Challenging Role of Nurse-midwives during the Pandemic of the Coronavirus 2019

Authors

  • wayuree lumpo Faculty of Nursing, Suratthani Rajabhat University
  • Thirawan Thongwon Faculty of Nursing, Suratthani Rajabhat University
  • Arissara Saenthaweesuk Faculty of Nursing, Suratthani Rajabhat University
  • Laddawan Plodrit Director, Krabi Hospital
  • Papatchaya Meechaichana Boromrajonani College of Nursing Songkhla
  • Naraporn Khunkumhaeng Obstetrics and Gynecology, Faculty of Medicine, Naresuan University
  • Piyaporn Lahfahroengron Departments of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University

Keywords:

Nurse-Midwife, Challenge Roles, coronavirus disease, COVID-19

Abstract

          Currently, Coronavirus Disease 2019 (COVID-19) is an emerging disease that has a high rate of infection and is spreading rapidly in the global situation. There are many infected and dead. The incidence of life-threatening injuries was found in people with low immunity or people with congenital disorders, the elderly, overweight patients, chronic disease patients and pregnant women. In Thailand, there is a large increase in pregnant women who are infected with the 2019 coronavirus. Infection in pregnant women increases the risk of serious complications and death than women in general. It has also been found that the 2019 coronavirus infection in pregnant women affects the baby, increasing the risk of miscarriage, intrauterine growth restriction, premature rupture of membranes. In addition, fetal and newborn deaths are also higher and affect the mental health of pregnant women, women in labor and their families.
           This article aims to present the causes, effects and challenging roles of nurse-midwives during the 2019 coronavirus pandemic. Nurse-midwives have had to change how they work to sustain their care for expectant mothers during the pandemic. Nursing practice need to be changed from normal conditions to be able to promote health, prevent infection, provide care and rehabilitate the body and mind for women of childbearing age, pregnant women, women in labor and postpartum mothers to ensure proper safety.

References

Allotey, J., Stallings, E., Bonet, M., Yap, M., Chatterjee, S., Kew, T., … Thangaratinam, S. (2020). Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: Living systematic review and meta-analysis. BMJ, 370, m3320. doi: 10.1136/bmj.m3320

American College of Obstetricians and Gynecologists (ACOG). (2021). Covid-19 vaccination considerations for obstetric–gynecologic care. Retrieved from https://www.acog.org/ clinical/clinical-guidance/practice-advisory/ articles/ 2020/12/covid19-vaccination-considerations-for-obstetric-gynecologic-care

American Society for Reproductive Medi-cine (ASRM). (2020). Patient management and clinical recommendations during the coronavirus (COVID-19) pandemic, 2020. Retrieved from https://www.asrm.org/globalassets/asrm/asrm-content/ news-and-publications/covid19/covidtaskforceupdate11.pdf

Bender, W. R., Srinivas, S., Coutifaris, P., Acker, A., & Hirshberg, A. (2020). The psychological experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing. American Journal of Perinatology, 37(12), 1271-1279. doi: 10.1055/s-0040-1715505

Berthelot, N., Lemieux, R., Garon-Bissonnette, J., Drouin-Maziade, C., Martel, E., & Maziade, M. (2020). Uptrend in distress and psychiatric symptomatology in pregnant women during the coronavirus disease 2019 pandemic. Acta Obstetriccia et Gynecologica Scandinavica, 99, 848–855. doi: 10.1111/aogs.13925

Cable News Network (CNN). (2021). Brazil asks women 'if possible' to delay pregnancy over Covid variants. Retrieved from https://edition.cnn.com/2021/04/17/americas/brazil- pregnancy-covid-intl/index.html

Centers for Disease Control and Prevention (CDC). (2021a). Data on Covid-19 during pregnancy: Severity of maternal illness. Retrieved from https://covid.cdc.gov/covid-data-tracker/#pregnant-population.

