Caesarean sections before and during the COVID-19 pandemic in western Sydney, Australia

Trinh, Lieu Thi Thuy; Achat, Helen M.; Pesce, Andrew

doi:10.1080/01443615.2023.2265668

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…Furthermore, the rates of emergency surgeries and nighttime surgeries were approximately twice as high in the COVID (+) group. Supporting these findings, a retrospective cohort study conducted in Australia reported a 2.3% increase in the emergency cesarean section rate during the COVID-19 pandemic compared to the pre-pandemic period 19 . The CCI in our pre-matching baseline data was significantly higher in the COVID (+) group, indicating a greater burden of comorbidities.…”

Section: Discussionmentioning

confidence: 76%

Impact of perioperative COVID-19 infection on postoperative complication in cesarean section using Korean National Health insurance data

Kim,

Ahn,

Kim

et al. 2024

Sci Rep

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The vulnerability during pregnancy has raised concerns about the potential impact of COVID-19 on obstetric anesthesia, an essential aspect of maternal care during cesarean section procedures. To evaluate the influence of COVID-19 infection on obstetric anesthesia during cesarean section, we analyzed the data from Korean National Health Insurance System (NHIS). This retrospective study utilized data from Korean NHIS. We included patients admitted with operation codes specific to cesarean section between January 1, 2020, and December 31, 2021. We classified patients into a COVID (+) group with a diagnosis code (U071) 30 days around surgery and a COVID (−) group without the code in the same period. The primary outcome was 30-day mortality that was defined as death within 30 days of admission due to any causes. Secondary outcomes were pulmonary complications (pneumonia, acute respiratory distress syndrome [ARDS], pulmonary thromboembolism [PTE], or unexpected postoperative mechanical ventilation), ICU admission, cardiac arrest, myocardial infarction [MI], other thromboembolic events, surgical site infection, sepsis, acute renal failure [ARF], and hepatic failure. Among 75,268 patients who underwent cesarean section, 107 had a COVID-19 diagnosis code, while 75,161 did not. After 1:4 propensity score matching (PSM), 535 patients were included in each group. 30-day mortality showed no significant differences between the two groups both before and after PSM. The COVID (+) group demonstrated significantly elevated rates of pneumonia, ARDS, PTE, and surgical site infection both before and after PSM. Hospital length of stay and admission costs were also significantly longer and higher, respectively, in the COVID (+) group before and after PSM. In subgroup analysis, no differences were observed in mortality and postoperative complications based on the anesthesia method after matching. COVID-19 infection is associated with increased rates of postoperative complications, including pneumonia, ARDS, PTE, surgical site infection, longer hospital stays, and increased admission costs, in patients who underwent cesarean section.

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Section: Discussionmentioning

confidence: 76%

Impact of perioperative COVID-19 infection on postoperative complication in cesarean section using Korean National Health insurance data

Kim,

Ahn,

Kim

et al. 2024

Sci Rep

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A cross‐sectional study of low birth satisfaction during the COVID‐19 epidemics' fifth wave

Mortazavi,

Mehrabadi

2024

Nursing Open

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AimTo investigate predictors of low birth satisfaction in a sample of Iranian postpartum women during the COVID‐19 epidemics' fifth wave.DesignA cross‐sectional study.MethodsThis study was conducted on 676 postpartum women admitted to postpartum wards of Mobini maternity hospital using a convenience sampling method between 2 Aug and 18 September 2021 in Iran. We used the general linear model and multiple linear regression analyses to determine predictors of birth satisfaction.ResultsThe mean and standard deviation values of age and education were 28.7 ± 6.6 and 11.1 ± 4.1 (years), respectively. The mean scores of the three scales were as follows: FVC‐19S (14.7 ± 7.5), WHO‐5 (67.5 ± 13.0) and BSS‐R (28.6 ± 7.3). Sixty‐five point nine percent (65.9%) of the participants were multiparous. Overall predictors of low birth satisfaction were emergency caesarean, instrumental birth, episiotomy, Entonox analgesia, low level of well‐being score < 50, fear of COVID‐19, low satisfaction with pregnancy and low satisfaction with spouse's support. The overall proportion of the variance in birth satisfaction explained by all variables is 17.4%. Labor and birth variables explained 12.2% of the variance in birth satisfaction.Patient or Public ContributionNone.

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Pandemic-induced healthcare shifts: an observational analysis of maternal and neonatal outcomes in adolescent pregnancies

Grobeisen-Duque,

Villavicencio-Carrisoza,

Mora-Vargas

et al. 2024

Front. Med.

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IntroductionThe COVID-19 pandemic caused widespread changes in healthcare delivery, particularly affecting vulnerable populations such as pregnant adolescents. These patients faced additional challenges, including developmental and gestational changes, stress from isolation, and altered healthcare access, which may have impacted the incidence and prevalence of maternal and neonatal complications. This study aims to compare maternal and neonatal outcomes in adolescent pregnancies before and during the pandemic, focusing on how shifts in healthcare delivery influenced these outcomes.MethodologyA retrospective cohort study was conducted, including 340 adolescent pregnant patients who received prenatal care at a tertiary care institution. Patients were divided into two groups: pre-pandemic (n = 209) and pandemic (n = 131). Maternal data, including pre-BMI and gestational weight gain (GWG), were collected to evaluate maternal and neonatal outcomes. Statistical analysis was performed using chi-square tests, Fisher’s exact tests, and odds ratio (OR) calculations.ResultsThe pandemic group showed a statistically significant increase in cesarean deliveries (p = 0.002; OR = 1.99) and cervicovaginitis, particularly caused by Ureaplasma spp. Conversely, the pre-pandemic group had higher rates of psychoactive substance use, maternal urinary tract infections, and neonatal transient tachypnea. In the pandemic group, overweight pre-gestational BMI and cervicovaginitis were more prevalent in patients with adequate GWG, while inadequate GWG was associated with an increased risk of urinary tract infection (UTI). A significant association between pre-gestational overweight/obesity and excessive GWG was also observed (p < 0.05).ConclusionThe COVID-19 pandemic altered both healthcare delivery and maternal and neonatal outcomes in adolescent pregnancies. Changes in healthcare access, isolation, and shifts in medical management during the pandemic resulted in higher cesarean rates and infection rates among pregnant adolescents. These findings underscore the need for adaptable, resilient healthcare systems capable of maintaining comprehensive care even in the face of global crises. Further studies are needed to explore long-term effects on adolescent maternal and neonatal health.

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Caesarean sections before and during the COVID-19 pandemic in western Sydney, Australia

Cited by 3 publications

References 28 publications

Impact of perioperative COVID-19 infection on postoperative complication in cesarean section using Korean National Health insurance data

Impact of perioperative COVID-19 infection on postoperative complication in cesarean section using Korean National Health insurance data

A cross‐sectional study of low birth satisfaction during the COVID‐19 epidemics' fifth wave

Pandemic-induced healthcare shifts: an observational analysis of maternal and neonatal outcomes in adolescent pregnancies

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