Effect of COVID-19 on maternal and neonatal services

Abstract

Effect of COVID-19 on maternal and neonatal services We declare no competing interests.

Antepartum stillbirth rates during the COVID‐19 pandemic in Austria: A population‐based study

“…In a large London‐based tertiary referral center, the comparison of antepartum stillbirths (above 22 weeks of gestation and excluding terminations of pregnancy) from October 2019 to January 2020 and February to June 2020 resulted in a four‐fold institutional increase in the local stillbirth rate from 1.19‰ to 6.98‰ (OR 5.79, 95% CI 1.54–10.1; P = 0.01), 9 with a constantly high incidence of 14.2‰ throughout the following months. 10 To counterbalance these local data, a further UK study assessed regional and national hospitalization data from England, including antepartum stillbirths above 24 weeks of gestation, during the pandemic from April to June 2020 and in the pre‐pandemic period between 2016 and 2019, concluding neither a regional nor a national increase in stillbirth rates in England. 11 These data support the findings of another institutional study from the UK showing no statistical difference in rates of stillbirths or decrease in preterm births.…”

Inositol and vitamin D may naturally protect human reproduction and women undergoing assisted reproduction from Covid-19 risk

“…The authors report that, compared with before the pandemic, in Nepal and UK there is an increased number of in-hospital maternal deaths and an increase in stillbirth and neonatal mortality. They also suggest that pandemic lockdowns have potentially harmful effects because of the reductions in care-seeking, increasing the incidence of the adverse outcomes observed in Nepal and the UK ( Kc et al, 2020 ; Khalil et al, 2020 ).…”

Indirect impact of SARS‐CoV‐2 pandemic on pregnancy and childbirth outcomes: A nine‐month long experience from a university center in Lombardy

“…14 Although drafted to provide guidance and safety in the context of a constantly evolving situation and knowledge, these recommendations influenced crucial aspects of obstetric care. 1,10,15,16 Direct effects of the SARS-CoV-2 infection on pregnant women and their babies have been extensively investigated, with findings unanimously suggesting that moderate-to-severe symptomatic infection associates with adverse obstetric outcomes, such as preterm birth (PTB) and low birth weight. [17][18][19][20][21][22][23][24][25][26][27] In turn, the literature examining whether the changes in social and obstetric care policies due to the pandemic have affected perinatal outcomes in uninfected and asymptomatically infected women is more controversial.…”

“…Since its start in March 2020, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has substantially impacted perinatal health. [1][2][3][4][5][6][7][8][9][10] Northern Italy, and specifically the Lombardy region, was one of the hardest hit European areas at the beginning of the pandemic. 11 On March 8, 2020, the Lombardy region issued a regionwide stay-at-home order, which was extended to all other Italian regions on March 11, 2020, and was maintained until May 18, 2020.…”

“…Since its start in March 2020, the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) pandemic has substantially impacted perinatal health. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 …”