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Results of Pregnancy Control before and during the COVID-19 Pandemic: A Comparison of Two Cohorts

Author

Listed:
  • Javier Llorca

    (Faculty of Medicine, Universidad de Cantabria, 39011 Santander, Spain
    CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
    Equal contribution.)

  • Carolina Lechosa-Muñiz

    (Faculty of Medicine, Universidad de Cantabria, 39011 Santander, Spain
    Service of Paediatrics, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain
    Equal contribution.)

  • Pelayo Frank de Zulueta

    (Service of Paediatrics, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain)

  • Sonia López-Gómez

    (Service of Paediatrics, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain)

  • Victoria Orallo

    (Service of Paediatrics, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain)

  • Jéssica Alonso-Molero

    (Faculty of Medicine, Universidad de Cantabria, 39011 Santander, Spain
    CIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain
    IDIVAL, Instituto de Investigación Sanitaria Valdecilla, 39011 Santander, Spain)

  • Barbara Arozamena-Llano

    (Service of Paediatrics, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain)

  • Yolanda Jubete

    (Service of Paediatrics, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain)

  • María Paz-Zulueta

    (Faculty of Medicine, Universidad de Cantabria, 39011 Santander, Spain
    Service of Paediatrics, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain
    IDIVAL, Instituto de Investigación Sanitaria Valdecilla, 39011 Santander, Spain
    Share senior authorship.)

  • María J. Cabero

    (Faculty of Medicine, Universidad de Cantabria, 39011 Santander, Spain
    Service of Paediatrics, Hospital Universitario Marqués de Valdecilla, 39008 Santander, Spain
    IDIVAL, Instituto de Investigación Sanitaria Valdecilla, 39011 Santander, Spain
    Share senior authorship.)

  • on behalf of the MOACC-19 Group

    (Members of the MOACC-19 Group: Bárbara Arozamena, Laura Conde-Gil, Elsa Cornejo del Río, Rocío Cuesta-González, Trinidad Dierssen-Sotos, María Fernández-Ortiz, Inés Gómez-Acebo, Pilar Gortázar, Coral Llano-Ruiz, Lorena Lasarte-Oria, Sonia Mateo-Sota, Rosa Pardo, Daniel Pérez-González, María Sáez de Adana Herrero.)

Abstract

The COVID-19 pandemic placed pregnant women at high risk, but behavioural changes have also led to lower rates of preterm births in high-income countries. The main goal of this article is to study the ongoing impact of the COVID-19 pandemic on pregnancy control and outcomes; this is a joint analysis of two cohorts. The pre-pandemic cohort includes 969 pregnant women recruited in 2018. The pandemic cohort comprises 1168 pregnant women recruited in 2020. Information on demographic and socioeconomic characteristics, reproductive history, characteristics of the current pregnancy and its outcome were obtained from medical records. Birth by Caesarean section was more frequent in the pre-pandemic cohort (adjusted odds ratio (OR) = 0.71, 95% confidence interval (CI): 0.55–0.92). A birth weight lower than 2500 g and higher than 4000 g occurred more frequently in the pre-pandemic cohort (adjusted OR = 0.62, 95% CI: 0.41–0.93 for lower than 2500 g and adjusted OR = 0.30, 95% CI: 0.20–0.46 for higher than 4000 g). Exclusive breastfeeding upon hospital discharge was more frequent in the pandemic cohort than in the pre-pandemic cohort (60% vs. 54%, p = 0.005), with adjusted OR = 0.67, 95% CI: 0.52–0.86 for mixed breastfeeding and infant formula. In conclusion, we report reductions in Caesarean sections and reduced numbers of low birth weight babies during the pandemic in a hospital located in northern Spain. Further analysis will clarify if these reductions are related to changes in health-related behaviour or healthcare operation.

Suggested Citation

  • Javier Llorca & Carolina Lechosa-Muñiz & Pelayo Frank de Zulueta & Sonia López-Gómez & Victoria Orallo & Jéssica Alonso-Molero & Barbara Arozamena-Llano & Yolanda Jubete & María Paz-Zulueta & María J., 2021. "Results of Pregnancy Control before and during the COVID-19 Pandemic: A Comparison of Two Cohorts," IJERPH, MDPI, vol. 18(15), pages 1-7, August.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:8182-:d:607152
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    References listed on IDEAS

    as
    1. Carolina Lechosa-Muñiz & María Paz-Zulueta & María Sáez de Adana Herrero & Elsa Cornejo del Rio & Sonia Mateo Sota & Javier Llorca & María J. Cabero-Perez, 2020. "Health Care Costs Associated to Type of Feeding in the First Year of Life," IJERPH, MDPI, vol. 17(13), pages 1-9, June.
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    Cited by:

    1. Tao, Yu & Xiao, Yang & Wang, Fangyi & Liang, Yuxiu & Zhang, Jin & Ji, Xiaokang & Wang, Yongchao & Wang, Zhiping, 2023. "Impact of Isolation measures on pregnancy outcome during the COVID-19 pandemic," Economics & Human Biology, Elsevier, vol. 48(C).
    2. Veronica Accurti & Bianca Gambitta & Simona Iodice & Alessandro Manenti & Simona Boito & Francesca Dapporto & Margherita Leonardi & Eleonora Molesti & Isabella Fabietti & Emanuele Montomoli & Valentin, 2022. "SARS-CoV-2 Seroconversion and Pregnancy Outcomes in a Population of Pregnant Women Recruited in Milan, Italy, between April 2020 and October 2020," IJERPH, MDPI, vol. 19(24), pages 1-13, December.

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    Keywords

    COVID-19; pregnant; cohort;
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