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Women’s health and midwifery
COVID-19 pandemic service alterations linked to adverse impacts on perinatal and postpartum outcomes
  1. Chelone Lee-Wo
  1. Maternity, St George's University Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to Chelone Lee-Wo, Maternity, St George's University Hospitals NHS Foundation Trust, London SW17 0QT, London, UK; chelmidi{at}

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Commentary on: Wagner M, Falcone V, Neururer SB, Leitner H, Delmarko I, Kiss H, Berger A, Farr A. Perinatal and postpartum care during the COVID-19 pandemic: A nationwide cohort study. Birth. 2022 Jun;49(2):243-252. doi: 10.1111/birt.12594. Epub 2021 Oct 7.

Implication for practice and research

  • Maternity care involves complex psychosocial factors that impact perinatal outcomes; unforeseen factors, that is, pandemic adaptation, have major implications for practice, measurable by perinatal/postpartum outcomes.

  • Further retrospective research is needed across health services in similar developed nations to draw causal implications and incorporate a broader range of factors.


COVID-19 is the greatest challenge to maternity services this century. The COVID-19 virus spread insidiously throughout the world, and as the death toll rose relentlessly worldwide, we were reminded that we are one species which must unite to combat human health threats. In comparison with most areas of healthcare, maternity services were impacted …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.