Results of Pregnancy Control before and during the COVID-19 Pandemic: A Comparison of Two Cohorts

Javier Llorca1,2, Carolina Lechosa-Muñiz1,3, Pelayo Frank de Zulueta3

  • 1Faculty of Medicine, Universidad de Cantabria, 39011 Santander, Spain.

Insights

The COVID-19 pandemic saw fewer Cesarean sections and lower rates of low birth weight babies. Exclusive breastfeeding also increased during this period, suggesting potential shifts in maternal and infant care practices.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic posed significant risks to pregnant women.
  • Behavioral changes during the pandemic correlated with reduced preterm birth rates in high-income nations.

Purpose of the Study:

  • To analyze the impact of the COVID-19 pandemic on pregnancy management and outcomes.
  • To compare pregnancy outcomes between pre-pandemic and pandemic cohorts.

Main Methods:

  • A joint analysis of two cohorts: a pre-pandemic cohort (969 women, 2018) and a pandemic cohort (1168 women, 2020).
  • Data extracted from medical records included demographics, reproductive history, pregnancy characteristics, and outcomes.
  • Statistical analysis using adjusted odds ratios (OR) and 95% confidence intervals (CI) to compare outcomes between cohorts.

Main Results:

  • Cesarean section rates were higher in the pre-pandemic cohort (OR = 0.71).
  • Both very low birth weight (<2500g) and high birth weight (>4000g) were more frequent in the pre-pandemic cohort (OR = 0.62 and OR = 0.30, respectively).
  • Exclusive breastfeeding at discharge was more common in the pandemic cohort (60% vs. 54%), with reduced rates of mixed feeding/formula (OR = 0.67).

Conclusions:

  • The study observed a reduction in Cesarean sections and low birth weight infants during the pandemic in northern Spain.
  • Further research is needed to determine if these changes are due to altered health behaviors or healthcare operations.

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