Centers for Disease Control and Prevention (CDC). (2021b). Pregnant people at increased risk for severe illness from Covid-19. Retrieved from https://www.cdc.gov/ coronavirus/2019-ncov/need-extra-precautions/pregnant-people.html

Centers for Disease Control and Prevention (CDC). (2021c). Interim considerations: Preparing for the potential management of anaphylaxis after Covid-19 vaccination. Retrieved from https://www.cdc.gov/vaccines/covid-19/clinical-considerations/managing-anaphylaxis.html

Centers for Disease Control and Prevention (CDC). (2022). Pregnant and recently pregnant people. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/ need-extra-precautions/pregnant-people.html

Cunningham, F. G., Leveno, K. J., Dashe, J. S., Hoffman, B. L., Spong, C. Y., & Casey, B. M. (Eds.), (2022). Williams obstetrics. (26th ed.). New York: McGraw-Hill Education.

Department of mental Health, Ministry of Public Health. (2020). Guidelines for rehabilitating the mind during the outbreak of the Coronavirus Disease 2019 (COVID-19) (Combat 4th Wave of COVID-19: C4). Nonthaburi: Department of mental Health, Ministry of Public Health. (in Thai)

Department of Health, Ministry of Public Health. (2021). Breastfeeding in the situation of coronavirus disease 2019 (COVID-19). Retrieved from https://multimedia. anamai.moph.go.th/infographics/info-mothers-milk-covid19/ (in Thai)

Department of Health, Ministry of Public Health. (2022). The situation of covid-19 infection in pregnant women mothers 6 weeks postpartum and newborns. Retrieved from https://datastudio.google.com/u/0/reporting/b4e86fe0-c9ed-4adb-b2a9-7b8f78603855/ page/wE6IC (in Thai)

Department of Health. (2022). Covid-19 situation report in pregnant women and 6 weeks postpartum mother. Retrieved from https://covid19.anamai. moph.go.th/th/ (in Thai)

Department of Medical Services, Ministry of Public Health. (2022a). Clinical practice guidelines for diagnosis, treatment, and prevention of infection in hospitals case of Coronavirus disease 2019 (COVID-19) (25th ed.). Retrieved from https://www.lpnh.go.th/files/drug-data/516142304.pdf (in Thai)

Department of Medical Services, Ministry of Public Health. (2022b). Guidelines for the management of general systemic symptoms in post-COVID-19 patients. Retrieved from https://drive.google.com/file/d/1ztNT1jGmdOO3WYdqOVQrhn1rYiac7DpC/view (in Thai)

Department of Mental Health, Ministry of Public Health. (2021). Mental health quiz. Retrieved from https://www.dmh.go.th/test/Download/ (in Thai)

Donders, F., Lonnée-Hoffmann, R., Tsiakalos, A., Mendling, W., Martinez de Oliveira, J., Judlin, P., … Covid-Guideline Workgroup (2020). ISIDOG recommendations concerning COVID-19 and pregnancy. Diagnostics (Basel, Switzerland), 10(4), 243. doi: 10.3390/diagnostics10040243

Fumagalli, S., Ornaghi, S., Borrelli, S., Vergani, P., & Nespoli, A. (2021). The experiences of childbearing women who tested positive to covid-19 during the pandemic in northern Italy. Women Birth, S1871-5192(21), 1-9. doi: 10.1016/j.wombi.2021.01.001

Hammad, W. A. B., Beloushi, M. A., Ahmed, B., & Konje, J. K. (2021). Severe acute respiratory syndrome (SARS) coronavirus-2 infection (COVID-19) in pregnancy–an overview. European Journal of Obstetrics & Gynecology and Reproductive Biology, 263, 106–116.

