Abstract
Summary What is already known about this topic? The coronavirus disease 2019 (COVID-19) pandemic potentially affected prenatal care quality and maternal and fetal outcomes globally. What is added by this report? During COVID-19 pandemic period, the rates of caesarean sections (CS) and preterm birth for uninfected pregnant women increased slightly in areas that were relatively severely impacted by the pandemic in China. The overall number of prenatal examinations did not dramatically decrease, while the eligible examinations significantly decreased in Hubei Province. What are the implications for public health practice? Routine prenatal examinations had been well maintained during the pandemic period in China. In the future, in-time prenatal examinations should be provided to improve the quality of screening and management of high-risk pregnancy under pandemic-affected circumstances. Psychological counseling and transfer treatment channels should be strengthened for pregnant women during lockdown period.
Highlights
This study examined the impact of the COVID-19 pandemic on the clinical characteristics of uninfected pregnant women and their neonates by using two ongoing programs conducted by the Maternal and Newborn Health Monitoring Program (MNHMP) and a birth cohort of the Haidian Maternal and Child Care Hospital (HMCCH) in Beijing, China
The results suggested that the rates of caesarean section (CS) and preterm birth† increased slightly in areas that were more affected by the pandemic
For Hubei, the No of prenatal examinations (NPE), delivery gestational weeks(DGW)***, and small for gestational age (SGA) were negatively associated with the pandemic, and the caesarean sections (CS) and preterm birth rates were positively associated
Summary
Clinical Effects of the COVID-19 Pandemic Among the Uninfected Pregnant Women — 6 PLADs, China, 2019−2020. Special in-time prenatal examination should be provided to improve the quality of care for pregnant women, and screening and management of high-risk pregnancies should be strengthened when pandemic-like circumstances occur in the future. This prospective cohort study was based on two ongoing multicenter programs including: 1) the MNHMP established in 2013 by the National Center for Women and Children’s Health (NCWCH) of China CDC, of which the detailed information had been described previously [2]; and 2) a birth cohort in. The details can be found on the website: http://www.nhc.gov.cn/
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