Increasing Preterm Delivery and Small for Gestational Age Trends in South Carolina during the COVID-19 Pandemic.

Autor: Chundru KJ; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA., Korte JE; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA., Wen CC; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA., Neelon B; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA.; Health Equity and Rural Outreach Innovation Center, Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, SC 29401, USA., Wilson DA; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA., Mateus J; Department of Obstetrics & Gynecology, Maternal-Fetal Medicine Division, Atrium Health, Charlotte, NC 28204, USA., Pearce JL; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA., Alkis M; Department of Obstetrics & Gynecology, College of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA., Finneran M; Department of Obstetrics & Gynecology, College of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA., Simpson S; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA., Florez H; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA.; Health Equity and Rural Outreach Innovation Center, Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, SC 29401, USA., Hunt KJ; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA.; Health Equity and Rural Outreach Innovation Center, Ralph H. Johnson Department of Veterans Affairs Medical Center, Charleston, SC 29401, USA., Malek AM; Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC 29425, USA.
Jazyk: angličtina
Zdroj: International journal of environmental research and public health [Int J Environ Res Public Health] 2024 Apr 10; Vol. 21 (4). Date of Electronic Publication: 2024 Apr 10.
DOI: 10.3390/ijerph21040465
Abstrakt: Preterm delivery (PTD) complications are a major cause of childhood morbidity and mortality. We aimed to assess trends in PTD and small for gestational age (SGA) and whether trends varied between race-ethnic groups in South Carolina (SC). We utilized 2015-2021 SC vital records linked to hospitalization and emergency department records. PTD was defined as clinically estimated gestation less than (<) 37 weeks (wks.) with subgroup analyses of PTD < 34 wks. and < 28 wks. SGA was defined as infants weighing below the 10th percentile for gestational age. This retrospective study included 338,532 (243,010 before the COVID-19 pandemic and 95,522 during the pandemic) live singleton births of gestational age ≥ 20 wks. born to 260,276 mothers in SC. Generalized estimating equations and a change-point during the first quarter of 2020 helped to assess trends. In unadjusted analyses, pre-pandemic PTD showed an increasing trend that continued during the pandemic (relative risk (RR) = 1.04, 95% CI: 1.02-1.06). PTD < 34 wks. rose during the pandemic (RR = 1.07, 95% CI: 1.02-1.12) with a significant change in the slope. Trends in SGA varied by race and ethnicity, increasing only in Hispanics (RR = 1.02, 95% CI: 1.00-1.04) before the pandemic. Our study reveals an increasing prevalence of PTD and a rise in PTD < 34 wks. during the pandemic, as well as an increasing prevalence of SGA in Hispanics during the study period.
Databáze: MEDLINE
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