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  11. Effect Of Covid-19 Lockdown On Maternity Care And Maternal Outcome In The Netherlands: A National Quasi-experimental Study

Effect of COVID-19 lockdown on maternity care and maternal outcome in the Netherlands: a national quasi-experimental study

B Y Gravesteijn1, N W Boderie2, T van den Akker3

  • 1Department of Obstetrics & Gynaecology, Amsterdam University Medical Center, Amsterdam, the Netherlands; Amsterdam Reproduction & Development, Amsterdam, the Netherlands; Department of Public Health, Erasmus MC, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands.

Public Health
|July 21, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

The first COVID-19 lockdown in the Netherlands saw a significant rise in homebirths. Maternal pregnancy outcomes remained stable, indicating a resilient midwife-led maternity care system during the pandemic.

Keywords:
COVID-19HomebirthMaternal healthNatural experiment

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Area of Science:

  • Maternal Health
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic and subsequent lockdowns significantly impacted global healthcare systems.
  • While preterm birth rates decreased in high-income nations, maternal pregnancy outcomes required further investigation.
  • The Netherlands experienced its first COVID-19 lockdown from March to June 2020.

Purpose of the Study:

  • To investigate the impact of the first COVID-19 lockdown on maternity care provision.
  • To assess the effect of the lockdown on maternal pregnancy-related outcomes in the Netherlands.
  • To evaluate the adaptability of the Dutch maternity care system during the pandemic.

Main Methods:

  • A national quasi-experimental study design was employed.
  • Data from multiple linked national registries included all births from 24+0 weeks gestational age between 2010-2020.
  • A difference-in-regression-discontinuity design was used to analyze 2020 data, comparing care provision and maternal outcomes during the lockdown period.

Main Results:

  • A total of 1,039,728 births were analyzed.
  • Homebirths increased by 10% among women starting labor in midwife-led primary care.
  • No significant changes were observed in emergency cesarean sections, obstetric anal sphincter injuries, episiotomies, or postpartum hemorrhage.

Conclusions:

  • The first COVID-19 lockdown in the Netherlands was associated with a substantial increase in homebirths.
  • No adverse changes in key maternal pregnancy outcomes were detected.
  • A robust midwife-led primary care system demonstrated flexibility and safety in adapting to external health crises.
SARS-CoV−2