Maternity ward management and COVID-19 pandemic: Experience of a single center in Northern Italy during lockdown

Nicola Cesano, Nicola Cesano and Francesco D’Ambrosi, Francesco D’Ambrosi and Giulia E. Cetera, Giulia E. Cetera and Ilma F. Carbone, Ilma F. Carbone and Matteo Di Maso, Matteo Di Maso and Manuela W. Ossola, Manuela W. Ossola and Enrico Iurlaro, Enrico Iurlaro and Enrico Ferrazzi, Enrico Ferrazzi (2021) Maternity ward management and COVID-19 pandemic: Experience of a single center in Northern Italy during lockdown. European Journal of Midwifery, 5 (2). pp. 1-5. ISSN 2585-2906

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Abstract

INTRODUCTION The aim of our study is to describe the management of a maternity ward in a referral center during the COVID-19 pandemic and 2020 lockdown. METHODS This is a retrospective single-center study. We analyzed the records of all women consecutively admitted to our delivery ward during lockdown and compared them with those of women admitted in the same period in 2019. RESULTS The number of patients (1260) admitted to our department in 2020 was similar (1215) to that in 2019. Among patients admitted during lockdown, 50 presented with a Sars-CoV-2 infection (3.9%). In 2020, the number of antenatal check-ups was lower
than in 2019 [7.9 (1.5) vs 8.2 (1.3), p<0.001] and the rate of labor inductions was higher [436 (34.6) vs 378 (31.1), p=0.008] although no difference in delivery mode was found.
Moreover, women admitted during lockdown were more likely to give birth alone [140 (11.1) vs 50 (4.1), p<0.001]. However, during 2020, the rate of mother and newborn skinto-skin contact [1036 (82.2) vs 897 (73.8), p<0.001] and that of breastfeeding within 2 hours from birth [1003 (79.6) vs 830 (68.3), p<0.001] was higher. We found no significant differences in maternal or neonatal outcomes.
CONCLUSIONS Despite the COVID-19 pandemic, we were able to guarantee a safe birth assistance to all pregnant women, both for those infected and those not infected by SarsCoV-2.

Item Type:	Article
Uncontrolled Keywords:	COVID-19, delivery, maternal complication, neonatal complication, northern Italy, Sars-CoV-2 pandemic
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Mrs Ni Made Yunia Dwi Savitri
Date Deposited:	04 Jul 2022 00:44
Last Modified:	04 Jul 2022 00:44
URI:	http://eprints.triatmamulya.ac.id/id/eprint/1238

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