Evidence map›Paper›PMID 34535831›Full record

ArticleEuropean journal of pediatrics2022

Preterm births in South-West England before and during the COVID-19 pandemic: an audit of retrospective data.

Kate Maslin, Roisin McKeon-Carter, Joanne Hosking, Lauren Stockley, Clara Southby, Jill Shawe, Jos M Latour

Abstract read
In one paragraph

Article in European journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Review
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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.

Kate MaslinSchool of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID http://orcid.org/0000-0001-5580-803X
Roisin McKeon-CarterNeonatal Intensive Care Unit, University Hospitals Plymouth NHS Trust, Plymouth, UK.
Joanne HoskingMedical Statistics, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID http://orcid.org/0000-0001-7090-0205
Lauren StockleyMedical Statistics, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID http://orcid.org/0000-0003-2952-1400
Clara SouthbyMaternity Service, University Hospitals Plymouth NHS Trust, Plymouth, UK.
Jill ShaweSchool of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID http://orcid.org/0000-0002-2766-7302
Jos M LatourSchool of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth, UK. jos.latour@plymouth.ac.uk.ORCID http://orcid.org/0000-0002-8087-6461

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 lockdown had a series of intended and unintended consequences, including reduced infections and changes in activities and behaviours. Some of these changes may have been beneficial to perinatal outcomes; however, other factors such as reduced access to face-to-face healthcare may have contributed negatively to antenatal care. The aim of this audit was to evaluate neonatal admissions in the South-West of England during the COVID-19 pandemic in 2020 and the previous two years 2018-2019. Anonymised birth and neonatal admission rates from January to December 2020 was obtained and compared to data from 2018 to 2019. The results demonstrate a decreasing in neonatal unit admissions between 2018 and 2020, 9.48% of live births in 2018 (95% CI 9.17, 9.80) to 8.89% (95% CI 8.65, 9.13) in 2020 (p = 0.002).Conclusion: There were no significant differences across gestational groups. It is unclear without nationwide data whether our observed trends, decreased neonatal admissions over the past 3 years, are generalisable and related to the COVID-19 pandemic. Future research exploring the impact of lockdowns on behaviour change during pregnancy and support services is warranted to understand the implications of pandemics on pregnancy and preterm birth. What is Known: • The COVID-19 lockdown had a series of intended and unintended consequences; some of which may have been beneficial to perinatal outcomes. • Research suggests that preterm births have not significantly changed overall, but they have decreased in high-income countries. What is New: • In our audit, analysing retrospective data of regional birth and neonatal admission from the South-West of England, we observed a decrease in live birth rates between 2018 and 2020. • A reduction in neonatal unit admissions was observed from 2018 to 2020 with no significant differences across gestational groups. The reduction from 2019 to 2020 was smaller than that from 2018 to 2019 implying that the COVID-19 pandemic in 2020 was not necessarily implicated.

Indexed as

COVID-19Premature BirthCommunicable Disease ControlFemaleHumansInfant, NewbornPandemicsPregnancyRetrospective StudiesSARS-CoV-2BirthCOVID-19Neonatal intensive care unitsNeonatologyPatient admissions

Identifiers

PMID34535831
PMCPMC8448660

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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.