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Antepartum stillbirth rates during the COVID-19 pandemic in Austria: A population-based study.
Muin, Dana A; Neururer, Sabrina; Falcone, Veronica; Windsperger, Karin; Helmer, Hanns; Leitner, Hermann; Kiss, Herbert; Farr, Alex.
  • Muin DA; Department of Obstetrics and Gynecology, Division of Feto-maternal Medicine, Medical University of Vienna, Vienna, Austria.
  • Neururer S; Department of Clinical Epidemiology, Tyrolean Federal Institute for Integrated Care, Tirol Kliniken GmbH, Innsbruck, Austria.
  • Falcone V; Department of Obstetrics and Gynecology, Division of Feto-maternal Medicine, Medical University of Vienna, Vienna, Austria.
  • Windsperger K; Department of Obstetrics and Gynecology, Division of Feto-maternal Medicine, Medical University of Vienna, Vienna, Austria.
  • Helmer H; Department of Obstetrics and Gynecology, Division of Feto-maternal Medicine, Medical University of Vienna, Vienna, Austria.
  • Leitner H; Department of Clinical Epidemiology, Tyrolean Federal Institute for Integrated Care, Tirol Kliniken GmbH, Innsbruck, Austria.
  • Kiss H; Department of Obstetrics and Gynecology, Division of Feto-maternal Medicine, Medical University of Vienna, Vienna, Austria.
  • Farr A; Department of Obstetrics and Gynecology, Division of Feto-maternal Medicine, Medical University of Vienna, Vienna, Austria.
Int J Gynaecol Obstet ; 156(3): 459-465, 2022 Mar.
Article in English | MEDLINE | ID: covidwho-1473853
ABSTRACT

BACKGROUND:

The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 has had dramatic effects on the pregnant population worldwide, increasing the risk of adverse perinatal outcomes.

OBJECTIVE:

To assess the incidence of antepartum stillbirth (aSB) during the COVID-19 pandemic in Austria.

METHODS:

We collected epidemiological data from the Austrian Birth Registry and compared the rate of aSB (i.e., fetal death at or after 24+0 gestational weeks) during the pandemic period (March-December 2020) and in the respective pre-pandemic months (2015-2019).

RESULTS:

In total, 65 660 pregnancies were included, of which 171 resulted in aSB at 33.7 ± 4.8 gestational weeks. During the pandemic, the aSB rate increased from 2.49‰ to 2.60‰ (P = 0.601), in contrast to the significant decline in preterm deliveries at or before 37 gestational weeks from 0.61‰ to 0.56‰ (relative risk [RR] 0.93; 95% confidence interval [CI] 0.91-0.96; P < 0.001). During the first lockdown, the aSB rate significantly increased from 2.38‰ to 3.52‰ (P = 0.021), yielding an adjusted odds ratio of 1.57 (95% CI 1.08-2.27; P = 0.018). The event of aSB during the COVID-19 pandemic was strongly related with increased fetal weight and maternal obesity.

CONCLUSION:

In Austria, there has been an overall increase in the incidence of aSB during the pandemic with a significant peak during the first lockdown.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Premature Birth / COVID-19 Type of study: Observational study / Prognostic study Limits: Female / Humans / Infant, Newborn / Pregnancy Country/Region as subject: Europa Language: English Journal: Int J Gynaecol Obstet Year: 2022 Document Type: Article Affiliation country: Ijgo.13989

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Premature Birth / COVID-19 Type of study: Observational study / Prognostic study Limits: Female / Humans / Infant, Newborn / Pregnancy Country/Region as subject: Europa Language: English Journal: Int J Gynaecol Obstet Year: 2022 Document Type: Article Affiliation country: Ijgo.13989