ArticleActa obstetricia et gynecologica Scandinavica2021
Changes in obstetric interventions and preterm birth during COVID-19: A nationwide study from Iceland.
Article in Acta obstetricia et gynecologica Scandinavica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The association of COVID-19 lockdowns with adverse birth and pregnancy outcomes in 28 high-income countries: a systematic review and meta-analysis.Nature human behaviour · 2025Pooled it
- Impacts of COVID-19 pandemic on preterm birth: a systematic review and meta-analysis.Public health · 2022Pooled it
- COVID-19 pandemic and population-level pregnancy and neonatal outcomes in general population: A living systematic review and meta-analysis (Update#2: November 20, 2021).Acta obstetricia et gynecologica Scandinavica · 2022Pooled it
- Coronavirus disease 2019 pandemic and pregnancy and neonatal outcomes in general population: A living systematic review and meta-analysis (updated Aug 14, 2021).Acta obstetricia et gynecologica Scandinavica · 2022Pooled it
- Article
- Comparison of Modified Labor Induction Strategies for Pregnant Women at a Single Tertiary Center Before and During the COVID-19 Pandemic.Diagnostics (Basel, Switzerland) · 2024Article
- Maternal and perinatal health indicators in Brazil over a decade: assessing the impact of the COVID-19 pandemic and SARS-CoV-2 vaccination through interrupted time series analysis.Lancet regional health. Americas · 2024Article
- Socioeconomic disparities in changes to preterm birth and stillbirth rates during the first year of the COVID-19 pandemic: a study of 21 European countries.European journal of public health · 2024Article
- The paradoxical influence of the COVID-19 lockdown period on different types of preterm births in Alberta: a provincial study.Paediatrics & child health · 2024Article
- SARS-CoV-2 infection during pregnancy and perinatal outcomes in Estonia in 2020 and 2021: A register-based study.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Pregnancy-Related Complications During the COVID-19 Pandemic in Iran.Archives of Iranian medicine · 2024Article
- Maternal SARS-CoV-2 infection: The potential vertical transmission of SARS-CoV-2 and impact on neonates: A review.Pediatric discovery · 2023Review
- Managing Labour in Women with COVID-19.Journal of clinical medicine · 2023Review
- An increase in cesarean section rate during the first wave of COVID-19 pandemic in Iran.BMC public health · 2023Article
- Changes in preterm birth and stillbirth during COVID-19 lockdowns in 26 countries.Nature human behaviour · 2023Article
- The impact of COVID-19 on the birth rate in Nigeria: a report from population-based registries.Infectious diseases research · 2023Article
- Comparison of adverse pregnancy and birth outcomes using archival medical records before and during the first wave of the COVID-19 pandemic in Kinshasa, Democratic Republic of Congo: a facility-based, retrospective cohort study.BMC pregnancy and childbirth · 2023Article
- Changes in preterm birth during the COVID-19 pandemic by duration of exposure and race and ethnicity.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- Impact of the 1st Wave of the COVID-19 Pandemic and Lockdown on In Utero Transfer Activity in the Paris Area, France.Journal of clinical medicine · 2022Article
- Changes in prenatal care and vaccine willingness among pregnant women during the COVID-19 pandemic.BMC pregnancy and childbirth · 2022Article
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No grant is acknowledged in the PubMed record.
Abstract
introductionPrevious evidence has been conflicting regarding the effect of coronavirus disease 2019 (COVID-19) pandemic lockdowns on obstetric intervention and preterm birth rates. The literature to date suggests potentially differential underlying mechanisms based on country economic setting. We aimed to study these outcomes in an Icelandic population where uniform lockdown measures were implemented across the country. MATERIAL AND
methodsThe study included all singleton births (n = 20 680) during 2016-2020 identified from the population-based Icelandic Medical Birth Register. We defined two lockdown periods during March-May and October-December in 2020 according to government implemented nationwide lockdown. We compared monthly rates of cesarean section, induction of labor and preterm birth during lockdown with the same time periods in the 4 previous years (2016-2019) using logit binomial regression adjusted for confounders.
resultsOur results indicated a reduction in the overall cesarean section rate, which was mainly evident for elective cesarean section, both during the first (adjusted odd ratio [aOR] 0.71, 95% CI 0.51-0.99) and second (aOR 0.72, 95% CI 0.52-0.99) lockdown periods, and not for emergency cesarean section. No change during lockdown was observed in induction of labor. Our results also suggested a reduction in the overall preterm birth rate during the first lockdown (aOR 0.69, 95% CI 0.49-0.97) and in the months immediately following the lockdown (June-September) (aOR 0.67, 95% CI 0.49-0.89). The reduction during the first lockdown was mainly evident for medically indicated preterm birth (although not statistically significant) and the reduction during June-September was mainly evident for spontaneous preterm birth.
conclusionsThis study suggested a reduction in elective cesarean section during COVID-19 lockdown, possibly reflecting changes in prioritization of non-urgent health care during lockdown. We also found a reduction in overall preterm birth during the first lockdown and spontaneous preterm birth following the first lockdown, but further research is needed to shed light on the underlying mechanisms for these findings.
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