COVID-19 大流行前后的孕产妇和新生儿结局。

Maternal and Neonatal Outcomes Before and During the COVID-19 Pandemic.

机构信息

Alpert Medical School of Brown University, Providence, RI.

University of Vermont Medical Center, Burlington, VT.

出版信息

R I Med J (2013). 2023 Apr 3;106(3):58-62.

PMID:36989101

Abstract

OBJECTIVE

The COVID-19 pandemic brought about many social, psychological, and economic changes. We sought to compare pregnancy and birth outcomes immediately preceding the COVID-19 lockdown to those 12 months later.

STUDY DESIGN

This was a retrospective cohort study of people giving birth at a large-volume tertiary medical center in Rhode Island. We compared those who gave birth in February 2020 to those in February 2021. Results: Fewer people delivered in 2021 than 2020 (562 vs. 655). There was a non-significant decrease in the number of primary cesarean deliveries from 2020 to 2021. Insurance status modified this effect as there was a significant decrease in the number of patients with private insurance undergoing primary cesarean (63.6 vs 36.4%, p=0.004). Neonatal complications significantly decreased (55.4% vs 47.4%, p=0.006).

CONCLUSION

There were differences in sociodemographic characteristics and outcomes of birthing people between 2020 and 2021. The socioeconomic and healthcare landscape caused by COVID-19 altered statewide birthing patterns.

摘要

目的

COVID-19 大流行带来了许多社会、心理和经济方面的变化。我们旨在比较 COVID-19 封锁前和封锁后 12 个月的妊娠和分娩结局。

研究设计

这是一项在罗德岛一家大容量三级医疗中心进行的回顾性队列研究。我们比较了 2020 年 2 月和 2021 年 2 月分娩的人群。结果：2021 年分娩的人数少于 2020 年（562 人 vs. 655 人）。2021 年与 2020 年相比，初次剖宫产的数量呈非显著下降。保险状况改变了这种影响，因为私人保险患者初次剖宫产的数量显著下降（63.6% vs 36.4%，p=0.004）。新生儿并发症显著减少（55.4% vs 47.4%，p=0.006）。