Cesarean section rate and outcomes during and before the first wave of COVID-19 pandemic.

Autor:	Eleje GU; Effective Care Research Unit, Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Nigeria.; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Ugwu EO; Department of Obstetrics and Gynecology, College of Medicine, University of Nigeria Enugu Campus, Enugu, Nigeria.; Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku, Nigeria., Enebe JT; Department of Obstetrics and Gynecology, ESUT Teaching Hospital, Enugu, Nigeria., Okoro CC; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Okpala BC; Effective Care Research Unit, Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Nigeria.; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Ezeora NC; Department of Obstetrics and Gynecology, ESUT Teaching Hospital, Enugu, Nigeria., Iloghalu EI; Department of Obstetrics and Gynecology, College of Medicine, University of Nigeria Enugu Campus, Enugu, Nigeria.; Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku, Nigeria., Anikwe CC; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Okafor CG; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Agu PU; Department of Obstetrics and Gynecology, College of Medicine, University of Nigeria Enugu Campus, Enugu, Nigeria.; Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku, Nigeria., Igbodike EP; Department of Obstetrics and Gynecology, Georges Hospital Memorial Medical Centre, Lagos, Nigeria., Ake ID; Clinical Trial Division, Drug Evaluation and Research Directorate, NAFDAC, Lagos, Nigeria., Ekwuazi KE; Department of Obstetrics and Gynecology, College of Medicine, University of Nigeria Enugu Campus, Enugu, Nigeria.; Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku, Nigeria., Onwuegbuna AA; Department of Ophthalmology, Nnamdi Azikiwe University, Awka, Nigeria., Umeononihu OS; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Anaedu OP; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Ikwuka DC; Department of Human Physiology, Nnamdi Azikiwe University, Nnewi, Nigeria., Nwaolisa HI; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Njoku CC; Effective Care Research Unit, Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Nigeria., Nwankwo CP; Effective Care Research Unit, Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Nigeria., Emeka EA; Department of Family Medicine, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria., Eleje LI; Measurement, Evaluation and Research Unit, Department of Educational Foundations, Nnamdi Azikiwe University, Awka, Nigeria., Adinnu KM; Medical Department, Clina-Lancet Laboratories, Lagos, Nigeria., Okoye CO; Department of Obstetrics and Gynecology, Lagos University Teaching Hospital, Lagos, Nigeria., Ugwu AO; Department of Haematology and Immunology, College of Medicine, University of Nigeria, Enugu, Nigeria., Nwachukwu EO; Department of Family Medicine, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria., Mba SG; Department of Obstetrics and Gynecology, ESUT Teaching Hospital, Enugu, Nigeria., Ezenkwele EP; Department of Obstetrics and Gynecology, College of Medicine, University of Nigeria Enugu Campus, Enugu, Nigeria.; Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Ituku, Nigeria., Okoye UE; Department of Obstetrics and Gynecology, National Hospital, Abuja, Nigeria., Ofiaeli CI; Department of Family Medicine, Faculty of Medicine, Nnamdi Azikiwe University, Awka, Nigeria., Ikpeze GC; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Onah LN; Department of Obstetrics and Gynecology, ESUT Teaching Hospital, Enugu, Nigeria., Ikpeze OZ; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Ejikeme TB; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Udigwe GO; Effective Care Research Unit, Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Nigeria.; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria., Ikechebelu JI; Effective Care Research Unit, Department of Obstetrics and Gynecology, Nnamdi Azikiwe University, Awka, Nigeria.; Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria.
Jazyk:	angličtina
Zdroj:	SAGE open medicine [SAGE Open Med] 2022 Mar 23; Vol. 10, pp. 20503121221085453. Date of Electronic Publication: 2022 Mar 23 (Print Publication: 2022).
DOI:	10.1177/20503121221085453
Abstrakt:	Objectives: The objective of the study was to assess how the current COVID-19 pandemic has affected cesarean section (C-section) rates, indications, and peripartum outcomes. Methods: This was a retrospective cross-sectional study that compared a 3-month rates of and indications for C-sections at three tertiary health care institutions in Nigeria before (October 2019-December 2019) and during the first wave of COVID-19 pandemic (March 2020-May 2020). Primary outcomes were C-section rate and indications between the two periods. Data were analyzed using SPSS 26.0 IBM Corporation. Rates and odds ratios with 95% confidence intervals were used to quantify indications and peripartum outcomes and statistical significance was accepted when p value was <0.05. Results: The baseline characteristics of the two groups were similar. The C-section rate during the COVID-19 period was significantly less than the period prior to the pandemic (237/580, 40.0% vs 390/833, 46.8%; p = 0.027). The rates of postdatism (odds ratio = 1.47, 95% confidence interval = 1.05-2.05, p = 0.022), fetal distress (odds ratio = 3.06, 95% confidence interval = 1.55-6.06, p = 0.017), emergency C-section (odds ratio = 1.43, 95% confidence interval = 1.01-2.05, p = 0.042), and anemia (odds ratio = 1.84, 95% confidence interval = 1.12-3.03, p = 0.016) were significantly higher during the pandemic than prepandemic. Conclusion: The overall C-section rate during the first wave of COVID-19 was significantly lower than the prepandemic period. There were higher rates of postdatism, fetal distress, emergency C-section, and postpartum anemia. Further studies on this changing C-section trend during the pandemic are needed. Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2022.)
Databáze:	MEDLINE
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