Evidence map›Paper›PMID 34254286›Full record

ArticleThe Australian & New Zealand journal of obstetrics & gynaecology2022

A decline in planned, but not spontaneous, preterm birth rates in a large Australian tertiary maternity centre during COVID-19 mitigation measures.

Linda A Gallo, Tania F Gallo, Danielle J Borg, Karen M Moritz, Vicki L Clifton, Sailesh Kumar

Open access · bronzeAbstract read
In one paragraph

Article in The Australian & New Zealand journal of obstetrics & gynaecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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  6. A systematic review of COVID-19's impact on pregnancy outcomes.Annals of medicine and surgery (2012) · 2025
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  14. Reduction in preterm birth rates during and after the COVID-19 lockdown in Queensland Australia.The Australian & New Zealand journal of obstetrics & gynaecology · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Linda A GalloSchool of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0002-0471-8517
Tania F GalloMelbourne, Victoria, Australia.
Danielle J BorgMater Research Institute-University of Queensland, Brisbane, Queensland, Australia.
Karen M MoritzSchool of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0002-8085-0034
Vicki L CliftonMater Research Institute-University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0002-4892-6748
Sailesh KumarMater Research Institute-University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0003-0832-4811
The University of Queensland · AU

Funding

National Health and Medical Research CouncilUniversity of Queensland
6 · The paper itself

Abstract

backgroundReports from around the world suggest that rates of preterm birth decreased during COVID-19 lockdown measures.

aimsTo compare the prevalence of preterm birth and stillbirth rates during COVID-19 restriction measures with infants born at the same maternity centre during the same weeks in 2013-2019. MATERIALS AND

methodsDeidentified data were extracted from the Mater Mothers' healthcare records database. This is a supra-regional tertiary perinatal centre. Logistic regressions were used to examine singleton live preterm birth rates during the beginning of COVID-19 restrictions (16 March-17 April; 'early'; 6955 births) and during the strictest part of COVID-19 restrictions (30 March-1 May; 'late'; 6953 births), according to gestational age subgroups and birth onset (planned or spontaneous). We adjusted for multiple covariates, including maternal age, body mass index, ethnicity, parity, socioeconomic status, maternal asthma, diabetes mellitus and/or hypertensive disorder. Singleton stillbirth rates were also examined between 16 March-1 May.

resultsPlanned moderate/late preterm births declined by more than half during early COVID-19 restrictions compared with the previous seven years (29 vs an average of 64 per 1000 births; adjusted odds ratio 0.39, 95% CI 0.22-0.71). There was no effect on extremely or very preterm infants, spontaneous preterm births, or stillbirth rates. Rolling averages from January to June revealed a two-week non-significant spike in spontaneous preterm births from late April to early May, 2020.

conclusionsTogether with evidence from other nations, the pandemic provides a unique opportunity to identify causal and preventative factors for preterm birth.

Indexed as

COVID-19Premature BirthAustraliaCommunicable Disease ControlFemaleHumansInfantInfant, NewbornInfant, PrematurePregnancySARS-CoV-2lockdownpandemicpregnancypremature birthstillbirth

Identifiers

PMID34254286
PMCPMC8441865
OpenAlexW3180255278

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.