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[COVID-19 and lockdown: Impact on pregnancy complications]

I Graff1, C De Broucker2, J Vargas1

  • 1Service de gynécologie-obstétrique, CHU d'Amiens-Picardie, 1, boulevard du Professeur Christian-Cabrol, 80054 Amiens, France.

Gynecologie, Obstetrique, Fertilite & Senologie
|December 16, 2021
PubMed

Insights

The COVID-19 lockdown in France saw a significant decrease in preterm deliveries and premature rupture of membranes. This study highlights the impact of public health measures on maternal and infant health outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic necessitated unprecedented public health interventions, including national lockdowns.
  • Understanding the impact of these lockdowns on sensitive obstetric outcomes is crucial for maternal and child health.
  • France implemented a national lockdown from March 17th to May 11th, 2020.

Purpose of the Study:

  • To evaluate the impact of the COVID-19 national lockdown on hospitalization rates for threatened preterm delivery.
  • To assess the effect of the lockdown on the overall rate of preterm delivery.

Main Methods:

  • A multicenter retrospective epidemiological study was conducted.
  • Data from March 15th to May 31st, 2020 (lockdown period) were compared to the same periods in 2018 and 2019.
  • Hospitals in the Picardy region of France participated, including University Hospital center Amiens Picardie, Hospital Center of Beauvais, Compiègne, and Saint-Quentin.

Main Results:

  • A total of 608 patients were included in the study.
  • Hospitalizations for threatened preterm delivery decreased from 207 in 2019 to 176 in 2020.
  • A significant reduction was observed in the rate of Premature Ruptures of Membranes (9.7% in 2020 vs. 16.9% in 2018/2019, P=0.02).
  • The preterm delivery rate also significantly decreased during the lockdown period (6.8% in 2020 vs. 9.3% in 2018/2019, P<0.05).

Conclusions:

  • The first national lockdown in France was associated with a reduction in the rate of preterm birth.
  • Further research should explore the psychological impact of lockdown measures on pregnant individuals.
  • These findings underscore the complex relationship between societal changes and obstetric outcomes.
Abstract

Keywords:
Accouchement prématuréCOVID-19ConfinementLockdownMenace d’accouchement prématuréObstetrical pathologiesPathologies obstétricalesPremature deliveryPremature delivery threats

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