ArticleBMC pregnancy and childbirth2026
When air-raid sirens howl the rate of visits of pregnant women to the obstetrical emergency room decreases: results of a 4-months wartime follow up in a tertiary medical center.
Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundDuring wartime, healthcare systems are challenged by both treatment of injured soldiers and failure to accommodate the routine needs of civilians. One such deranged service is the obstetrical emergency room (OER): partly because services might be limited and partly on behalf of delayed visits. The impact of intense sirens howls due to civilian area bombing on pregnant women visits was not investigated.
objectiveTo analyze the correlation between missile attacks in the center of Israel, and the visits of pregnant women to the obstetrical emergency room (OER).
methodsA retrospective study in a tertiary-medical-center compared the visits of pregnant women >23 weeks' gestation to the OER during 4-months of war to the previous year.
resultsThe overall visit rate to the OER was significantly reduced during wartime by 4% (p = 0.03). A statistically significant decrease in the number of visits per hour was found for complaints of contractions (OR=0.87, 0.86±0.97 vs. 1.0±1.1; p=0.004] and reduced fetal movements (OR=0.78, 0.27±0.55 vs. 0.34±0.62; p=0.0001) after 37 weeks' gestation, and also prior to 37 weeks' gestation (OR=0.7, 0.27±0.53 vs. 0.39±0.65; p<0.001 for contractions and OR=0.69, 0.11±0.33 vs. 0.15±0.40; p<0.001 for reduced sensation of fetal movements). There was no increase in the visits due to trauma.
conclusionsWartime conditions significantly impacted maternal healthcare-seeking behavior evidenced by modest but meaningful reduction in visits to the OER.
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