Preterm Birth Rates and Racial Disparities during the COVID-19 Pandemic at a Single Institution in the Southeastern United States

Autor: Jennifer J. M. Cate, Amanda M. Craig, Brenna L. Hughes, Sarah K. Dotters-Katz, Sarahn M. Wheeler
Rok vydání: 2023
Předmět:
Zdroj: American Journal of Perinatology.
ISSN: 1098-8785
0735-1631
DOI: 10.1055/a-2008-8229
Popis: Objective The COVID pandemic has been associated with varied effects on preterm birth (PTB). We sought to compare rates of PTB during the pre- and post vaccination COVID periods with pre-pandemic PTB rates, stratified by race and ethnicity. Study Design Retrospective cohort comparing all deliveries over 20 weeks at a single tertiary center during “early” (March 2020–June 2020) versus “late” COVID (March 2021–June 2021), and “late” COVID versus pre-COVID (March to June 2014–2019). PTBs Results A total of 16,483 deliveries occurred including 2,068 “early” COVID, 2,115 “late” COVID, and 12,300 pre-COVID. The PTB rate during “late” COVID was lower compared to “early” COVID (12.1 vs. 14.6%, p = 0.02). Rate of PTB Conclusion During 2021, PTB rates decreased from rates observed in 2020 at the height of COVID restrictions. Among White birthing individuals, PTB decreased in 2021 compared to pre-COVID rates. This decrease was not observed in Black and Hispanic birthing individuals. These data highlight the continued racially disparate impact of the COVID-19 pandemic on PTB rates. Key Points
Databáze: OpenAIRE