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Hospitalizations for Obstetrical Conditions During and After the Covid-19 Pandemic
Maria-Loredana Țieranu1,2, Cătălina Iovoaica-Rămescu1,2, Agnesa Preda2
1Doctoral School, University of Medicine and Pharmacy of Craiova, 20039 Craiova, Romania.
Insights
Obstetrical hospitalizations significantly decreased during the COVID-19 pandemic, with numbers remaining below pre-pandemic levels even after the pandemic. This trend impacted maternity care utilization and birth rates.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic led to a notable decline in hospitalizations for non-COVID-19 related conditions.
- Understanding the impact on obstetrical care is crucial for maternal health services.
Purpose of the Study:
- To analyze trends in obstetrical hospitalizations during and after the COVID-19 pandemic.
- To assess the recovery of obstetrical care utilization to pre-pandemic levels.
Main Methods:
- Retrospective analysis of obstetrical patient data.
- Utilized electronic databases from a tertiary maternity hospital.
- Compared hospitalization data from pre-pandemic (2019), pandemic (2020-2021), and post-pandemic (2022) periods.
Main Results:
- Total obstetrical hospitalizations dropped by 28% in 2020, 30% in 2021, and 26% in 2022 compared to 2019.
- Day admissions saw a significant decrease: 93% in 2020, 78% in 2021, and 70% in 2022.
- A 24% increase in vaginal birth rates was observed during the pandemic (2020-2021).
Conclusions:
- Obstetrical hospitalizations experienced a dramatic decline during the COVID-19 pandemic.
- Maternity care utilization has not returned to pre-pandemic levels.
- The rise in vaginal birth rates may be linked to reduced availability of surrounding birth units.
Background:
During the Covid-19 pandemic there have been a drastic decrease in hospitalizations for non-Covid conditions. The aim of this study was to evaluate the trend in hospitalizations for obstetrical conditions during and after the Covid-19 pandemic.
Methods:
For this study there we used electronical data base in order to search for all the obstetrical patients that were hospitalized in a tertiary maternity, Clinical Emergency County Hospital Craiova, during the pre-pandemic period (between March - December 2019), during pandemics (2020 March - December, 2021 March - December) and post pandemics (2022 March - December).
Results:
The total number of hospitalizations during 2020 dropped by 28% compared to the pre-pandemic year - 2019, and further by 30% in 2021, and by 26% in 2022. In terms of day admissions, a decreasing trend can be observed, with a total of 3230 admissions, from which, 208 in 2020 showing a decrease of 93%, 695 in 2021 with a decrease of 78% and 941 in 2022 with a decrease of 70% compared to 2019.We experienced a significant increase of vaginal birth rate during the pandemic (2020-2021) of 24% that can be attributed to the unavailability of many surrounding low-risk birth units during the pandemic.
Conclusion:
The obstetrical conditions hospitalizations dramatically dropped during the COVID-19 pandemic and have not yet recovered to the pre-pandemic level.
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