早产患病率和早产并发症：新冠肺炎大流行第一年与前一年的比较

IF 0.5 Q4 PEDIATRICS

Archives of Pediatric Infectious Diseases Pub Date : 2022-08-17 DOI:10.5812/pedinfect-121163

F. Palizban, Naeemeh Taslimi, Maryam Khoshnood Shariati, M. Fallahi, S. Tehranchi, Hanieh Najafiarab

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引用次数: 1

摘要

背景：新冠肺炎大流行给卫生系统带来了重大挑战。封锁等新冠肺炎管理政策使进入卫生中心变得困难。孕妇是一个高危人群，其妊娠结局可能会受到新冠肺炎大流行的影响。因此，有必要确定疫情期间早产患病率和早产并发症的变化。目的：本研究旨在确定新冠肺炎大流行第一年与前一年相比早产和早产并发症的患病率。方法：在这项横断面研究中，我们纳入了2019年3月至2021年3月在伊朗德黑兰Mahdieh医院出生的所有活产婴儿。我们回顾了医疗记录，以提取早产和早产并发症的患病率。然后，与前一年相比，新冠肺炎大流行期间早产和早产并发症的流行率。我们使用卡方检验来分析分类变量。结果：本研究共纳入10830例活产婴儿。在新冠肺炎大流行期间，与前一年相比，中度或晚期早产的患病率降低了4.64%（P＜0.001），足月分娩的患病率增加了5.37%（P＜0.01）。与前一年相比，新冠肺炎大流行期间呼吸窘迫综合征（RDS）的患病率显著下降（23.64%对26.56%，P<0.001）。与前一年度相比，新冠肺炎大流行期间早产视网膜病变（ROP）的发病率显著增加（3.97%对2.28%，P<001）。此外，与前一年相比，新冠肺炎大流行期间败血症的流行率显著更高（6.84%对1.23%，P<0.001）。此外，与前一年度相比，新冠肺炎大流行期间脑室内出血（IVH）显著增加（1.10%对0.08%，P>0.001）。此外，早产的主要并发症，如RDS、ROP、败血症和IVH，可能会受到新冠肺炎封锁的影响。

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Prevalence of Preterm Births and Complications of Prematurity: A Comparison Between First Year of COVID-19 Pandemic and the Previous Year

Background: COVID-19 pandemic imposed significant challenges on the health systems. COVID-19 management policies such as lockdown have made access to the health centers difficult. Pregnant women are a high-risk group whose pregnancy outcomes may be affected by COVID-19 pandemic. So, it is necessary to determine changes in the prevalence of preterm births and complications of prematurity during the pandemic. Objectives: This study aimed to determine the prevalence of preterm births and complications of prematurity during the first year of COVID-19 pandemic compared with the previous year. Methods: In this cross-sectional study, we included all live births born between March 2019 to March 2021 in Mahdieh hospital, Tehran, Iran. We reviewed medical records to extract the prevalence of preterm births and prematurity complications. Then, the prevalence of preterm births and prematurity complications during COVID-19 pandemic compared with the previous year. We used Chi-square test to analyze categorical variables. Results: A total of 10,830 live births were included in this study. During COVID-19 pandemic, the prevalence of moderate or late prematurity had a 4.64% reduction (P < 0.001), and the prevalence of term birth increased by 5.37% (P < 0.001) compared with the previous year. The prevalence of respiratory distress syndrome (RDS) decreased significantly during COVID-19 pandemic compared with the previous year (23.64% vs. 26.56%, P < 0.001). The prevalence of retinopathy of prematurity (ROP) significantly increased during COVID-19 pandemic compared with the previous year (3.97% vs. 2.28%, P < 0.001). Additionally, sepsis was significantly more prevalent during COVID-19 pandemic compared with the previous year (6.84% vs. 1.23%, P < 0.001). Moreover, intraventricular hemorrhage (IVH) significantly increased during COVID-19 pandemic in comparison to the previous year (1.10% vs. 0.08%, P < 0.001). Conclusions: The prevalence of preterm birth decreased during COVID-19 lockdown. Also, major complications of prematurity such as RDS, ROP, sepsis, and IVH may be affected by COVID-19 lockdown.

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来源期刊

Archives of Pediatric Infectious Diseases PEDIATRICS-

CiteScore

1.80

自引率

14.30%

发文量

期刊介绍： Archives Of Pediatric Infectious Disease is a clinical journal which is informative to all practitioners like pediatric infectious disease specialists and internists. This authoritative clinical journal was founded by Professor Abdollah Karimi in 2012. The Journal context is devoted to the particular compilation of the latest worldwide and interdisciplinary approach and findings including original manuscripts, meta-analyses and reviews, health economic papers, debates and consensus statements of clinical relevance to pediatric disease field, especially infectious diseases. In addition, consensus evidential reports not only highlight the new observations, original research and results accompanied by innovative treatments and all the other relevant topics but also include highlighting disease mechanisms or important clinical observations and letters on articles published in the journal.