Brandi L Gibson, Dehussa Urbieta, Sheila Sweeney, Jane A Ferguson, Dale Glaser, Abigail Yablonsky Marter
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Pre-Pandemic Versus Early COVID-19 Perinatal Outcomes at a Military Hospital.
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.
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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