Pregnant women’s opinions on universal screening for COVID-19 during hospital admission: a crosssectional survey

Authors

  • Chun-Yee CHOW
  • Wing-Yi LOK
  • Choi-Wah KONG
  • William WK TO

DOI:

https://doi.org/10.12809/hkjgom.21.1.04

Abstract

Introduction: The present study aimed to evaluate pregnant women’s opinions on universal screening for COVID-19 during hospital admission.
Methods: Between 1 September 2020 and 24 November 2020 in the antenatal ward and labour ward of United Christian Hospital, a self-administrated questionnaire (in Chinese and English) on universal screening was distributed to all obstetric patients upon admission (or after delivery).
Results: Of 600 questionnaires distributed, 520 (86.7%) were returned. Of these, 11 were excluded owing to missing answers and 509 were included in analysis. All respondents had negative results of COVID-19. 98.4% of the women agreed with universal screening for all obstetric patients on admission. 69.0%, 73.9%, and 72.1% of women considered that a negative COVID-19 result would have a positive effect on their own care, their baby’s care, and their family, respectively, with 82.1% feeling more ready to breastfeed and 84.9% feeling more at ease to look after their babies after delivery. 97.2% thought that all staff in the obstetric ward should have COVID-19 screening. A logistic regression model showed that women with tertiary education or above (odds ratio [OR]=2.361, p<0.001) and with emergency admission (rather than elective admission) [OR=1.686, p=0.018] were more likely to believe that a negative screening result would have positive effects on her care, whereas women with tertiary education or above (OR=3.615, p<0.001) were more likely to believe that a negative result would have a positive impact on their baby’s care.
Conclusion: Universal screening for COVID-19 on admission is well supported by obstetric patients.

References

South China Morning Post. 2020. Coronavirus: The Disease Covid-19 Explained. Available at: https://multimedia.scmp.com/infographics/news/china/article/3047038/wuhan-virus/index.html

South China Morning Post. 2020. Coronavirus: Community Outbreak in Hong Kong. Available at: https://multimedia.scmp.com/infographics/news/hong-kong/article/3050053/hong-kong-coronavirus-infected-cases/index.html

Coronavirus.gov.hk. 2020. COVID-19 Thematic Website, Together, We Fight The Virus, Home. Available at: https://www.coronavirus.gov.hk/eng/index.html

Lok W, Chow C, Kong C, To W. A cross-sectional survey on opinion of pregnant women towards universal screening for COVID-19 in relation to their knowledge, attitudes and behaviors [in press]. Hong Kong Med J 2021.

Royal College of Obstetrics and Gynaecology. Principles for the Testing and Triage of Women Seeking Maternity Care in Hospital Settings, During the COVID-19 Pandemic. 2nd ed. Available at: https://www.rcog.org.uk/globalassets/documents/guidelines/2020-08-10-principles-for-the-testing-and-triage-of-women-seeking-maternity-care-in-hospital-settings-during-the-covid-19-pandemic.pdf

Kwok KO, Li KK, Chan HHH, et al. Community responses during early phase of COVID-19 epidemic, Hong Kong. Emerg Infect Dis 2020;26:1575-9.

Centers for Disease Control and Prevention. Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens From Persons for Coronavirus Disease 2019 (COVID-19). Available at: https://www.cdc.gov/coronavirus/2019-nCoV/lab/guidelines-clinical-specimens.html

Summary of Results of the Universal Community Testing Programme. Available at: https://www.info.gov.hk/gia/general/202009/15/P2020091500931.htm

Wyllie AL, Fournier J, Casanovas-Massana A, et al. Saliva or nasopharyngeal swab specimens for detection of SARSCoV-2. N Engl J Med 2020;383:1283-6.

Wong SF, Chow KM, Leung TN, et al. Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol 2004;191:292-7.

Naurin E, Markstedt E, Stolle D, et al. Pregnant under the pressure of a pandemic: a large-scale longitudinal survey before and during the COVID-19 outbreak [Epub ahead of print]. Eur J Public Health 2020:ckaa223

World Health Organization. Breastfeeding and COVID-19. Available at: https://www.who.int/news-room/commentaries/detail/breastfeeding-and-covid-19. Accessed 6 December 2020.

Lubbe W, Botha E, Niela-Vilen H, Reimers P. Breastfeeding during the COVID-19 pandemic - a literature review for clinical practice. Int Breastfeed J 2020;15:82.

Cheema R, Partridge E, Kair LR, et al. Protecting breastfeeding during the COVID-19 pandemic [Epub ahead of print]. Am J Perinatol 2020.

Gómez-Ochoa SA, Franco OH, Rojas LZ, et al. COVID-19 in health-care workers: a living systematic review and meta-analysis of prevalence, risk factors, clinical characteristics, and outcomes. Am J Epidemiol 2021;190:161-75.

Downloads

Published

2023-04-06

How to Cite

1.
CHOW C-Y, LOK W-Y, KONG C-W, TO WW. Pregnant women’s opinions on universal screening for COVID-19 during hospital admission: a crosssectional survey. Hong Kong J Gynaecol Obstet Midwifery [Internet]. 2023 Apr. 6 [cited 2024 Nov. 24];21(1). Available from: https://hkjgom.org/home/article/view/293

Issue

Section

Original Article

Most read articles by the same author(s)

<< < 1 2 3 4 > >>