Vládní boj proti pandemii: přehled opatření vydaných v souvislosti s pandemií onemocnění covid-19 v Česku v letech 2020 a 2021

Slabá, Jitka

doi:10.54694/dem.0303

Cited by 9 publications

(13 citation statements)

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“…The impact of the maternal age on the LOS is U-shaped. A higher risk of a longer hospitalisation period for young mothers was identified for both types of birth (OR = 1.58, 95% CI 1.33-1.87, p<0.001 for age less than 20, OR = 1.31, 95% CI 1.20-1.44, p<0.001 for age 20-24 compared to [30][31][32][33][34]. The risk of a longer stay in hospital increases with the increasing age of the mother (OR = 1.23, 95% CI 1.13-1.35, p<0.001 for age 35-39, OR = 2.05, 95% CI 1.73-2.44, p<0.001 for age 40+ compared to [30][31][32][33][34], especially with concern to vaginal births.…”

Section: Resultsmentioning

confidence: 97%

“…In 2016, the average age of primiparous women in Czechia stood at 28.2 years, i.e. 0.8 years lower than the EU average and almost 3 years lower than in Italy with the highest age in the EU [31].…”

Section: Plos Onementioning

confidence: 96%

“…Czechia provides an example of a developed country where, although the fertility postponement process commenced in the 1990s, i.e. 20 years later than in Western and Northern Europe, its development has been particularly dynamic [28][29][30][31]. Whereas up to the early 1990s, Czechia had one of the lowest average ages of women at first childbirth (no later than 22.5 years) of any developed country, during the 1990s it witnessed one of the most rapid increases in the average age of primiparous women.…”

Section: Plos Onementioning

confidence: 99%

“…The shift to the late fertility model is also evident from the proportion of children born to older mothers. Czechia is witnessing so-called reproductive ageing, with more and more women giving birth to their first child after the age of 30 or even 35 years [31,32]. Whereas in 1990, women over the age of 35 accounted for only 4% of all live births, by 2019 this indicator had risen to 22% of all live births [33].…”

Section: Plos Onementioning

confidence: 99%

“…The objective hospital length-of-stay following childbirth has decreased over the last few decades [21] despite the significant ageing of mothers, characterised by an increasing proportion of first-time mothers aged 35 and over [31]. This should be matter of concern since early…”

Section: Plos Onementioning

confidence: 99%

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Does advanced maternal age explain the longer hospitalisation of mothers after childbirth?

et al. 2023

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Background Fertility postponement, which has comprised the most significant reproductive trend in developed countries over the last few decades, involves a number of social, personal and health consequences. The length of stay (LOS) in hospital following childbirth varies considerably between countries. Czechia, where the fertility postponement process has been particularly dynamic, has one of the longest mean LOS of the OECD member countries. Objective We analyse the influence of the age of mothers on the LOS in hospital associated with childbirth. Data and methods We employed anonymised individual data provided by the General Health Insurance Company of the Czech Republic on women who gave birth in 2014. Kaplan-Meier survival plots and binary logistic regression were employed to identify factors associated with long stays (> = 7 days for vaginal births, > = 9 days for CS births). Results The impact of the maternal age on the LOS is U-shaped. A higher risk of a longer hospitalisation period for young mothers was identified for both types of birth (OR = 1.58, 95% CI 1.33–1.87, p˂0.001 for age less than 20, OR = 1.31, 95% CI 1.20–1.44, p˂0.001 for age 20–24 compared to 30–34). The risk of a longer stay in hospital increases with the increasing age of the mother (OR = 1.23, 95% CI 1.13–1.35, p˂0.001 for age 35–39, OR = 2.05, 95% CI 1.73–2.44, p˂0.001 for age 40+ compared to 30–34), especially with concern to vaginal births. Conclusion The probability of a long LOS increases significantly after the age of 35, especially in the case of vaginal births. Thus, the fertility postponement process with the significant change in the age structure of mothers contributes to the increase in health care costs associated with post-birth hospitalisation.

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Section: Resultsmentioning

confidence: 97%

Section: Plos Onementioning

confidence: 96%

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

See 3 more Smart Citations

Does advanced maternal age explain the longer hospitalisation of mothers after childbirth?

et al. 2023

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Depression in healthcare workers during COVID-19 pandemic: results from Czech arm of HEROES Study

Čermáková

Fryčová

Novák

et al. 2023

Sci Rep

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The pandemic due to COVID-19 brought new risks for depression of health care workers, which may have differently influenced men and women. We aimed to investigate (1) whether health care workers in Czechia experienced an increase in depression during the COVID-19 pandemic, (2) which factors contributed the most to this change, and (3) whether the magnitude of the associations differed by gender. We studied 2564 participants of the Czech arm of the international COVID-19 HEalth caRe wOrkErS (HEROES) Study. Online questionnaire was administered to health care workers in summer 2020 (wave 0) and spring 2021 (wave 1). Depression was defined by reaching 10 or more points on the Patient Health Questionnaire. Logistic regression investigated the association of participant´s characteristics with depression and multivariable decomposition for non-linear models assessed, to what extent the characteristic explained the change in depression occurrence. The prevalence of depression increased twice during the pandemic (11% in wave 0 and 22% in wave 1). Stress accounted for 50% of the difference, experience of death due to COVID-19 for 15% and contact with COVID-19 patients for 14%. Greater resilience and sufficient personal protective equipment were strongly associated with lower occurrence of depression. The protective association of resilience with depression was stronger in men than in women. We conclude that interventions to promote mental health of health care workers in future health crisis should aim at decreasing stress and enhancing resilience. They should be delivered especially to individuals who have contact with the affected patients and may face their death.

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Vaccination and fertility: modelling the potential impact of Covid-19 vaccination on total fertility rate in Czechia

Slabá,

Kocourková,

Šťastná

et al. 2024

Genus

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As with Northern European countries, Czechia experienced unexpected fertility developments during the Covid-19 pandemic. Fertility in Czechia increased between 2020 and 2021 from 1.76 children per woman to 1.83. However, between 2021 and 2022, fertility fell significantly to just 1.62 children per woman. The main change that occurred between 2020 and 2021, which is thought to have affected fertility one year later, comprised vaccination against Covid-19. This vaccination of the adult population was very specific in terms of both its scope and the timing of vaccination for each age group as organised by the state. The mass scale of the vaccination campaign and its implementation within a very short period of time were unprecedented. However, along with the significant degree of uncertainty concerning the appropriateness of vaccination for pregnant women, vaccination was seen as a factor that potentially acted to significantly change women’s reproductive plans in the short term and, as a consequence, potentially exerted a significant short-term impact on both birth rates and fertility indicators. This study models the maximum potential impact of vaccination on fertility levels under the assumption that all the vaccinated women chose to avoid conception in the month in which they were vaccinated. Applying the indirect standardisation principle, we calculated the expected monthly live births after excluding women who were vaccinated nine months earlier. The comparison of hypothetical and observed fertility revealed that the perceived potential impact of vaccination was largely consistent with the observed fertility decline in Czechia between 2021 and 2022.

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Vládní boj proti pandemii: přehled opatření vydaných v souvislosti s pandemií onemocnění covid-19 v Česku v letech 2020 a 2021

Cited by 9 publications

References 0 publications

Does advanced maternal age explain the longer hospitalisation of mothers after childbirth?

Does advanced maternal age explain the longer hospitalisation of mothers after childbirth?

Depression in healthcare workers during COVID-19 pandemic: results from Czech arm of HEROES Study

Vaccination and fertility: modelling the potential impact of Covid-19 vaccination on total fertility rate in Czechia

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