在COVID-19大流行期间的医疗保健系统负担和怀孕结果:基于人口的研究
Atar Ben Shmuel1, Nikola Rasevic2, Howard Berger3
1Division of Maternal-Fetal Medicine, Dan Women and Babies Program, Sunnybrook Health Sciences Center, University of Toronto, Toronto, ON.
概括
COVID-19大流行并没有增加早产 (PTB) 率. 然而,疫情的第一年,孕期糖尿病和新生儿并发症的风险更高.
科学领域:
- 围产期流行病学 围产期流行病学
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
背景情况:
- COVID-19 流行病带来了前所未有的公共卫生挑战.
- 了解它对母亲和婴儿健康的影响对于未来的准备至关重要.
- 过早分娩 (PTB) 和其他围产期结局是母亲和新生儿福祉的关键指标.
研究的目的:
- 调查COVID-19流行病与早产发病率 (PTB) 之间的关联.
- 分析大流行对其他重大产周结局的影响.
- 为了比较流行病的第一年与流行病前数据的结果.
主要方法:
- 基于人口的队列研究,使用省级数据.
- 2020年1月至2020年12月 (流行病组) 和2017年1月至2019年12月 (对照组) 之间的出生比较.
- 主要结局:怀孕37周之前的PTB;次要结局:高血压疾病,综合新生儿发病率.
主要成果:
- 在37周前的PTB发病率没有显著差异 (7.57%对比7.57%).
- 在较早的妊娠年龄 (34,32,28,26周) 中,PTB的发病率也没有显著差异.
- 妊娠糖尿病 (aRR 1.07) 和综合新生儿发病率 (aRR 1.06) 的风险增加.
结论:
- 在COVID-19流行病的最初一年没有与早产发病率的增加有关.
- 在大流行期间发现了更高的妊娠糖尿病和综合新生儿发病风险.
- 这些发现突出了公共卫生危机期间围产期护理的具体关注领域.
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