Increased Maternal Deaths Due to Covid: Lancet Report | 03 Apr 2021
Why in News
According to a study published in The Lancet Global Health Journal, the failure of the health system to cope with Covid-19 pandemic resulted in an increase in maternal deaths and stillbirths.
- The report is an analysis of 40 studies across 17 countries including Brazil, Mexico, the US, Canada, the U.K., Denmark, Netherlands, Italy, India, China and Nepal.
Key Points
- Global Scenario:
- Increase in Death:
- Overall, there was a 28% increase in the odds of stillbirth, and the risk of mothers dying during pregnancy or childbirth increased by about one-third.
- The disruption caused by the Covid-19 pandemic has led to avoidable deaths of both mothers and babies.
- There was also a rise in maternal depression.
- Poor Countries More Affected:
- Covid-19 impact on pregnancy outcomes was disproportionately high on poorer countries.
- Marginalised are the Sufferers:
- The impact was high among the marginalised across various settings such as:
- In Nepal where hospital deliveries decreased most markedly among disadvantaged groups.
- In the U.K., where 88% of pregnant women, who died during the first wave of the pandemic, were from black and minority ethnic groups.
- The impact was high among the marginalised across various settings such as:
- Increase in Death:
- Indian Scenario:
- During the months of national lockdown in 2020 between April and June, compared to the same period in 2019, there was:
- 27% drop in pregnant women receiving four or more ante-natal check-ups.
- 28% decline in institutional deliveries.
- 22% decline in prenatal services.
- During the months of national lockdown in 2020 between April and June, compared to the same period in 2019, there was:
- Reason:
- Failure of Healthcare:
- The inefficiency of the healthcare system and their inability to cope with the pandemic instead of strict lockdown measures resulted in reduced access to care.
- Societal Changes:
- Wider societal changes could have also led to deterioration in maternal health including intimate-partner violence (domestic violence), loss of employment and additional care-responsibilities because of closure of schools.
- Failure of Healthcare:
- Suggestions:
- Device Strategies:
- Policy makers and healthcare leaders must urgently investigate robust strategies for preserving safe and respectful maternity care, even during the ongoing global emergency.
- Avoid Rolling Back of Investments:
- Immediate action is required to avoid rolling back decades of investment in reducing mother and infant mortality in low-resource settings.
- Don't Redeploy Personnel for Maternity Services:
- Personnel for maternity services not be redeployed for other critical and medical care during the pandemic and in response to future health system shocks.
- Device Strategies:
- Some Indian Initiatives for Mother and Child health: