28 June 2023

The impact of Covid-19 on the maternal, newborn and child health and nutrition services

Overall, changes in mortality in the ECA region due to service disruption have been mild. Data suggests that swift action to restore services was effective and able to limit any negative and unintended consequences of the global pandemic. One key element, related to disruptions in service, has been the degree to which healthcare workers were…, As the full impact of the COVID-19 pandemic continues to be assessed, a better understanding of health system disruption and the consequences for maternal and child health in the Europe and Central Asia (ECA) region would be valuable to guide programme planning and priority setting by global health stakeholders. The objective of this mixed-method…, Recommendations , Europe and Central Asia, Overall recommended targeted actions to safeguard essential maternal and newborn services include: The pandemic has highlighted the importance of investing in resilient health systems that can respond to crises while maintaining essential services. Governments, health organizations, and communities must work together to address the impacts of…, Albania, Maintaining the delivery of essential MNCHN services during a global pandemic and other emergencies requires a strong and resilient health system. Several key areas will be critical to restore, rebuild, and strengthen in order to improve health outcomes. Recommendations for Albania focus on the importance of contingency planning, a strong healthy…, Bosnia and Herzegovina, Maintaining the delivery of essential MNCHN services during a global pandemic and other emergencies requires a strong and resilient health system. Several key areas will be critical to restore, rebuild, and strengthen in order to improve health outcomes. Recommendations for Bosnia and Herzegovina focus on the importance of sound leadership to…, Kosovo*, Maintaining the delivery of essential MNCHN services during a global pandemic will require a strong and resilient health system. Several key areas will be critical to restore, rebuild, and strengthen in order to improve health outcomes. Recommendations for Kosovo focus on rebuilding and maintaining adequate stockpiles of key resources needed to…, Montenegro, To maintain delivery of essential MNCHN services during a global pandemic will require a strong and resilient health system. Several key areas are critical to restore, rebuild, and strengthen in order to improve health outcomes. Recommendations for Montenegro focus on strengthening the health information systems to support key functions such as…, Serbia, To maintain delivery of essential MNCHN services during a global pandemic will require a strong and resilient health system. Several key areas will be critical to restore, rebuild, and strengthen in order to improve health outcomes. Recommendations for Serbia focus on strengthening the health information system to serve as a robust, reliable, and…, The impact of Covid-19 on the maternal, newborn and child health and nutrition services in the Europe and Central Asia Region UNICEF Regional Office for Europe and Central Asia Geneva, Switzerland Telephone: +41 22 909 5111 Email: ecaro@unicef.org ww.unicef.org/eca Cover photo: UNICEF/UN0338838/Zhanibekov United Nations Childrens Fund (UNICEF)…
04 January 2022

