Pre-Pandemic Versus Early COVID-19 Perinatal Outcomes at a Military Hospital.

IF 1.8 4区 医学 Q2 NURSING
Brandi L Gibson, Dehussa Urbieta, Sheila Sweeney, Jane A Ferguson, Dale Glaser, Abigail Yablonsky Marter
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引用次数: 0

Abstract

Purpose: The purpose of this study was to examine the impact of the first year of COVID-19 pandemic on maternal and neonatal outcomes at a large military treatment facility in Southern California.

Study design and methods: A retrospective review of maternal and neonatal medical records was conducted between January 1, 2019, and December 31, 2020. Outcomes measured included stillbirth rate, neonatal intensive care unit admission, neonatal death, cesarean birth, and postpartum hemorrhage.

Results: A total of 4,425 records were analyzed. Rates of stillbirth between the years did not vary. The neonatal death rate decreased more than 50% in 2020 (p = .149). Cesarean births rose by 2.7% in 2020 (p = .046). Rates of postpartum hemorrhage did not vary between years.

Clinical implications: The impact of COVID-19 on maternal and neonatal outcomes at a military treatment facility in the first year of the COVID-19 pandemic provides guidance for optimizing perinatal health care. Vertical transmission of COVID-19 is low and routine testing of asymptomatic neonates of positive mothers may not be necessary. COVID-19 infections should not be an indication for cesarean birth and are not associated with neonatal deaths or NICU admission.

一家军医院大流行前与早期 COVID-19 的围产期结果。
研究目的:本研究旨在探讨 COVID-19 大流行第一年对南加州一家大型军事治疗机构的孕产妇和新生儿预后的影响:在 2019 年 1 月 1 日至 2020 年 12 月 31 日期间对产妇和新生儿病历进行了回顾性审查。测量的结果包括死胎率、新生儿重症监护室入院率、新生儿死亡、剖宫产和产后出血:共分析了 4425 份记录。不同年份的死胎率没有差异。2020 年的新生儿死亡率下降了 50%以上(p = .149)。剖宫产率在 2020 年上升了 2.7%(p = .046)。产后出血率在不同年份之间没有变化:临床意义:在 COVID-19 大流行的第一年,COVID-19 对一家军事治疗机构的产妇和新生儿预后的影响为优化围产期保健提供了指导。COVID-19 的垂直传播率很低,因此可能没有必要对阳性母亲的无症状新生儿进行常规检测。COVID-19 感染不应成为剖宫产的指征,也与新生儿死亡或入住新生儿重症监护室无关。
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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来源期刊
CiteScore
2.60
自引率
16.70%
发文量
158
审稿时长
>12 weeks
期刊介绍: MCN''s mission is to provide the most timely, relevant information to nurses practicing in perinatal, neonatal, midwifery, and pediatric specialties. MCN is a peer-reviewed journal that meets its mission by publishing clinically relevant practice and research manuscripts aimed at assisting nurses toward evidence-based practice. MCN focuses on today''s major issues and high priority problems in maternal/child nursing, women''s health, and family nursing with extensive coverage of advanced practice healthcare issues relating to infants and young children. Each issue features peer-reviewed, clinically relevant articles. Coverage includes updates on disease and related care; ideas on health promotion; insights into patient and family behavior; discoveries in physiology and pathophysiology; clinical investigations; and research manuscripts that assist nurses toward evidence-based practices.
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