Preterm birth during the COVID-19 pandemic: more, less, or just the same?

IF 1.6 4区 医学 Q2 Medicine Acta Clinica Belgica Pub Date : 2023-04-01 DOI:10.1080/17843286.2022.2091321
Isabelle Dehaene, Caroline Van Holsbeke, Kristien Roelens, Noortje Nvh van Oostrum, Katrien Nulens, Koenraad Smets, Marie-Rose Van Hoestenberghe, Gunnar Naulaers, Roland Devlieger
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引用次数: 1

Abstract

Objectives: Coronavirus disease (COVID-19) and its mitigation measures have been associated with changes in preterm birth (PTB) incidences. The objective of this paper is to summarize and comment on the literature on COVID-19 and PTB and to compare PTB incidence between 2019 (pre-COVID-19) and 2020 (COVID-19) in three Belgian tertiary care hospitals.

Methods: A non-systematic review on COVID-19 and PTB was performed, and literature was summarized in a table. Preterm birth rates at Ghent University Hospital, Ziekenhuis Oost-Limburg, and University Hospital Leuven in 2019 and 2020 were compared. Chi-square and Fisher's exact tests were used to compare PTB rates between 2019 and 2020, and Kaplan Meier survival analysis was used to compare pregnancy duration. The mean outcome measure was PTB incidence in 2020 (COVID-19) compared with PTB incidence in 2019 (pre-COVID-19).

Results: Some (parts of) countries report decreases in PTB rates, others report no differences in incidence, and a minority of countries report an increased incidence of PTB. Almost all studies only consider live-births. In three tertiary care hospitals in Flanders, there were no differences in PTB rates before and during the COVID-19 pandemic.

Conclusion: The impact of the (mitigation measures during the) COVID-19 pandemic on PTB incidence is unclear and difficult to explore. To enable a correct interpretation, all conceptions before and during the pandemic should be taken into consideration, as well as all births, still or alive.

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COVID-19大流行期间的早产:更多,更少,还是一样?
目的:冠状病毒病(COVID-19)及其缓解措施与早产(PTB)发生率的变化有关。本文的目的是总结和评论关于COVID-19和PTB的文献,并比较2019年(COVID-19前)和2020年(COVID-19)在比利时三家三级医院的PTB发病率。方法:对COVID-19和PTB进行非系统综述,并将文献汇总成表格。比较了2019年和2020年根特大学医院、Ziekenhuis Oost-Limburg和鲁汶大学医院的早产率。卡方检验和Fisher精确检验用于比较2019年和2020年之间的PTB发病率,Kaplan Meier生存分析用于比较妊娠期。平均结局指标是2020年(COVID-19) PTB发病率与2019年(COVID-19前)PTB发病率的比较。结果:一些(部分)国家报告肺结核发病率下降,其他国家报告发病率没有差异,少数国家报告肺结核发病率增加。几乎所有的研究都只考虑活产。在法兰德斯的三家三级保健医院中,在COVID-19大流行之前和期间,肺结核发病率没有差异。结论:2019冠状病毒病疫情防控措施对肺结核发病率的影响尚不明确,且难以探讨。为了作出正确的解释,应该考虑到大流行之前和期间的所有概念,以及所有分娩,无论是死胎还是活胎。
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来源期刊
Acta Clinica Belgica
Acta Clinica Belgica 医学-医学:内科
CiteScore
2.90
自引率
0.00%
发文量
44
审稿时长
6-12 weeks
期刊介绍: Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.
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