Navigating pregnancy during the COVID-19 pandemic

Pregnancy is a special time full of excitement and anticipation. But for many people, the COVID-19 pandemic has clouded this time with fear, anxiety and uncertainty. Here is the latest information on pregnancy, COVID-19 and vaccines, as well as expert tips on how to have a safe pregnancy during the pandemic. We will update this article as new…, Jump to:, Understanding my risk How to protect myself Getting the COVID-19 vaccine while pregnant Getting the COVID-19 vaccine while breastfeeding COVID-19 vaccines and fertility If I have COVID-19 will I pass it to my baby? Is it safe to continue prenatal check-ups? Giving birth in hospital Can my partner or family member be nearby when I give birth?…, I'm pregnant. Am I at higher risk from COVID-19?, Pregnant women do not seem to be at higher risk of contracting COVID-19. However, you are at higher risk of serious illness if you get COVID-19 while pregnant. You are also at higher risk of delivering your baby prematurely if you get COVID-19. That’s why it’s important you – and people around you – take precautions to protect against COVID-19.…, What should I do to protect myself from COVID-19 while pregnant?, Pregnant women should take the same precautions to avoid COVID-19 infection as other people. To help protect yourself and people around you: Consider vaccination in consultation with your healthcare provider. Wear a mask where physical distancing from others is not possible. Keep a physical distance from others and avoid poorly ventilated or…, Can I get the COVID-19 vaccine if I’m pregnant?, Yes, you can get vaccinated if you are pregnant. Although the overall risk of severe illness from COVID-19 remains low, pregnancy puts you at higher risk of severe illness compared to people who are not pregnant. While there is less data available on vaccination of pregnant people, evidence on the safety of COVID-19 vaccines during pregnancy has…, Should I get the COVID-19 vaccine if I’m breastfeeding?, Yes, if you are breastfeeding you should take the vaccine as soon as it is available to you. It is very safe and there is no risk to the mother or baby. None of the current COVID-19 vaccines have live virus in them, so there is no risk of you transmitting COVID-19 to your baby through your breastmilk from the vaccine. In fact, the antibodies that…, I plan to have a child. Can COVID-19 vaccines affect fertility?, No, you may have seen false claims on social media, but there is no evidence that any vaccine, including COVID-19 vaccines, can affect fertility in women or men. You should get vaccinated if you are currently trying to become pregnant.  , If I have COVID-19 will I pass it to my baby?, We still do not know if the virus can be transmitted from a mother to her unborn or newborn baby. To date, active COVID-19 (virus that causes infection) has not been found in fluid in the womb or breastmilk. The best thing you can do is to take all necessary precautions to prevent yourself from contracting COVID-19. If you’re pregnant or have just…, Is it safe to continue prenatal check-ups?, Many expectant mothers are fearful of going to appointments while they are taking precautions, such as staying home and practicing physical distancing when outside. Find out what options are available to you from your healthcare provider. After your child is born, it is also important to continue receiving professional support and guidance,…, I was planning on giving birth in a hospital or healthcare clinic. Is this still a good option?, The risk involved depends on where you live. For the safest option for you, it is important to speak to the healthcare professional who is supporting you through your pregnancy and birth. They will be able to advise you on the risks and the safest option depending on your personal situation and local health care system.  , Can my partner or family member be nearby when I give birth?, While policies vary by country, you should have someone nearby to support you, as long as the proper precautions are taken, such as wearing a mask while in the delivery room and washing hands. As Franka Cadée, President of the International Confederation of Midwives, told us: “I can understand that you want to reduce the number of people with a…, I’m feeling incredibly anxious about giving birth. What should I do to cope?, The COVID-19 pandemic has been a stressful and uncertain time for everyone, and especially for those about to give birth. Having a plan in place for your birth can help ease feelings of anxiety by giving you more of a sense of control, but also recognize that some aspects may need to change depending on the situation where you live. Your plan…, What questions should I be asking my healthcare provider?, It is important to establish a trusting relationship with your healthcare provider. “All of those questions that have to do with you and your health, I would ask them freely,” says Franka Cadée, President of the International Confederation of Midwives. “If you have an open relationship with your healthcare provider – with your midwife, with your…, I have COVID-19. What should I expect during pregnancy or childbirth?, If you have or suspect you may have COVID-19, it is important to seek medical care early and follow instructions from your health care provider. Remember that you and your child have the right to high quality care throughout your pregnancy and after childbirth. You should be supported to: Breastfeed safely (see breastfeeding tips during COVID-19)…, I have COVID-19. Can I safely breastfeed my baby?, Yes. Transmission of active COVID-19 (virus that can cause infection) through breast milk and breastfeeding has not been detected to date, so there is no reason to stop or avoid breastfeeding. If you have or suspect you may have the COVID-19 virus, it is important to seek medical care early and follow instructions from your health care provider.…, Once I have given birth, what can I do to protect my newborn from the COVID-19 virus?, The level of risk involved depends on where you live. As a starting point, check for any relevance guidance from your local authorities. You should take more precautions in areas with higher rates of COVID-19 transmission and lower levels of vaccinations. If the risk is higher where you live, then consider sticking to just your family and not…
08 April 2021

