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.
Abstract:
The COVID-19 pandemic placed pregnant women at high risk, but behavioural changes have also led to lower rates of preterm births in high-income countries. The main goal of this article is to study the ongoing impact of the COVID-19 pandemic on pregnancy control and outcomes; this is a joint analysis of two cohorts. The pre-pandemic cohort includes 969 pregnant women recruited in 2018. The pandemic cohort comprises 1168 pregnant women recruited in 2020. Information on demographic and socioeconomic characteristics, reproductive history, characteristics of the current pregnancy and its outcome were obtained from medical records. Birth by Caesarean section was more frequent in the pre-pandemic cohort (adjusted odds ratio (OR) = 0.71, 95% confidence interval (CI): 0.55-0.92). A birth weight lower than 2500 g and higher than 4000 g occurred more frequently in the pre-pandemic cohort (adjusted OR = 0.62, 95% CI: 0.41-0.93 for lower than 2500 g and adjusted OR = 0.30, 95% CI: 0.20-0.46 for higher than 4000 g). Exclusive breastfeeding upon hospital discharge was more frequent in the pandemic cohort than in the pre-pandemic cohort (60% vs. 54%, p = 0.005), with adjusted OR = 0.67, 95% CI: 0.52-0.86 for mixed breastfeeding and infant formula. In conclusion, we report reductions in Caesarean sections and reduced numbers of low birth weight babies during the pandemic in a hospital located in northern Spain. Further analysis will clarify if these reductions are related to changes in health-related behaviour or healthcare operation.
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