Jafari, M., Pormohammad, A., Sheikh Neshin, S. A., Ghorbani, S., Bose, D., Alimohammadi, S., … Zarei, M. (2021). Clinical characteristics and outcomes of pregnant women with COVID-19 and comparison with control patients: A systematic review and meta-analysis. Reviews in Medical Virology, 31(5), 1–16. doi: 10.1002/rmv.2208

Kansukcharearn, A., & Charornsok, W. (2020). Providing antenatal services under the circumstances of the epidemic of Covid-19, Hua Hin Hospital. Hua Hin Sook Jai Klai Kangwon Journal, 5(1), 1-11. (in Thai)

Kotlyar, A. M., Grechukhina, O., Chen, A., Popkhadze, S., Grimshaw, A., Tal, O., …Tal, R. (2021). Vertical transmission of coronavirus disease 2019: A systematic review and meta-analysis. American Journal of Obstetrics & Gynecology, 224(1), 35-53. e3. doi: 10.1016/j.ajog.2020.07.049

Lambelet, V., Ceulemans, M., Nordeng, H., Favre, G., Horsch, A., Stojanov, M., … Pomar, L. (2021). Impact of the COVID-19 pandemic on Swiss pregnant and breastfeeding women a cross-sectional study covering the first pandemic wave. Swiss Medical Weekly, 2021(151), w30009. doi: 10.4414/smw.2021.w30009

Margono, R. S., Sukrisno, A., Nugrohowati, N., & Lestari, W. (2021). Relationship between a premature rupture of membranes and the increase of leucocyte levels in pregnant women during COVID-19 pandemic. Journal Kebidanan Dan Kesehatan Tradisional, 6(2). 127-134. doi: 10.37341/jkkt.v0i0.261

Mortazavi, F., Mehrabadi, M., & Kiaeetabar, R. (2021). Pregnant women’s well-being and worry during the COVID-19 pandemic: A cross-sectional study. BMC Pregnancy and Childbirth, 21(59). doi: 10.1186/s12884-021-03548-4

Negron, R., Martin, A., Almog, M., Balbierz, A., & Howell, E.A. (2013). Social support during the postpartum period: Mothers' views on needs, expectations, and mobilization of support. Maternal and Child Health Journal, 17(4), 616–623. doi: 10.1007/s10995-012-1037-4

Norman, M., Navér, L., Söderling, J., Ahlberg, M., Hervius Askling, H., Aronsson, B., … Stephansson, O. (2021). Association of maternal SARS-CoV-2 infection in pregnancy with neonatal outcomes. JAMA, 325(20), 2076–2086. doi: 10.1001/jama.2021.5775

Pflugeisen, B. M., McCarren, C., Poore, S., Carlile, M., & Schroeder, R. (2016). Virtual visits: Managing prenatal care with modern technology. MCN The American Journal of MaternalChild Nursing, 41(1), 24-30. doi: 10.1097/NMC.0000000000000199

Rasmussen, S. A., & Jamieson, D. J. (2021). Pregnancy, postpartum care, and covid-19 vaccination in 2021. JAMA Network Open. 325(11), 1099–1100. doi: 10.1001/jama.2021.1683

Rieley, L. E., Beigi, R., Jamieson, D. J., Hughes, B. L., Swamy, G., Eckert, L. O., ... Carroll, S. (2022). Covid-19 vaccination considerations for obstetric–gynecologic care. Retrieved from https://www.acog.org/ clinical/clinical-guidance/practice-advisory/articles/ 2020/12/covid-19- vaccination-considerations-for-obstetric-gynecologic-care

Royal College of Obstetricians and Gynaecologists (RCOG). (2021). Coronavirus (COVID-19) infection in pregnancy: Information for healthcare professionals (Version 14).Retrieved from https://www.rcog.org.uk/en/guidelines-research-services/guidelines/ coronavirus-pregnancy/

Royal Thai College of Obstetricians and Gynaecologists (RTCOG). (2021). Management of Covid-19 infection in pregnancy (17th ed.). Retrieved from http://www.rtcog.or.th/home/wp-content/uploads/2021/12/CPG-Management-of-Covid-19-Infection-in-Pregnancy_ Version-7.pdf

