Impact of the COVID-19 Pandemic on Delivery of Gynecology and Obstetrics Services at a Maximum Care University Hospital in Germany

Griewing, Sebastian; Wagner, Uwe; Lingenfelder, Michael; Heinis, Sylvia; Schieffer, Bernhard; Markus, Birgit

doi:10.1055/a-1687-9674

Cited by 7 publications

(7 citation statements)

References 17 publications

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“…The data confirm that obstetric care remains largely unaffected by the effects of COVID-19 in terms of patient number progression and extends this finding to 2021, the second year of the pandemic [ 11 , 29 ]. The pre-pandemically prevailing development of increasing patient numbers (+12%; 2018 to 2019) continues for the years 2020 (+10%, 2019 to 2020) and 2021 (+10%, 2020 to 2021).…”

Section: Discussionsupporting

confidence: 62%

“…Taking gynecology into consideration, the swift disease spread in the early beginnings of the pandemic in 2020 led to an almost shock-induced paralysis of medical caretaking, leaving an inexplicable patient number decline in both the out- and in-patient sectors [ 9 , 10 , 11 ]. On the contrary, the literature suggests that obstetrics and gynecology care can be maintained during a pandemic situation without jeopardizing care quality [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Impact of the COVID-19 Pandemic on Gyne-Oncological Treatment—A Retrospective Single-Center Analysis of a German University Hospital with 30,525 Patients

et al. 2022

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The study pursues the objective of drawing a comparison between the data of gyne-oncology, gynecology, and obstetrics patient collectives of a German university hospital regarding the progression of patient number and corresponding treatment data during the five-year period of 2017–2021 to assess the impact of the COVID-19 pandemic on gyne-oncological treatment. Descriptive assessment is based on data extracted from the database of the hospital controlling system QlikView® for patients hospitalized at the Department of Gynecology and Obstetrics of Marburg University Hospital. Gynecology and gyne-oncology experience a maintained decline in patient number (nGynecology: −6% 2019 to 2020, −5% 2019 to 2021; nGyne-Oncology: −6% 2019 to 2020, −2% 2019 to 2021) with varying effects on the specific gyne-oncological main diagnoses. Treatment parameters remain unchanged in relative assessment, but as gyne-oncology constitutes the dominating revenue contributor in gynecology (35.1% of patients, 52.9% of revenue, 2021), the extent of the decrease in total revenue (−18%, 2019 to 2020, −14%, 2019 to 2021) surpasses the decline in patient number. The study displays a negative impact on the gynecology care situation of a German university hospital for the entire pandemic, with an even greater extent on gyne-oncology. This development not only endangers the quality of medical service provision but collaterally pressurizes gynecology service providers.

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Section: Discussionsupporting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Gyne-Oncological Treatment—A Retrospective Single-Center Analysis of a German University Hospital with 30,525 Patients

et al. 2022

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“…Die Auswirkungen der Pandemie der durch das Virus SARS-CoV-2verursachten Infektionskrankheit 2019 (COVID-19) auf die peripartalen und perinatalen Ergebnisdaten waren bereits Gegenstand zahlreicher Publikationen und Metaanalysen. Griewing et al (2022) haben vor Kurzem beispielhaft über die Auswirkungen der COVID-19-Pandemie auf die Erbringung von gynäkologischen und geburtshilflichen Leistungen an einem deutschen Universitätsklinikum der Maximalversorgung berichtet [1].…”

Section: Introductionunclassified

Fewer Preterm Births in the First COVID-19 Pandemic Year? An Evaluation of the Berlin Perinatal Data for the Years 2017 to 2020

