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Impact of the SARS-CoV-2 pandemic and first lockdown on pregnancy monitoring in France: the COVIMATER cross-sectional study
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  • Alexandra Doncarli,
  • Lucia Araujo-Chaveron,
  • Catherine Crenn-Hébert,
  • Virginie Demiguel,
  • Julie Boudet-Berquier,
  • Yaya Barry,
  • Maria-Eugênia Gomes Do Espirito Santo,
  • Andrea Guajardo,
  • Claudie Menguy,
  • Anouk Tabaï,
  • Karine Wyndels,
  • Alexandra Benachi,
  • Nolwenn Regnault
Alexandra Doncarli
Santé publique France

Corresponding Author:alexandra.doncarli@santepubliquefrance.fr

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Lucia Araujo-Chaveron
Santé publique France
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Catherine Crenn-Hébert
Université Claude Bernard Lyon 1 - Laennec
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Virginie Demiguel
Santé publique France
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Julie Boudet-Berquier
Santé publique France
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Yaya Barry
Santé publique France
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Maria-Eugênia Gomes Do Espirito Santo
Santé publique France
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Andrea Guajardo
Santé publique France
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Claudie Menguy
Santé publique France
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Anouk Tabaï
Santé publique France
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Karine Wyndels
Santé publique France
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Alexandra Benachi
APHP, Hôpital Louis Mourier. 178 rue de Renouillers
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Nolwenn Regnault
Santé publique France
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Abstract

Objective To study the impact of the SARS-CoV-2 pandemic and the first lockdown in France on voluntary changes by pregnant women in the medical monitoring of their pregnancy. Study population Adult (>18 years old) pregnant women during the first lockdown (March-May 2020), living in France, and participating in an access panel of internet users. Design and Settings A cross-sectional study was conducted in July 2020 using a web-questionnaire completed by 500 pregnant women selected by quotas sampling (age group, socio-professional category, region of residence at the time of the lockdown, and parity). Methods A robust variance Poisson regression model was used to estimate adjusted prevalence ratios (aPRs). A manual stepwise descending approach was applied to obtain the final model. Main Outcome Measures Voluntary postponement or foregoing of pregnancy monitoring. Results Almost one women of five (23.4%) reported having voluntarily postponed or foregone at least one consultation or pregnancy check-up during the lockdown. Women who were professionally inactive (aPR=1.98, CI95%[1.24-3.16]), who had experienced serious disputes or violence during the lockdown (1.47, [1.00-2.16]), who felt they received little or no support (1.71, [1.07-2.71]), and those who changed health professionals during the lockdown (1.57, [1.04-2.36]) were all more likely to have voluntarily changed their pregnancy monitoring. Higher level of worry about the pandemic was associated with a lower probability of voluntarily changing pregnancy monitoring (0.66, [0.46 -0.96]). Conclusions Our results can guide prevention and support policies for pregnant women in the current and future pandemics. Financing Santé publique France