Scoping review of the impact of coronavirus disease 2019 on unplanned pregnancy

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Scoping review of the impact of coronavirus disease 2019 on unplanned pregnancy
 
Creator Christian, Carmen S. Rossouw, Laura
 
Subject primary care; primary health care Sexual and reproductive health; lockdown; COVID-19; fertility; child-bearing intentions; contraceptive access
Description Background: Increased pressure on the healthcare system because of coronavirus disease 2019 (COVID-19) along with national lockdown policies had consequences on the sexual and reproductive health of women. While the pandemic has resulted in changes in pregnancy intentions, child-bearing and fertility, the direction of this relationship is unclear and is likely to be impacted by each country’s socio-economic status and stage of fertility transition. Understanding the fertility trajectory and the pandemic is important in understanding population structures and ageing, which have consequences for health policies, budgeting and economic activity.Aim: This study aimed to conduct a scoping review of the impact of COVID-19 on unplanned pregnancy.Methods: A rapid review of available literature using Google Scholar, PubMed and Medical Literature Analysis and Retrieval System Online (MEDLINE), SocINDEX, Cumulative Index to Nursing and Allied Health Literature (CINAHL) Complete and Academic Search Ultimate. Articles in English from 2020 to 2021 were included.Results: Fifteen articles were included. These were mostly cross-sectional, primary data-collection surveys exploring the relationship between COVID-19 and child-bearing intentions.Conclusion: Access to contraceptives, socio-economic status and uncertainty about the health impact of COVID-19 on pregnancy were major themes that emerged when considering child-bearing intentions. Evidence of changes in the number of unplanned pregnancies and abortions was not insignificant but should be explored further. Although the studies covered a range of countries, more studies are needed focusing on low- and middle-income countries where the socio-economic impact of child-bearing intention is greater. There is a need for causal analysis using country-level data and for longer studies using more robust methodologies. The pandemic will continue to influence birth rates.Contribution: This article revealed gaps in the current literature on the measurement of the quantitative and causal impact of the COVID-19 pandemic on fertility and child-bearing. Findings from our study may assist in setting the trajectory for future research.
 
Publisher AOSIS
 
Contributor University of the Western Cape
Date 2022-12-15
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v14i1.3601
 
Source African Journal of Primary Health Care & Family Medicine; Vol 14, No 1 (2022); 8 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/3601/5901 https://phcfm.org/index.php/phcfm/article/view/3601/5902 https://phcfm.org/index.php/phcfm/article/view/3601/5903 https://phcfm.org/index.php/phcfm/article/view/3601/5904
 
Coverage All geographic settings 2020-2021 —
Rights Copyright (c) 2022 Carmen S. Christian, Laura Rossouw https://creativecommons.org/licenses/by/4.0
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