Undetected Fetal Growth Restriction during the Coronavirus Disease 2019 (COVID-19) Pandemic
Obstetrics and Gynecology
; 141(2):414-417, 2023.
Article
in English
| EMBASE | ID: covidwho-2237398
ABSTRACT
This was a retrospective cohort study of patients who delivered singleton, small-for-gestational-Age (SGA) neonates between April and June 2019, before the coronavirus disease 2019 (COVID-19) pandemic (pre-COVID-19), and between April and July 2020, during the pandemic (COVID-19 epoch). The primary outcome was the rate of undetected antenatal fetal growth restriction (FGR) in the two periods. A total of 268 patients met inclusion criteria. Patients who delivered small-for-gestational-Age neonates during the COVID-19 epoch were significantly more likely to have undetected FGR compared with those who delivered pre-COVID-19 (70.1% vs 58.1%, P=.04). Patients who delivered SGA neonates during the COVID-19 epoch had more telehealth visits but fewer in-person prenatal visits, recorded fundal height measurements, and growth ultrasonograms. As telemedicine continues to be incorporated into prenatal care, these data may lend further support toward self-Assessment of fundal height or routine third-Trimester growth ultrasonograms to identify fetal growth abnormalities. Copyright © 2023 Lippincott Williams and Wilkins. All rights reserved.
adult; Apgar score; article; clinical outcome; cohort analysis; controlled study; coronavirus disease 2019; echography; female; fetus growth; gestational age; hospital admission; human; intrauterine growth retardation; major clinical study; neonatal intensive care unit; newborn; outcome assessment; pandemic; prenatal diagnosis; retrospective study; small for gestational age; undiagnosed disease
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Cohort study
/
Observational study
/
Prognostic study
Language:
English
Journal:
Obstetrics and Gynecology
Year:
2023
Document Type:
Article
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