The effect of the COVID-19 pandemic on maternal health due to delay in seeking health care: Experience from a tertiary center

Objective To assess the effects of the COVID-19 pandemic on obstetric care and outcomes. Methods A prospective observational single-center study was performed, including all antenatal and parturient women admitted from April to August, 2020. Data were collected regarding number of admissions, deliveries, antenatal visits, reason for inaccessibility of health care, and complications during pregnancy, and compared with data from the pre-COVID period of October 2019 to February 2020. Results There was a reduction of 45.1% in institutional deliveries (P < 0.001), a percentage point increase of 7.2 in high-risk pregnancy, and 2.5-fold rise in admission to the intensive care unit of pregnant women during the pandemic. One-third of women had inadequate antenatal visits. The main reason for delayed health-seeking was lockdown and fear of contracting infection, resulting in 44.7% of pregnancies with complications. Thirty-two symptomatic women who tested positive for COVID-19 were managed at the center with good maternal and fetal outcomes. Conclusion Although COVID-19 does not directly affect pregnancy outcomes, it has indirect adverse effects on maternal and child health. Emergency obstetric and antenatal care are essential services to be continued with awareness of people while maintaining social distancing and personal hygiene.

Automated summary

The COVID-19 pandemic led to a 45.1% reduction in institutional deliveries, a 7.2 percentage point increase in high-risk pregnancies, and a 2.5-fold increase in pregnant women admitted to the intensive care unit. One-third of women had inadequate antenatal visits, primarily due to lockdown and fear of infection. The study center managed 32 symptomatic pregnant women with positive COVID-19 tests, resulting in good maternal and fetal outcomes.