The effect of COVID‐19 on general anaesthesia rates for caesarean section

McCallum, A. R.; Broom, M.; Litchfield, K.; Shaw, Mariame; Kearns, Rachel

doi:10.1016/j.ijoa.2021.103188

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…Paradoxically however, a recent registry-based study in the USA highlighted a lower rate of neuraxial labour analgesia in parturients with symptomatic COVID-19, and a higher rate of GA for emergency caesarean birth [13]. To date, there have been no largescale multicentre studies of labour analgesia and anaesthetic interventions in parturients who tested positive for SARS-CoV-2 before childbirth in the UK, though some single centres have reported anaesthetic outcomes in a small number of parturients affected by COVID-19 [14,15]. An overall comparison of caesarean birth rates in SARS-CoV-2 positive/negative parturients across the maternity units was also performed.…”

Section: Introductionmentioning

confidence: 99%

Obstetric analgesia and anaesthesia in SARS‐CoV‐2‐positive parturients across 10 maternity units in the north‐west of England: a retrospective cohort study

Bhatia

Columb²,

Eslam³

et al. 2022

Anaesthesia

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Since the start of the COVID-19 pandemic, few studies have reported anaesthetic outcomes in parturients with SARS-CoV-2 infection. We reviewed the labour analgesic and anaesthetic interventions utilised in symptomatic and asymptomatic parturients who had a confirmed positive test for SARS-CoV-2 across 10 hospitals in the north-west of England between 1 April 2020 and 31 May 2021. Primary outcomes analysed included the analgesic/anaesthetic technique utilised for labour and caesarean birth. Secondary outcomes included a comparison of maternal characteristics, caesarean birth rate, maternal critical care admission rate along with adverse composite neonatal outcomes. A positive SARS-CoV-2 test was recorded in 836 parturients with 263 (31.4%) reported to have symptoms of COVID-19. Neuraxial labour analgesia was utilised in 104 (20.4%) of the 509 parturients who went on to have a vaginal birth. No differences in epidural analgesia rates were observed between symptomatic and asymptomatic parturients (OR 1.03, 95%CI 0.64-1.67; p = 0.90). The neuraxial anaesthesia rate in 310 parturients who underwent caesarean delivery was 94.2% (95%CI 90.6-96.0%). The rates of general anaesthesia were similar in symptomatic and asymptomatic parturients (6% vs. 5.7%; p = 0.52). Symptomatic parturients were more likely to be multiparous (OR 1.64,; p = 0.002); of Asian ethnicity (OR 1.54, 1.04-2.28; p = 0.03); to deliver prematurely (OR 2.16,; p = 0.001); have a higher caesarean birth rate (44.5% vs. 33.7%; OR 1.57, 95%CI 1.16-2.12; p = 0.008); and a higher critical care utilisation rate both pre-(8% vs. 0%, p = 0.001) and post-delivery (11% vs. 3.5%; OR 3.43, 95%CI 1.83-6.52; p = 0.001). Eight neonates tested positive for SARS-CoV-2 while no differences in adverse composite neonatal outcomes were observed between those born to symptomatic and asymptomatic mothers (25.8% vs. 23.8%; OR 1.11, 95%CI 0.78-1.57; p = 0.55). In women with COVID-19, non-neuraxial analgesic regimens were commonly utilised for labour while neuraxial anaesthesia was employed for the majority of caesarean births. Symptomatic women with COVID-19 are at increased risk of significant maternal morbidity including preterm birth, caesarean birth and peripartum critical care admission.

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Section: Introductionmentioning

confidence: 99%

Obstetric analgesia and anaesthesia in SARS‐CoV‐2‐positive parturients across 10 maternity units in the north‐west of England: a retrospective cohort study

Bhatia

Columb²,

Eslam³

et al. 2022

Anaesthesia

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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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Year 2021 in review - Anaesthesiology in obstetrics

Štourač¹,

Bláha²,

Kosinová³

et al. 2022

Anest. intenziv. Med.

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Článek přináší autorským kolektivem vybraný přehled prací a témat, která byla v oblasti anesteziologie v porodnictví publikována v posledním roce v České republice i v zahraničí. Shrnuje dopady pandemie covidu-19 na porodnickou anestezii. Dále se věnuje novinkám v systémové a neuroaxiální porodnické analgezii, anestezii u císařského řezu a náhlým stavům v peripartálním období.Klíčová slova: porodnická anestezie, porodnická analgezie, anestezie u císařského řezu, náhlé stavy v těhotenství. Year 2021 in review -Anaesthesiology in obstetricsThe article highlights and discusses several current topics that have been published in the field of anaesthesiology in obstetrics in the Czech Republic and abroad last year. It summarizes the influence of COVID-19 pandemia on anaesthesiological praxis in obstetrics. It also presents new developments in systemic and neuroaxial obstetric analgesia, Caesarean Section anaesthesia and emergencies in peripartum period.

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The effect of COVID‐19 on general anaesthesia rates for caesarean section

Abstract: The effect of COVID-19 on general anaesthesia rates for caesarean section GA: general anaesthesia. RA: regional anaesthesia. § denotes tests performed using Pearson's exact statistic, and † denotes tests performed using Wilcoxon rank sum statistic.

Cited by 3 publications

References 5 publications

Obstetric analgesia and anaesthesia in SARS‐CoV‐2‐positive parturients across 10 maternity units in the north‐west of England: a retrospective cohort study

Obstetric analgesia and anaesthesia in SARS‐CoV‐2‐positive parturients across 10 maternity units in the north‐west of England: a retrospective cohort study

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

Year 2021 in review - Anaesthesiology in obstetrics

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