Evidence map›Paper›PMID 35387835›Full record

Observational studyBMJ open2022

Effect of restrictions imposed due to COVID-19 pandemic on the antenatal care and pregnancy outcomes: a prospective observational study from rural North India.

Lajya Devi Goyal, Priyanka Garg, Madhur Verma, Navdeep Kaur, Dapinder Bakshi, Jatinder Arora

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  10. Satisfaction with Telehealth Care in the United States: Cross-Sectional Survey.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  11. Access and adequacy of antenatal care in a city in Brazil during two phases of the COVID-19 pandemic.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2024
    Observational
  12. Coronavirus Disease-2019 in Pregnancy.Clinics in chest medicine · 2023
    Review
  13. Article
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Lajya Devi Goyal *Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences-Bathinda, Bathinda, Punjab, India.
Priyanka Garg *Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences-Bathinda, Bathinda, Punjab, India.
Madhur Verma *Department of Community and Family Medicine, All India Institute of Medical Sciences-Bathinda, Bathinda, Punjab, India drmadhurverma@gmail.com.ORCID 0000-0002-1787-8392
Navdeep KaurDepartment of Obstetrics and Gynaecology, All India Institute of Medical Sciences-Bathinda, Bathinda, Punjab, India.ORCID 0000-0003-4068-5254
Dapinder BakshiPunjab State Council for Science and Technology, Chandigarh, India.
Jatinder AroraPunjab State Council for Science and Technology, Chandigarh, India.
All India Institute of Medical Sciences · INPunjab State Council for Science & Technology · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the difficulties faced by the pregnant women in seeking appropriate antenatal care due to the restrictions imposed during the COVID-19 pandemic; assess the difficulties encountered during delivery and postpartum period; the suitability of the teleconsultation services offered; effect of COVID-19 infection on pregnancy outcomes and the effect of restrictions on the nutrition profile of the pregnant women.

designProspective observational study. SETTING AND

participantsWe included 1374 pregnant women from the rural areas of three districts of Punjab, India registered at government health centres before the implementation of lockdown due to the COVID-19 pandemic on 24 March 2020. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the difficulties faced by the women during their pregnancies due to restrictions imposed during the lockdown. The secondary outcomes included the effect of COVID-19 infections on pregnancy outcomes, satisfaction from the telemedicine services and restrictions on the nutrition profile of the pregnant women.

resultsOne-third of the women (38.4%) considered their last pregnancy unplanned. Women faced difficulties due to the restrictions in getting adequate nutrition (76.5%), accessing transportation facilities (35.4%), consultations from doctors (22.4%) or getting an ultrasonography scan (48.7%). One-fifth (21.9%) of women could not access safe abortion services. Only 3.6% of respondents ever took any teleconsultation services offered by the government. Most of them felt unsatisfied compared with routine visits (77.5%). COVID-19-infected women were primarily asymptomatic (76.1%), but there was a high incidence of preterm birth (42.8%). Frontline workers could visit 64.3% of the women in the postpartum period despite restrictions.

conclusionsLockdown compromised the antenatal care in our study area while the frontline workers attempted to minimise the inconvenience. Telemedicine services did not prove to be of many benefits to pregnant women and should only work as a supplement to the existing protocols of antenatal care.

Indexed as

COVID-19Premature BirthCommunicable Disease ControlFemaleHumansInfant, NewbornPandemicsPregnancyPrenatal CareCOVID-19epidemiologymaternal medicinepublic health

Identifiers

PMID35387835
PMCPMC8987212
OpenAlexW4223503540

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.