COVID-19 pandemic has increased pregnancy complications and maternal death during delivery Coronavirus Disease COVID Pandemic Pregnancy WomensHealth JAMANetworkOpen BIDMChealth harvardmed BrighamWomens HarvardChanSPH
By Dr. Priyom Bose, Ph.D.Aug 18 2022Reviewed by Benedette Cuffari, M.Sc. The coronavirus disease 2019 pandemic, which is caused by the rapid outbreak of the severe acute respiratory syndrome coronavirus 2 , has severely disrupted the global health care system, especially hospital-based services. Limited research is available on changes in obstetric outcomes during the pandemic.
Background Reduced routine in-person prenatal care and reproductive health service visits have been reported throughout the pandemic, which has raised concerns regarding pregnancy outcomes during this time. These concerns are more pronounced among minority racial and ethnic groups and low-income people. Additionally, medical supply chain disruptions have potentially limited the availability of essential supplies for routine obstetric care.
About the study The current study used a nationwide hospital database to ascertain changes in maternal death during delivery, mode of delivery, and preterm births. Furthermore, the researchers were interested in assessing the rate of pregnancy-related complications and length of hospital stay during the pandemic. Finally, any heterogeneities in obstetric outcomes across different racial groups as compared to White patients were also investigated.
Key findings A small but significant increase in maternal death was observed as compared to the pre-pandemic period; however, the mode of delivery and preterm births remained relatively stable. LOS post-birth and the number of live births decreased during the pandemic. No racial or ethnic differences in obstetric outcomes were noted.
According to the CDC report, preliminary indications of worsening inequities in maternal deaths among non-Hispanic Black birthing mothers were noted. The current study documented consistent yet alarming results.
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