Social distancing and extremely preterm births in the initial COVID-19 pandemic period.

Autor: Shukla VV; Division of Neonatology, University of Alabama at Birmingham, Birmingham, AL, USA. vshukla@uabmc.edu., Carper BA; Social, Statistical, and Environmental Sciences Unit, RTI International, Research Triangle Park, NC, USA., Ambalavanan N; Division of Neonatology, University of Alabama at Birmingham, Birmingham, AL, USA., Rysavy MA; Department of Pediatrics, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX, USA., Bell EF; Department of Pediatrics, University of Iowa, Iowa City, IA, USA., Das A; Social, Statistical and Environmental Sciences Unit, RTI International, Rockville, MD, USA., Patel RM; Emory University School of Medicine, Department of Pediatrics, Children's Healthcare of Atlanta, Atlanta, GA, USA., D'Angio CT; University of Rochester School of Medicine and Dentistry, Rochester, NY, USA., Watterberg KL; University of New Mexico Health Sciences Center, Albuquerque, NM, USA., Cotten CM; Department of Pediatrics, Duke University, Durham, NC, USA., Merhar SL; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA., Wyckoff MH; Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA., Sánchez PJ; Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA., Kumbhat N; Department of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA., Carlo WA; Division of Neonatology, University of Alabama at Birmingham, Birmingham, AL, USA.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2024 Jul; Vol. 44 (7), pp. 1050-1057. Date of Electronic Publication: 2024 Feb 22.
DOI: 10.1038/s41372-024-01898-3
Abstrakt: Hypothesis: Increased social distancing was associated with a lower incidence of extremely preterm live births (EPLB) during the initial COVID-19 pandemic period.
Study Design: Prospective study at the NICHD Neonatal Research Network sites comparing EPLB (22 0/7 -28 6/7 weeks) and extremely preterm intrapartum stillbirths (EPIS) rates during the pandemic period (March-July, weeks 9-30 of 2020) with the reference period (same weeks in 2018 and 2019), correlating with state-specific social distancing index (SDI).
Results: EPLB and EPIS percentages did not significantly decrease (1.58-1.45%, p = 0.07, and 0.08-0.06%, p = 0.14, respectively). SDI was not significantly correlated with percent change of EPLB (CC = 0.29, 95% CI = -0.12, 0.71) or EPIS (CC = -0.23, 95% CI = -0.65, 0.18). Percent change in mean gestational age was positively correlated with SDI (CC = 0.49, 95% CI = 0.07, 0.91).
Conclusions: Increased social distancing was not associated with change in incidence of EPLB but was associated with a higher gestational age of extremely preterm births.
Gov Id: Generic Database: NCT00063063.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz: