THE PREVALENCE OF CESAREAN AND THE EFFECTING FACTORS DURING THE COVID-19 PANDEMIC

Fatma Koruk, Ruken Tunç, Melisa Uysal, Z. Turan, I. Koruk
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Abstract

In terms of the clinical picture during pregnancy and perinatal outcomes, there is an insufficient amount of data in the literature regarding the effects of COVID-19 infection, which is spreading rapidly worldwide. In this study, we aimed to determine the frequency of cesarean deliveries in during the pandemic, as well as to show the effect of COVID-19 positivity and certain other variables on cesarean section delivery. The sample of this cross-sectional study consists of 956 women who gave birth in a state hospital. In this study, the prevalence of cesarean section was found to be 33.2%. Also, compared to the general population the rate of cesarean delivery was found to be 2.1 times higher in women whose incomes were less than their expenses, 2.2 times higher in those with health insurance, 13.6 times higher in those who were COVID-19 positive, and 1.6 times higher in those who did not receive regular prenatal care. This study showed that COVID-19 infection and negativities related to the social determinants of well-being significantly increased the prevalence of cesarean section during the pandemic period. Governments should take more serious steps toward reducing healthcare inequalities, especially in terms of maternal and infant health.
COVID-19大流行期间剖宫产的流行率及其影响因素
就妊娠期间的临床情况和围产期结局而言,有关COVID-19感染影响的文献数据不足,而这种感染正在全球迅速蔓延。在本研究中,我们旨在确定大流行期间剖宫产的频率,并显示COVID-19阳性和某些其他变量对剖宫产的影响。本横断面研究的样本包括956名在公立医院分娩的妇女。本研究发现剖宫产的患病率为33.2%。此外,与一般人群相比,收入低于支出的妇女的剖宫产率高出2.1倍,有健康保险的妇女的剖宫产率高出2.2倍,COVID-19阳性妇女的剖宫产率高出13.6倍,未接受定期产前护理的妇女的剖宫产率高出1.6倍。该研究表明,COVID-19感染和与福祉社会决定因素相关的负面因素在大流行期间显着增加了剖宫产的患病率。各国政府应采取更严肃的步骤,减少保健方面的不平等,特别是在孕产妇和婴儿保健方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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