Royal Thai Government. (2022). Covid-19 Situation for February 10, 2022. Retrieved from https://media.thaigov.go.th/uploads/public_img/source/100265.pdf (in Thai)

Saccone, G., Florio, A., Aiello, F., Venturella, R., De Angelis, M. C., Locci, M., … Di Spiezio Sardo, A. (2020). Psychological impact of coronavirus disease 2019 in pregnant women. American Journal of Obstetrics & Gynecology, 223(2), 293–295. doi: 10.1016/j.ajog.2020.05.003

U.S. Food and Drug Administration (FDA). (2021). Emergency use authorization (EUA) of the Janssen Covid-19 vaccine to prevent coronavirus disease 2019 (COVID-19). Retrieved from https://www.fda.gov/media/146304/download

Vivilaki, V. G., & Asimaki, E. (2020). Respectful midwifery care during the COVID-19 pandemic. European Journal of Midwifery, 4, 8. doi: 10.18332/ejm/120070

Wang, X., Zhou, Z., Zhang, J., Zhu, F., Tang, Y., & Shen, X. (2020). A case of 2019 novel coronavirus in a pregnant woman with preterm delivery. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 71(15), 844-846. doi: 10.1093/cid/ciaa200

World Health Organization (WHO). (2020). Clinical management of Covid-19: Interim guideline 27 May 2020. Retrieved from https://apps.who.int/ iris/rest/bitstreams/1278777/ retrieve

World Health Organization (WHO). (2021a). Coronavirus disease (COVID-19) pandemic. Retrieved from https://www.who.int/emergencies/diseases/novel-coronavirus-2019?gclid= CjwKCAjwhuCKBhADEiwA1HegORQHcMxWkb7AVzMzpGFEuJ93OLhksbcX7m--rrigo2QoOzgN1OMsRRoCthcQAvD_BwE

World Health Organization (WHO). (2021b). Addressing the mental health needs of vulnerable populations in the Covid-19 response in the WHO European region. Retrieved from https://www.euro.who.int/_data/assets/pdf_file/0003/446340/Factsheet-May-2020-Vulnerable-populations-during-COVID-19-response-eng.pdf

World Health Organization (WHO). (2022). WHO coronavirus (COVID-19) dashboard. Retrieved from https://covid19.who.int/

Zambrano, L. D., Ellington, S., Strid, P., Galang, R. R., Oduyebo, T., Tong, V. T., …. CDC COVID-19 Response pregnancy and infant linked outcomes team. (2020). Update: Characteristics of symptomatic women of reproductive age with laboratory-confirmed SARS-CoV-2 infection by pregnancy status - United States, January 22-October 3, 2020. Morbidity and Mortality Weekly Report, 69(44), 1641–1647. doi: 10.15585/mmwr.mm6944e3

Zhang, C. J. P., Wu, H., He, Z., Chan, N., Huang, J., Wang, H., … Yin, Z. (2020). Psychobehavioral responses, post-traumatic stress and depression in pregnancy during the early phase of covid-19 outbreak. American Psychiatric Association, 3(1), 46-54. doi: 10.1176/appi.prcp.20200019

Zhu, H., Wang, L., Fang, C., Peng, S., Zhang, L., Chang, G., … Zhou, W. (2020). Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia. Translational Pediatrics, 9(1), 51–60. doi: 10.21037/tp.2020.02.06

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Published

2022-12-30

How to Cite

lumpo, wayuree, Thongwon, T., Saenthaweesuk, A., Plodrit , L., Meechaichana, P., Khunkumhaeng , N. ., & Lahfahroengron , P. (2022). Challenging Role of Nurse-midwives during the Pandemic of the Coronavirus 2019. Nursing Journal CMU, 49(4), 383–402. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/258480