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Abstract
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Introduction: With healthcare delivery changing due to the COVID-19 pandemic, we aimed to evaluate the relationship between the COVID-19 pandemic and delivery and maternal health outcomes, using patient reported data in a pregnancy mobile app.
Methods: We conducted a retrospective cohort study on women who gave birth between October 1, 2019 and September 30, 2020 and completed a birth report in a pregnancy mobile app. Women were assigned to the ‘Pre-COVID-19’ cohort if they delivered between October and March, and the ‘During COVID-19’ cohort if they delivered between April and September. Gestational age at delivery, delivery method, delivery facility type, and length of hospital stay were compared.
Results: Among 415,125 total birth reports, 213,541 (51%) were in the ‘Pre-COVID-19’ cohort and 201,584 (49%) were in the ‘During-COVID-19’ cohort. When compared to the ‘Pre-COVID-19’ cohort, women in the ‘During-COVID-19’ group were less likely to deliver preterm (OR = 0.95, p < .001), more likely to deliver by Cesarean section (OR = 1.02, p = 0.02), more likely to choose a home birth (OR = 1.3, p < .001), and had hospital stays that were, on average, 8.2% shorter (mean = 2.45 days, p < .001).
Conclusion/Implications: This study indicates the impact of the COVID-19 pandemic on delivery outcomes so far, however the measures of its effects are only in the beginning stages. Ongoing research as the pandemic progresses is necessary to evaluate long-term effects on maternal health and birth outcomes.
Methods: We conducted a retrospective cohort study on women who gave birth between October 1, 2019 and September 30, 2020 and completed a birth report in a pregnancy mobile app. Women were assigned to the ‘Pre-COVID-19’ cohort if they delivered between October and March, and the ‘During COVID-19’ cohort if they delivered between April and September. Gestational age at delivery, delivery method, delivery facility type, and length of hospital stay were compared.
Results: Among 415,125 total birth reports, 213,541 (51%) were in the ‘Pre-COVID-19’ cohort and 201,584 (49%) were in the ‘During-COVID-19’ cohort. When compared to the ‘Pre-COVID-19’ cohort, women in the ‘During-COVID-19’ group were less likely to deliver preterm (OR = 0.95, p < .001), more likely to deliver by Cesarean section (OR = 1.02, p = 0.02), more likely to choose a home birth (OR = 1.3, p < .001), and had hospital stays that were, on average, 8.2% shorter (mean = 2.45 days, p < .001).
Conclusion/Implications: This study indicates the impact of the COVID-19 pandemic on delivery outcomes so far, however the measures of its effects are only in the beginning stages. Ongoing research as the pandemic progresses is necessary to evaluate long-term effects on maternal health and birth outcomes.
Introduction: With healthcare delivery changing due to the COVID-19 pandemic, we aimed to evaluate the relationship between the COVID-19 pandemic and delivery and maternal health outcomes, using patient reported data in a pregnancy mobile app.
Methods: We conducted a retrospective cohort study on women who gave birth between October 1, 2019 and September 30, 2020 and completed a birth report in a pregnancy mobile app. Women were assigned to the ‘Pre-COVID-19’ cohort if they delivered between October and March, and the ‘During COVID-19’ cohort if they delivered between April and September. Gestational age at delivery, delivery method, delivery facility type, and length of hospital stay were compared.
Results: Among 415,125 total birth reports, 213,541 (51%) were in the ‘Pre-COVID-19’ cohort and 201,584 (49%) were in the ‘During-COVID-19’ cohort. When compared to the ‘Pre-COVID-19’ cohort, women in the ‘During-COVID-19’ group were less likely to deliver preterm (OR = 0.95, p < .001), more likely to deliver by Cesarean section (OR = 1.02, p = 0.02), more likely to choose a home birth (OR = 1.3, p < .001), and had hospital stays that were, on average, 8.2% shorter (mean = 2.45 days, p < .001).
Conclusion/Implications: This study indicates the impact of the COVID-19 pandemic on delivery outcomes so far, however the measures of its effects are only in the beginning stages. Ongoing research as the pandemic progresses is necessary to evaluate long-term effects on maternal health and birth outcomes.
Methods: We conducted a retrospective cohort study on women who gave birth between October 1, 2019 and September 30, 2020 and completed a birth report in a pregnancy mobile app. Women were assigned to the ‘Pre-COVID-19’ cohort if they delivered between October and March, and the ‘During COVID-19’ cohort if they delivered between April and September. Gestational age at delivery, delivery method, delivery facility type, and length of hospital stay were compared.
Results: Among 415,125 total birth reports, 213,541 (51%) were in the ‘Pre-COVID-19’ cohort and 201,584 (49%) were in the ‘During-COVID-19’ cohort. When compared to the ‘Pre-COVID-19’ cohort, women in the ‘During-COVID-19’ group were less likely to deliver preterm (OR = 0.95, p < .001), more likely to deliver by Cesarean section (OR = 1.02, p = 0.02), more likely to choose a home birth (OR = 1.3, p < .001), and had hospital stays that were, on average, 8.2% shorter (mean = 2.45 days, p < .001).
Conclusion/Implications: This study indicates the impact of the COVID-19 pandemic on delivery outcomes so far, however the measures of its effects are only in the beginning stages. Ongoing research as the pandemic progresses is necessary to evaluate long-term effects on maternal health and birth outcomes.
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