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Stillbirth occurrence during COVID-19 pandemic: a population-based prospective study
Cristina Salerno1, Valeria Donno1, Beatrice Melis1
1Obstetrics and Gynecology Unit, Mother-Infant and Adult Department of Medical and Surgical Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Journal of Perinatal Medicine
|June 7, 2022
Summary
During the COVID-19 pandemic, stillbirth (SB) rates remained stable, with no significant changes observed. This suggests the virus
Area of Science:
- Obstetrics and Gynecology
- Epidemiology
- Public Health
Background:
- Contradictory data exists on stillbirth (SB) rates globally during the COVID-19 pandemic.
- Variations in SB rates may stem from differing methodologies or population characteristics.
- Assessing pandemic-related changes in SB rates, risk factors, causes of death, and antenatal care quality is crucial.
Purpose of the Study:
- To evaluate changes in stillbirth (SB) rates during the COVID-19 pandemic compared to pre-pandemic periods.
- To identify shifts in SB risk factors, causes of death, and the quality of antenatal care.
- To determine if COVID-19 directly or indirectly impacted stillbirth rates.
Main Methods:
- Prospective study utilizing the Emilia-Romagna Surveillance system database.
- Descriptive analysis of SB rates, risk factors, causes of death, and care quality.
- Comparison of data from March 2020-June 2021 (pandemic) with the preceding 16 months (control).
Main Results:
- The SB rate during the pandemic was 3.45/1,000 births, consistent with control periods.
- Increased neonatal birth weight ( >90th centile) was the only significant risk factor change (2.2% vs. 8.0%, p=0.024).
- No significant differences were observed in causes of death, suboptimal antenatal care rates, or the frequency of obstetric/ultrasound evaluations.
Conclusions:
- Adequate antenatal care levels were maintained during the pandemic, with no significant increase in stillbirth (SB) rates.
- Observed associations between SB rates and COVID-19 are likely due to indirect impacts, not direct viral effects.
- Findings suggest that robust antenatal care can mitigate potential pandemic-related increases in stillbirths.
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