12 Observations from an inner city hospital during COVID-19: preterm birth rate and mode of delivery

Feldman, Kristina M.; Jagannatham, Shobha; Hussain, Farrah; Strauss, Tirtza Spiegel; Al-Ibraheemi, Zainab; Ashmead, Graham; Brustman, Lois

doi:10.1016/j.ajog.2020.12.024

Cited by 4 publications

(2 citation statements)

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“…Data from a large academic hospital in Boston revealed a decrease in cesarean births and an increase in induction rate without an increase in elective inductions (Sinnott, Freret, Clapp, Reiff, & Little, 2021). In contrast, a study of obstetric outcomes at a hospital in New York City found no changes in rates of cesarean or vaginal births, but did identify a decrease in operative vaginal births during the pandemic, which they attributed to the hands-off approach of practitioners to reduce virus transmission (Feldman et al, 2021). Our study suggests that the COVID-19 pandemic had no impact on obstetric interventions, which is most consistent with findings described by Greene et al (2020) in a study of patients in in Los Angeles.…”

Section: Discussionmentioning

confidence: 96%

“…Of the few U.S. studies assessing obstetric outcomes, the uninsured and communities of color are underrepresented, yet bear a disproportionate burden of maternal morbidity and mortality and face social and structural barriers to accessing quality and timely health care (Leonard, Main, Scott, Profit, & Carmichael, 2019). In addition, nearly all of the existing studies assess the impact of COVID-19-related policies on maternal outcomes using a pre/post design that cannot account for preexisting trends in outcomes that are unrelated to the pandemic (Justman et al, 2020;Feldman et al, 2021;Haber, Clarke-Deelder, Salomon, Feller, & Stuart, 2021).…”

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confidence: 99%

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Impact of the COVID-19 Pandemic on Obstetric Interventions at a Public Hospital

Johnson

Jamieson

Geary

et al. 2023

Women's Health Issues

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Section: Discussionmentioning

confidence: 96%

mentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Obstetric Interventions at a Public Hospital

Johnson

Jamieson

Geary

et al. 2023

Women's Health Issues

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Is the surge in cesarean section rates during the COVID-19 pandemic truly substantiated?

Piroozi,

Moradi,

Khoramipoor

et al. 2024

BMC Pregnancy Childbirth

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Background Cesarean section (C-section) rates, deemed a critical health indicator, have experienced a historical increase. The advent of the COVID-19 pandemic significantly impacted healthcare patterns including delays or lack of follow-up in treatment and an increased number of patients with acute problems in hospitals. This study aimed to explore whether the observed surge is a genuine consequence of pandemic-related factors. Methods This study employs an Interrupted Time Series (ITS) design to analyze monthly C-section rates from March 2018 to January 2023 in Kurdistan province, Iran. Segmented regression modeling is utilized for robust data analysis. Results The C-section rate did not show a significant change immediately after the onset of COVID-19. However, the monthly trend increased significantly during the post-pandemic period (p < 0.05). Among primigravid women, a significant monthly increase was observed before February 2020 (p < 0.05). No significant change was observed in the level or trend of C-section rates among primigravid women after the onset of COVID-19. Conclusion This study underscores the significant and enduring impact of the COVID-19 pandemic in further increasing the C-section rates over the long term, the observed variations in C-section rates among primigravid women indicate that the COVID-19 pandemic had no statistically significant impact.

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COVID-19 lockdowns' impact on birth and pregnancy, and associated inequalities, within high-income countries: a systematic review and meta-analysis.

Hindes,

Sarwar,

Gravesteijn

et al. 2023

Preprint

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We aimed to review the evidence on the impact of lockdowns on adverse birth and pregnancy outcomes (ABPOs) and related inequalities in high-income countries (HICs). Databases were searched from Jan 1, 2019-June 22, 2023, for original observational studies based in HICs which compared the rates of ABPOs, before and during lockdowns. We ran random effects meta-analyses and subgroup analyses per region, lockdown period, ethnicity group, and deprivation level, we also adjusted for underlying temporal trends. 132 studies were meta-analysed. Preterm birth (PTB) decreased in the first lockdown (RR = 0·96[95%CI:0·93 − 0·99]), when only considering studies that adjusted for long-term trends, this reduction in PTB remained (0·97[0·95 − 0·99]). The reduction was larger in Europe (0·94[0·92 − 0·96]) and Australia (0·94[0·90 − 0·99]), and only observed in white ethnicity groups (0·94[0·89 − 0·98]), and in those living in low deprivation (0·95[0·91 − 0·98]). More women screened positive for possible depression antenatally during lockdown (1·37[1·06 − 1·78]). Lockdowns affected advantaged and disadvantaged subgroups in an unequal manner.

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12 Observations from an inner city hospital during COVID-19: preterm birth rate and mode of delivery

Cited by 4 publications

References 0 publications

Impact of the COVID-19 Pandemic on Obstetric Interventions at a Public Hospital

Impact of the COVID-19 Pandemic on Obstetric Interventions at a Public Hospital

Is the surge in cesarean section rates during the COVID-19 pandemic truly substantiated?

COVID-19 lockdowns' impact on birth and pregnancy, and associated inequalities, within high-income countries: a systematic review and meta-analysis.

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