التفاصيل البيبلوغرافية
| العنوان: |
Impact of COVID-19 on Perinatal Outcomes and Birth Locations in a Large US Metropolitan Area. |
| المؤلفون: |
Lee, Esther G., Perez, Alejandra, Patel, Arth, Patel, Aloka L., Waters, Thaddeus, Fricchione, Marielle, Johnson, Tricia J. |
| المصدر: |
Healthcare (2227-9032); Feb2024, Vol. 12 Issue 3, p340, 12p |
| مصطلحات موضوعية: |
CHILDBIRTH, LENGTH of stay in hospitals, NEONATAL intensive care, PREMATURE infants, ACADEMIC medical centers, HEALTH services accessibility, CONFIDENCE intervals, MULTIPLE regression analysis, RESEARCH methodology, NEONATAL intensive care units, REGRESSION analysis, PREGNANCY outcomes, PERINATAL death, T-test (Statistics), SOCIAL classes, DESCRIPTIVE statistics, CHI-squared test, METROPOLITAN areas, LABOR (Obstetrics), DELIVERY (Obstetrics), STATISTICAL models, INFANT mortality, POVERTY, LOGISTIC regression analysis, DATA analysis software, MEDICAID, COVID-19 pandemic, PERINATAL period, LONGITUDINAL method, INSURANCE, NEIGHBORHOOD characteristics |
| مصطلحات جغرافية: |
ILLINOIS |
| مستخلص: |
This was a population-based study to determine the impact of COVID-19 on birth outcomes in the Chicago metropolitan area, comparing pre-pandemic (April–September 2019) versus pandemic (April–September 2020) births. Multivariable regression models that adjusted for demographic and neighborhood characteristics were used to estimate the marginal effects of COVID-19 on intrauterine fetal demise (IUFD)/stillbirth, preterm birth, birth hospital designation, and maternal and infant hospital length of stay (LOS). There were no differences in IUFD/stillbirths or preterm births between eras. Commercially insured preterm and term infants were 4.8 percentage points (2.3, 7.4) and 3.4 percentage points (2.5, 4.2) more likely to be born in an academic medical center during the pandemic, while Medicaid-insured preterm and term infants were 3.6 percentage points less likely (−6.5, −0.7) and 1.8 percentage points less likely (−2.8, −0.9) to be born in an academic medical center compared to the pre-pandemic era. Infant LOS decreased from 2.4 to 2.2 days (−0.35, −0.20), maternal LOS for indicated PTBs decreased from 5.6 to 5.0 days (−0.94, −0.19), and term births decreased from 2.5 to 2.3 days (−0.21, −0.17). The pandemic had a significant effect on the location of births that may have exacerbated health inequities that continue into childhood. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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