{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T02:15:10Z","timestamp":1784859310789,"version":"3.55.0"},"reference-count":15,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>According to the World Health Organization, midwife-led care is the most appropriate and cost-effective type of perinatal care. As the Covid-19 pandemic with its drastic changes and challenges for the health systems and the medical staff made large adjustments to the healthcare delivery system, midwife-led care became an even more important supportive tool in maintaining unnecessary interventions. This retrospective cohort study aims to compare the outcomes of midwife-led care and team-led care in low-risk births between the Covid-19 pandemic and non-Covid-19 pandemic period. The total studied population was 1,185 singleton births and consisted of 727 births during the non-Covid-19 period and 458 births from the Covid-19 period. The study revealed the safety of low-risk birth care during the first wave of the Covid-19 pandemic in both groups. The maternal and perinatal outcomes remained stable without an increased rate of unsuccessful vaginal births and newborn asphyxia; moreover, birth care of low-risk women provided by midwives preserved autonomy, integrity, and resistance to responding to a disaster. The aforementioned results exhibit that high-quality, safe supervision by midwives in low-risk births can be provided even in high-stress circumstances.<\/jats:p>","DOI":"10.1515\/med-2023-0720","type":"journal-article","created":{"date-parts":[[2023,5,27]],"date-time":"2023-05-27T08:20:40Z","timestamp":1685175640000},"source":"Crossref","is-referenced-by-count":2,"title":["Outcomes of low-risk birth care during the Covid-19 pandemic: A cohort study from a tertiary care center in Lithuania"],"prefix":"10.1515","volume":"18","author":[{"given":"Ingrida","family":"Po\u0161kien\u0117","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Medical Academy, Lithuanian University of Health Sciences, Kaunas , Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meil\u0117","family":"Minkauskien\u0117","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Medical Academy, Lithuanian University of Health Sciences, Kaunas , Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rima","family":"Kreg\u017edyt\u0117","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Medical Academy, Lithuanian University of Health Sciences, Kaunas , Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Jarien\u0117","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Medical Academy, Lithuanian University of Health Sciences, Kaunas , Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mindaugas","family":"Kliu\u010dinskas","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology , Medical Academy, Lithuanian University of Health Sciences, Kaunas , Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2023,5,27]]},"reference":[{"key":"2023083109480572446_j_med-2023-0720_ref_001","doi-asserted-by":"crossref","unstructured":"Carson A. Midwifery around the World: A study in the role of midwives in local communities and healthcare systems. Ann Glob Health. 2016, Aug;82(3):381.","DOI":"10.1016\/j.aogh.2016.04.617"},{"key":"2023083109480572446_j_med-2023-0720_ref_002","unstructured":"World Health Organization. Care in Normal Birth: a practical guide; 1996."},{"key":"2023083109480572446_j_med-2023-0720_ref_003","doi-asserted-by":"crossref","unstructured":"Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife-led continuity models versus other models of care for childbearing women. Cochrane Database Syst Rev. 2016 Apr 28;4(4):CD004667.","DOI":"10.1002\/14651858.CD004667.pub5"},{"key":"2023083109480572446_j_med-2023-0720_ref_004","unstructured":"World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. Luxemburg; 2016."},{"key":"2023083109480572446_j_med-2023-0720_ref_005","unstructured":"World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience. Geneva; 2018."},{"key":"2023083109480572446_j_med-2023-0720_ref_006","doi-asserted-by":"crossref","unstructured":"Coxon K, Turienzo CF, Kweekel L, Goodarzi B, Brigante L, Simon A, et al. The impact of the coronavirus (COVID-19) pandemic on maternity care in Europe. Midwifery. 2020 Sep;88:102779.","DOI":"10.1016\/j.midw.2020.102779"},{"key":"2023083109480572446_j_med-2023-0720_ref_007","doi-asserted-by":"crossref","unstructured":"Basu A, Kim HH, Basaldua R, Choi KW, Charron L, Kelsall N, et al. A cross-national study of factors associated with women\u2019s perinatal mental health and wellbeing during the COVID-19 pandemic. PLoS One. 2021 Apr;16(4):e0249780.","DOI":"10.1371\/journal.pone.0249780"},{"key":"2023083109480572446_j_med-2023-0720_ref_008","doi-asserted-by":"crossref","unstructured":"Cigaran RG, Botezadu R, Minecan EM, Gica C, Panaitesu AM, Peltecu G, et al. The psychological impact of the COVID-19 pandemic on pregnant women. Healthc (Basel). 2021 Jun;9(6):725.","DOI":"10.3390\/healthcare9060725"},{"key":"2023083109480572446_j_med-2023-0720_ref_009","doi-asserted-by":"crossref","unstructured":"Fransson E, Karalexi M, Kimmel M, Brann E, Kollia N, Zoest V, et al. Mental health among pregnant women during the pandemic in Sweden \u2013 a mixed methods approach using data from the Mom2B mobile application for research. MedRxiv. 2020 Dec;18:20248466.","DOI":"10.1101\/2020.12.18.20248466"},{"key":"2023083109480572446_j_med-2023-0720_ref_010","doi-asserted-by":"crossref","unstructured":"Ravaldi C, Wilson A, Ricca V, Homer C, Vannacci A. Pregnant women voice their concerns and birth expectations during the COVID-19 pandemic in Italy. Women Birth. 2021 July;34(4):335\u201343.","DOI":"10.1016\/j.wombi.2020.07.002"},{"key":"2023083109480572446_j_med-2023-0720_ref_011","doi-asserted-by":"crossref","unstructured":"Zulfa SZ, Emilia O, Hidayat A. Midwives preparation to provide delivery services in independent midwife practice during covid-19 pandemic. Int J Health Sci. 2021;5(3):344\u201351.","DOI":"10.53730\/ijhs.v5n3.1554"},{"key":"2023083109480572446_j_med-2023-0720_ref_012","doi-asserted-by":"crossref","unstructured":"Wagner M, Falcone V, Neururer SB, Leitneris M, Delmarko I, Kiss H, et al. Perinatal and postpartum care during the COVID-19 pandemic: A nationwide cohort study. Birth. 2022 Jun;49(2):243\u201352.","DOI":"10.1111\/birt.12594"},{"key":"2023083109480572446_j_med-2023-0720_ref_013","doi-asserted-by":"crossref","unstructured":"Rao MG, Toner LE, Stone J, Iwelumo CA, Goldberger C, Roser BJ, et al. Pregnancy during a Pandemic: A Cohort Study Comparing Adverse Outcomes during and before the COVID-19 Pandemic. 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