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Pre and Post-Lockdown Cesarean Deliveries and Perinatal Quality Indicators During the COVID-19 Pandemic.
Hussaini, Khaleel S; Li, Rui; Miles, Jennifer; Dizon, Maridelle; Hoffman, Mathew K.
  • Hussaini KS; US Department of Health and Human Services, Centers for Disease Control and Prevention, Division of Reproductive Health, Field Support Branch, Atlanta, GA; Delaware Department of Health and Social Services, Division of Public Health.
  • Li R; U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau, Office of Epidemiology and Research, Division of Research.
  • Miles J; Delaware Department of Health and Social Services, Division of Public Health.
  • Dizon M; Delaware Department of Health and Social Services, Division of Public Health.
  • Hoffman MK; Marie E. Pinizzotto, M.D., Endowed Chair, Department of Obstetrics & Gynecology, Director, Center for Women & Children's Health Research, ChristianaCare.
Dela J Public Health ; 8(3): 108-112, 2022 Aug.
Article in English | MEDLINE | ID: covidwho-2057026
ABSTRACT
We examined statewide perinatal quality indicators nulliparous singleton term vertex cesarean births (NTSV) or low risk cesarean births, and non-medically indicated early term delivery (NMETD) rates during COVID-19 pandemic pre-lockdown (1/1/2019 to 3/23/2020) and post-lockdown (after 3/23/2020). Interrupted time-series analyses were used to examine the effects of the COVID-19 pandemic on these indicators. We observed a statistically significant increase in NTSV cesarean rates, 4.4% (95%CI 1.3,7.4) immediately after lockdown, and a decrease in NMETD rate, 1.6% (95%CI -2.5,-0.7). We observed an increase (0.3%; 95%CI 0.0,0.6) in the slope (i.e., trend change) of NTSV rates post-lockdown and a decrease (-0.2%; 95%CI -0.3,-0.1) in the slope of NMETD rates. Results suggest that the COVID-19 pandemic had an immediate effect on perinatal quality indicators in Delaware, with gradual return to pre-pandemic rates as the pandemic continued. In addition to emergency preparedness planning, hospital monitoring of perinatal quality indicators might improve obstetrical care during public health emergencies.

Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study Language: English Journal: Dela J Public Health Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study Language: English Journal: Dela J Public Health Year: 2022 Document Type: Article