Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital, 128 08 Prague, Czech Republic.
Department of Gynecology and Obstetrics, University Hospital Brno, 602 00 Brno, Czech Republic.
Int J Environ Res Public Health. 2023 Feb 1;20(3):2614. doi: 10.3390/ijerph20032614.
During the first wave of the COVID-19 pandemic in the spring of 2020, the government of the Czech Republic issued a nationwide ban on visitors to maternity wards. We studied whether the absence of a close person during labor due to this ban impacted perinatal indicators. This study was performed using an administrative observational questionnaire focused on absolute frequencies of events sent to maternity facilities across the Czech Republic. Completed answers were received from 33 facilities covering 4805 births during the study period in 2019 and 4514 births in 2020. The differences in individual parameters were tested using Pearson's chi-squared homogeneity test. There were no significant differences between the two periods in spontaneous pre-term births ( = 0.522) or in the number of cesarean sections ( = 0.536). No significant changes were seen in either local or systemic analgesia. Data showed a significantly shorter ( = 0.026) first stage of labor in 2020 compared to 2019, while there was no significant difference ( = 0.673) in the second stage of labor. There was no statistically significant difference found for newborn perinatal adaptation. There were also no significant differences in intrapartum maternal injuries. Overall, we found no significant differences in basic perinatal indicators during the first wave of COVID-19 in 2020 compared to 2019. Although the absence of a close person may cause stress for the laboring women, it does not impair objective clinical outcomes.
在 2020 年春季 COVID-19 大流行的第一波期间，捷克共和国政府发布了一项全国性禁令，禁止访客进入产房。我们研究了由于该禁令导致分娩期间没有亲人陪伴是否会影响围产期指标。这项研究使用了一项行政观察性问卷进行，该问卷侧重于发送给捷克共和国各地妇产医院的事件的绝对频率。在 2019 年研究期间，33 家医院完成了调查，共收到 4805 例分娩和 2020 年的 4514 例分娩的完整答复。使用 Pearson's chi-squared 同质性检验测试了各个参数之间的差异。两个时期之间自发性早产（ = 0.522）或剖宫产数量（ = 0.536）均无显著差异。局部或全身镇痛也没有明显变化。数据显示，2020 年第一产程明显缩短（ = 0.026），而第二产程无明显差异（ = 0.673）。新生儿围产期适应情况无统计学差异。产时产妇损伤也无显著差异。总体而言，与 2019 年相比，2020 年 COVID-19 大流行的第一波期间基本围产期指标没有显著差异。尽管亲人不在场可能会给产妇带来压力，但这并不会损害客观的临床结果。
