Impact of COVID-19 Lockdowns on Birthing Outcomes
Author Information
Author(s): P. Hofstee, B. Mulholland, M. Kelly, W. Davis, K. Curtis
Primary Institution: University of Wollongong
Hypothesis
How did COVID-19 lockdowns affect maternal and neonatal outcomes in a regional health district?
Conclusion
Pregnant women exposed to pandemic restrictions had decreased odds of adverse antenatal and neonatal outcomes, but increased odds of poor peripartum outcomes.
Supporting Evidence
- Odds of adverse birthing outcomes increased in women exposed to lockdowns.
- Gestational diabetes and hypertension rates decreased during lockdowns.
- Non-reassuring fetal status and postpartum hemorrhage rates increased.
Takeaway
The study found that women who were pregnant during COVID-19 lockdowns had fewer problems with their pregnancies but faced more complications during childbirth.
Methodology
A retrospective cohort study analyzing data from women who gave birth in the Illawarra Shoalhaven Local Health District between 2017 and 2022.
Potential Biases
Potential underreporting of antenatal conditions and lack of data on clinical decision-making.
Limitations
The study is retrospective and cannot establish causative effects; accuracy of health data cannot be guaranteed.
Participant Demographics
Women aged 18 and over who gave birth in the Illawarra Shoalhaven public system.
Statistical Information
Confidence Interval
95% CI 1.14–1.56 for non-reassuring fetal status
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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