Navigating pregnancy during the COVID-19 pandemic

Pregnancy is a special time full of excitement and anticipation. But for many expectant mothers, the COVID-19 pandemic has clouded this time with fear, anxiety and uncertainty.  To help women navigate this time, we spoke to experts about pregnancy and COVID-19 vaccines and tips on how to have a  safe pregnancy during the COVID-19 pandemic .  , Pregnancy and COVID-19 vaccines, The development of safe and effective COVID-19 vaccines is a huge step forward in our global effort to end the pandemic and to get back to doing more of the things we enjoy with the people we love. Here are the answers to come commonly asked questions about pregnancy and COVID-19 vaccines.  , Should I get the COVID-19 vaccine if I’m pregnant?, Although the overall risk of severe illness from COVID-19 remains low, pregnancy puts you at higher risk of severe illness compared to people who are not pregnant. Research is still ongoing to understand the safety and effects of COVID-19 vaccination in pregnant women, but there is no known reason that would outweigh the benefits of vaccination…, Can COVID-19 vaccines affect fertility?, No, you may have seen false claims on social media, but there is no evidence that any vaccine, including COVID-19 vaccines, can affect fertility in women or men. If you are currently trying to become pregnant, you do not need to avoid pregnancy after receiving a COVID-19 vaccine.  , Should I get the COVID-19 vaccine if I’m breastfeeding?, Researchers are currently studying COVID-19 vaccination in breastfeeding women, but there is still limited information at this time. WHO advises that vaccinations are offered if a lactating woman is part of a priority group for vaccinations, for example if you are a health worker. Breastfeeding can continue after vaccination and remains one of the…, Having a safe pregnancy during the COVID-19 pandemic, To learn more about how women can protect themselves and their little one, we spoke with Franka Cadée, President of the International Confederation of Midwives. COVID-19 is a new virus and research into it is ongoing. We will update this article as new information becomes available.  , Is it safe to continue prenatal check-ups?, Many expectant mothers are fearful of going to appointments while they are taking precautions, such as staying home and practicing physical distancing when outside. “You do see a lot of adaptation happening at the moment in the world where midwives are doing clinics or certain appointments by phone, so that the actual looking at the baby and the…, If I have COVID-19 will I pass it to my baby?, We still do not know if the virus can be transmitted from a mother to her baby during pregnancy. “The COVID-19 virus has not been found in vaginal fluid, in cord blood or breastmilk,” says Cadée, although information is still emerging. To date, COVID-19 has also not been detected in amniotic fluid or the placenta. The best thing you can do is to…, I was planning on giving birth in a hospital or healthcare clinic. Is this still a good option?, “Women should ask their midwife [or health care professional] what they feel is the safest place for them and how precautions are being taken from situation to situation,” recommends Cadée. “It depends on the woman, on her situation and on the healthcare system.”  “You would hope that most healthcare facilities have different facilities where…, Can my partner or family member be nearby when I give birth?, While policies vary by country, Cadée believes women should have someone nearby to support them, as long as the proper precautions are taken, such as wearing a mask while in the delivery room and washing their hands. “We are finding that in certain countries people are not being allowed to be with women, and that is worrying me. I can understand…, I’m feeling incredibly anxious about giving birth. What should I do to cope?, Having a plan in place for your birth can help ease feelings of anxiety by giving you more of a sense of control, but recognizing that the current situation means there may be less predictability depending where you live. “This should include who to phone when the labour begins, who will provide support during labour and where. Establish what…, What questions should I be asking my healthcare professional?, Cadée underlines the importance of establishing a trusting relationship with your healthcare provider. “All of those questions that have to do with you and your health, I would ask them freely. If you have an open relationship with your healthcare provider – with your midwife, with your obstetrician – they will discuss these things with you and…, What should women pack to go into hospital during the pandemic?, “I don’t think women need to take anything extra, but they should take precautions well into account,” advises Cadée. She expects some hospitals may ask women to go home more quickly than normal if they’re healthy. “Again, that will be different from area to area, from woman to woman, from hospital to hospital,” she says, recommending expecting…, Once I have given birth, what can I do to protect my newborn from the COVID-19 virus?, The best thing you can do is to keep it simple: stick to just your family and don’t ask for visitors right now.  Although it’s a difficult time, Cadée recommends trying to see the positive side of having this time to bond as a family. “Sometimes it can be very busy for young mothers and fathers to have so many visitors. Enjoy the quietness of your…, I am an expecting mother. What should I be doing to keep myself safe during the COVID-19 virus outbreak?, As far as the research shows, pregnant women are not at a higher risk of contracting the COVID-19 virus than any other group of people. That being said, due to changes in their bodies and immune systems, pregnant women in the last months of pregnancy can by badly affected by some respiratory infections, and so it’s important to take precautions. “…, Can I safely breastfeed my baby?, “As far as we know, it is perfectly safe to continue breastfeeding. It's the best thing a mother can do for her baby," says Cadée. Transmission of active COVID-19 (virus that can cause infection) through breast milk and breastfeeding has not been detected to date. If you suspect you may have the COVID-19 virus, it is important to seek medical care…, What should I do if I live in a crowded space?, Many women around the world live in close proximity to lots of other people, making physical distancing much more challenging. In such places, “I would really ask the whole community to take care of their pregnant women,” urges Cadée. She recommends that people keep their distance from pregnant women as much as possible and that certain toilets be…