Evidence map›Paper›PMID 34758778›Full record

ArticleBMC pregnancy and childbirth2021

Adverse pregnancy outcomes during the COVID-19 lockdown. A descriptive study.

Eman F Badran, Rula M Darwish, Yousef Khader, Rama AlMasri, Mira Al Jaberi, Mohammad AlMasri, Farah AlSa'di, Leen Abu Yosef, Noor Al-Badaineh

Abstract 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 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Eman F BadranDepartment of Pediatrics, School of Medicine, The University of Jordan, PO Box 11492, Amman, Jordan. e.badran@ju.edu.jo.
Rula M DarwishDepartment of Pharmaceutics and Pharmaceutical Technology, School of Pharmacy, The University of Jordan, Amman, Jordan.
Yousef KhaderDepartment of Public Health, Jordan University of Science and Technology, Irbid, Jordan.
Rama AlMasriDepartment of Pediatrics, School of Medicine, The University of Jordan, PO Box 11492, Amman, Jordan.
Mira Al JaberiDepartment of Pediatrics, School of Medicine, The University of Jordan, PO Box 11492, Amman, Jordan.
Mohammad AlMasriDepartment of Pediatrics, School of Medicine, The University of Jordan, PO Box 11492, Amman, Jordan.
Farah AlSa'diDepartment of Pediatrics, School of Medicine, The University of Jordan, PO Box 11492, Amman, Jordan.
Leen Abu YosefDepartment of Pediatrics, School of Medicine, The University of Jordan, PO Box 11492, Amman, Jordan.
Noor Al-BadainehDepartment of Pediatrics, School of Medicine, The University of Jordan, PO Box 11492, Amman, Jordan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ongoing spread coronavirus disease worldwide has caused major disruptions and led to lockdowns. Everyday lifestyle changes and antenatal care inaccessibility during the coronavirus disease 2019 (COVID-19) pandemic have variable results that affect pregnancy outcomes. This study aimed to assess the alterations in stillbirth, neonatal-perinatal mortality, preterm birth, and birth weight during the COVID-19 national lockdown.

methodsWe used the data from the Jordan stillbirths and neonatal death surveillance system to compare pregnancy outcomes (gestational age, birth weight, small for gestational age, stillbirth, neonatal death, and perinatal death) between two studied periods (11 months before the pandemic (May 2019 to March 2020) vs. 9 months during the pandemic (April 2020 to March 1st 2020). Separate multinomial logistic and binary logistic regression models were used to compare the studied outcomes between the two studied periods after adjusting for the effects of mother's age, income, education, occupation, nationality, health sector, and multiplicity.

resultsThere were 31106 registered babies during the study period; among them, 15311 (49.2%) and 15795 (50.8%) births occurred before and during the COVID-19 lockdown, respectively. We found no significant differences in preterm birth and stillbirth rates, neonatal mortality, or perinatal mortality before and during the COVID-19 lockdown. Our findings report a significantly lower incidence of extreme low birth weight (ELBW) infants (<1kg) during the COVID-19 lockdown period than that before the lockdown (adjusted OR 0.39, 95% CI 0.3-0.5: P value <0.001)

conclusionsDuring the COVID-19 lockdown period, the number of infants born with extreme low birth weight (ELBW) decreased significantly. More research is needed to determine the impact of cumulative socio-environmental and maternal behavioral changes that occurred during the pandemic on the factors that contribute to ELBW infants.

Indexed as

AdultCOVID-19FemaleHumansInfantInfant MortalityInfant, NewbornInfant, Small for Gestational AgeInfectious Disease Transmission, VerticalJordanPerinatal MortalityPregnancyPregnancy Complications, InfectiousPregnancy OutcomePremature BirthStillbirthCOVID-19Extremely low birth weightLockdownNeonates

Identifiers

PMID34758778
PMCPMC8579176

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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.