纽约州冠状病毒疾病2019年 (COVID-19) 封锁与医疗补助保险个人中早产和死产的比例之间的联系
Renata E Howland1, Matthew R Lamb1, Teresa Janevic1
1Department of Population Health, NYU Grossman School of Medicine, the Department of Epidemiology and ICAP-Columbia University, Mailman School of Public Health, Columbia University, and NYU Wagner Graduate School of Public Service, New York, New York.
O&G open
|September 26, 2025
概括
纽约州的COVID-19封锁导致过早分娩的数量略有下降,尤其是医疗上有迹象的. 然而,封锁在研究期间没有影响死产率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 随着COVID-19的流行,包括封锁在内的广泛的公共卫生干预措施被推行.
- 了解这些干预措施对母亲和新生儿结果的影响至关重要.
研究的目的:
- 为了评估纽约州 (NYS) COVID-19封锁和早产率之间的关联.
- 检查同一时期死产率的变化.
- 通过分娩开始 (自发与医疗指示) 来分析早产.
主要方法:
- 这是一项准实验性研究,使用了从2018年到2020年的纽约州医疗补助申请数据.
- 差异差异模型比较了纽约州封锁 (2020年3月22日至6月8日) 之前和期间的早产率与前几年的同期.
- 死产率被分析为一个次要结果.
主要成果:
- 纽约州的封锁与整体早产率下降0.93个百分点有关.
- 医学上指示的早产的显着减少 (-0.58个百分点).
- 锁定和死产率之间没有发现显著的关联.
结论:
- 纽约州的COVID-19封锁与早产的适度减少有关,特别是那些医学上适用的早产.
- 封锁的早期阶段显示,与早产减少的相关性更强.
- 在封锁期间,没有发现对死产率的影响.
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