVID-19 period between 11 March 2020 and 10 March 2021 were evaluated. We conducted a retrospective study with pregnant women attending to the perinatology department of a tertiary referral center. To evaluate the impact of the COVID-19 pandemic on prenatal screening and diagnostic tests. ![]()
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