Antepartum stillbirth rates during the COVID-19 pandemic in Austria: A population-based study.
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.Keywords
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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