David

Reutter²

2023

Geburtshilfe Frauenheilkd

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Introduction The study analyzes and interprets possible effects of the COVID-19 pandemic on the preterm birth rate. Research questions included: were there fewer preterm births in Berlin in 2020, the first year of the pandemic, compared to the three years before the pandemic? Were there differences in preterm birth rates grouped according to weeks of gestation? Method The perinatal data of all singleton pregnancies were evaluated with regard to birth rates in Berlin, and the numbers of preterm neonates born in the three pre-pandemic years from 2017 to 2019 were compared to the rate for 2020, the first year of the pandemic. Results The overall number of singleton pregnancies born in maternity hospitals and labor wards in Berlin decreased in the first year of the pandemic. The percentage of preterm neonates born before 37 + 0 weeks of gestation (GW) was significantly lower in 2020 compared to the three previous years, with significantly more preterm neonates born before 28 + 0 GW and significantly fewer preterm neonates born between 28 + 0 to 35 + 0 GW. In 2020, significantly fewer neonates born before 37 + 0 weeks of gestation were delivered by primary caesarean section. The incidence of induced births was approximately the same. Conclusions In the first year of the pandemic, a range of social, iatrogenic, and biological factors may have had an impact on preterm birth rates. A Germany-wide evaluation of perinatal data across different German federal states for the period 2020 to 2022 would offer the opportunity to identify the causes of this lower rate of preterm births and determine whether conclusions can be drawn from this which would affect future strategies to reduce preterm birth rates.

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“…Contact restrictions, in particular, led to serious changes in many areas of life. These, for example, included restrictions in the professional world, in the education sector, religious practice, leisure activities, but also in the health system 1 2 . Such changes can have long-term effects on people’s mental health 3 .…”

Section: Introductionmentioning

confidence: 99%

“…Insbesondere führten Kontaktbeschränkungen in vielen Lebensbereichen zu gravierenden Veränderungen. Dazu gehören beispielsweise Einschränkungen in der Berufswelt, im Bildungssektor, der Religionsausübung, in der Freizeitgestaltung, aber auch im Gesundheitssystem 1 2 . Solche Veränderungen können langfristig Auswirkungen auf die psychische Gesundheit der Menschen haben 3 .…”

Section: Introductionunclassified

COVID-19 and Perinatal Stress Experience – a Study Conducted as Part of the COVGEN Initiative

Kentschke

Bauer

Moser

et al. 2022

Geburtshilfe Frauenheilkd

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Introduction During the COVID-19 pandemic, stress and anxiety in the population increased due to concerns about people’s own health and that of their relatives, as well as changes in everyday life due to measures taken to reduce the infection rate. Pregnant women are particularly stressed. The present study examines how the COVID-19 pandemic affects the stress experience and mental health of pregnant women and mothers of newborns and how care could be optimized. Methods As part of the international COVGEN initiative (https://www.covgen.org) to investigate the effects of the COVID-19 pandemic on the peripartum period, pregnant and postpartum women were asked about their experience with stress using the COPE-IS (Coronavirus Perinatal Experiences – Impact Survey) questionnaire developed for this purpose and translated from the English. In addition, demographic data, pre-existing diseases, pregnancy complications and the care situation were recorded. The questionnaire was either administered as hardcopy to inpatients at the Department of Women’s Health, University Hospital Tübingen, Germany, or online. All pregnant women and mothers who were pregnant or had given birth after the official start of the COVID-19 pandemic (11 March 2020) were eligible to participate. Results Complete data sets of n = 156 pregnant women and n = 221 postpartum women were available for evaluation. The general stress level assessed with the COPE-IS was significantly increased by the COVID-19 pandemic in both, pregnant and postpartum women, with pre-existing conditions such as respiratory diseases and pregnancy-related diseases like gestational diabetes adding to the stress. The subjectively perceived quality of care/support during pregnancy also influenced the stress level. Conclusions Fears of a COVID-19 infection and changes in preventive and aftercare services were a burden for the women surveyed. Intensified care during pregnancy and puerperium could help to stabilize the mental situation and reduce stress.

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Impact of the COVID-19 Pandemic on Delivery of Gynecology and Obstetrics Services at a Maximum Care University Hospital in Germany

Cited by 7 publications

References 17 publications

Impact of the COVID-19 Pandemic on Gyne-Oncological Treatment—A Retrospective Single-Center Analysis of a German University Hospital with 30,525 Patients

Impact of the COVID-19 Pandemic on Gyne-Oncological Treatment—A Retrospective Single-Center Analysis of a German University Hospital with 30,525 Patients

Fewer Preterm Births in the First COVID-19 Pandemic Year? An Evaluation of the Berlin Perinatal Data for the Years 2017 to 2020

COVID-19 and Perinatal Stress Experience – a Study Conducted as Part of the COVGEN Initiative

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