Evidence map›Paper›PMID 34420514›Full record

ArticleBMC pregnancy and childbirth2021

Changes in pregnancy outcomes during the COVID-19 lockdown in Iran.

Fahimeh Ranjbar, Leila Allahqoli, Soheila Ahmadi, Robab Mousavi, Maryam Gharacheh, Nooshin Eshraghi, Ibrahim Alkatout

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
4.7field-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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Fahimeh RanjbarReproductive Health, Nursing Care Research Centre, Iran University of Medical Sciences, P.O. Box 19395-4798, Rashid Yasemi St., Valiasr Ave., Tehran, Iran.
Leila AllahqoliReproductive Health, Nursing Care Research Centre, Iran University of Medical Sciences, P.O. Box 19395-4798, Rashid Yasemi St., Valiasr Ave., Tehran, Iran.
Soheila AhmadiSchool of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Robab MousaviSchool of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Maryam GharachehReproductive Health, Nursing Care Research Centre, Iran University of Medical Sciences, P.O. Box 19395-4798, Rashid Yasemi St., Valiasr Ave., Tehran, Iran. gharacheh.m@gmail.com.
Nooshin EshraghiDepartment of Perinatology, Shahid Akbarabadi hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Ibrahim AlkatoutDepartment of Obstetrics and Gynecology, Kiel School of Gynaecological Endoscopy. Campus Kiel, University Hospitals Schleswig-Holstein, Kiel, Germany.
Iran University of Medical Sciences · IRKiel University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Covid-19 pandemic response is influencing maternal and neonatal health care services especially in developing countries. However, the indirect effects of Covid-19 on pregnancy outcomes remain unknown. The aim of the present study was to compare pregnancy outcomes before and after the beginning of the Covid-19 pandemic in Iran.

methodsWe performed a retrospective analysis of the medical records of 2,503 pregnant women with singleton pregnancies, admitted to the maternity department of a women's hospital in Tehran, Iran, during the pre-Covid-19 pandemic (February 19 to April 19, 2019) and the intra-Covid- 19 pandemic (February 19 to April 19, 2020) period.

resultsWe included 2,503 women admitted to the hospital; 1,287 (51.4 %) were admitted before the Covid-19 lockdown and 1,216 (48.6 %) during the Covid-19 lockdown. There were no significant differences in stillbirth rates (p = 0.584) or pregnancy complications (including preeclampsia, pregnancy-induced hypertension and gestational diabetes) (p = 0.115) between pregnant women in the pre- and intra-pandemic periods. However, decreases in preterm births (p = 0.001), and low birth weight (p = 0.005) were observed in the pandemic period compared to the pre-pandemic period. No significant difference in the mode of delivery, and no maternal deaths were observed during the two time periods.

conclusionsIn our study we observed a decrease in preterm births and low birth weight, no change in stillbirths, and a rise in the admission rates of mothers to the ICU during the initial Covid-19 lockdown period compared to pre-Covid-19 lockdown period. Further research will be needed to devise plan for immediate post-pandemic care and future health care crises.

Indexed as

COVID-19FemaleHumansInfant, NewbornInfectious Disease Transmission, VerticalIranPregnancyPregnancy Complications, InfectiousPregnancy OutcomePrimary PreventionSeverity of Illness IndexSocial IsolationCovid-19 pandemicMaternal outcomesNeonatal outcomes

Identifiers

PMID34420514
PMCPMC8380188
OpenAlexW3195492932

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Registered trials

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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.