Introduction:
People in underprivileged and developing nations are not exposed to modern contraception, leaving women vulnerable to unintended pregnancy in low and middle-income countries. The declining and damaging health system induced by covid 19 has resulted in a significant decline in health care, Adequate sex education care is critical for the well-being of vulnerable people. The services provide a wide range of care, including maternity and newborn care, contraceptive access, and HIV and other sexually transmitted infection prevention and treatment. due to this pandemic, sexual and reproductive health services are disrupted. minimum of 10% of services might be interrupted because of covid 19 so there might be a major impact on sexual health and reproduction services outcome.
This covid 19 epidemic is providing significant issues to global health services, human resources, demand, supply chain, and services for women and children. Due to the epidemic, schools are closed, and access to information about sex and contraception, as well as how dangerous it is for women and girls to engage in unintended pregnancy, is limited. Family planning, birth care, and postnatal care are all part of maternal health care services. This epidemic has caused significant disruptions in maternal health care services. Limitations on family planning services and COVID-19 prevention efforts may raise the burden of unexpected pregnancy, however, There has been little study on the extent of unintended pregnancy during the epidemic. Covid-19 has wreaked destruction on many aspects of human lifestyle worldwide, including sexual health and family planning. Because the pandemic influenced access to female health, family planning, reproductive services, abortions, and contraception, millions of women have endured unwanted births in covid 19.
- methods to reduce unintentional pregnancy
Unwanted pregnancy has many consequences for the mother, thus it is best to avoid it. It is suggested that the mother and family wait at least two years before having another child. This is helpful for the kid’s growth as well as the mother’s and family’s emotional stability and mental health. Furthermore, as previously stated, an underdeveloped and developing country requires quality and quantity of education, financial status, resources, mental health, and so on for the child and the mother, but because the family is large in number, it is very difficult for them to obtain these necessities.
There are two ways to reduce unwanted pregnancy
- contraceptives
- abortion
- Abortion:
Abortion is a medical term for ending a pregnancy Unexpected pregnancies are very terrifying and heartbreaking but when the woman is young or incapable or my issues it might be hard for her to raise the child so it is normal for her to think of ending the pregnancy.
- Medical abortion :
When abortion is done by taking prescribed medicines for inducing the pregnancy is known as medical abortion. this type of abortion is suggested to be done before 10 weeks of pregnancy Surgical abortion is required for women who are pregnant for more than 15 weeks. The doctors are a trained and professional practitioner who does surgical abortion.
- Suction aspiration
- Labor induced abortion
- Short term implements for unwanted pregnancy during covid 19
- Integration of telemedicine and helplines
Telemedicine may be utilized to provide distant services both during and after a pandemic, increasing accessibility and ensuring universal coverage. In places where women have less access to phones, telephone helplines are provided for them to access the medical team if they are prescribed contraceptive pills or abortion. self-help organizations can be used to give women phone service as needed. Doctors can be connected through mobile vans which provide a telemedicine channel. Mobile vans can also be dispatched to communities to do any necessary tests or scans.
- Family planning kit
condoms and contraceptive pills which are included in family planning kits should be delivered to all homes with adults over the age of 16. Community members should be counseled on how to use them through ASHAs or men’s gatherings with a certified community leader. Following the epidemic, the distribution of these kits must become continuous.
3. Covid 19-specific health workforce for reducing the stress on ASHA workers
There should be a separate and specific team allotted for covid-19 maternal patience to reduce the spread, reduce the strain on ANMs and ASHAs and for them to provide and continue their work related to safe abortion and contraception for the patient during covid-19. NGO and self-help group members can be utilized for the volunteering team during this covid-19 to reduce the strain on ASHA workers.
4. Subsidies for discreet and safe reproductive healthcare
The government may subsidize private sector abortions during the COVID-19 and early post-covid19 periods to guarantee that all women can afford them. Because many women will have lost out on first-trimester abortions due to the epidemic, demand for second-trimester contraceptives will rise. Women can get information on how to use these programs by calling a hotline. Subsidies can be implemented in two ways: as general subsidies to hospitals in underdeveloped areas and patients with BPL cards
