Interruption volontaire de grossesse et COVID-19 : ce que la pandémie a modifié en 2020

Diakiese, B. Matulonga; Féron, V.

doi:10.1016/j.respe.2022.06.310

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…This time lag suggests that this lockdown did not lead to an abrupt shutdown of access to abortion care providers, thus we may consider other hypotheses than difficulties in accessing abortion services. This drop might be explained by a decrease in conceptions during the weeks of the lockdown [ 10 – 12 ]. A similar drop in births was in fact observed in January and February 2021, 9 months after the first lockdown (March 17–May 11, 2020), but not in the following months [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

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Medication abortion during the COVID-19 pandemic in France: A research based on the French national health insurance database

Chaput,

Becquet,

Bithorel

et al. 2024

PLoS ONE

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Objectives During the COVID-19 pandemic in France, abortion was recognized as an essential service that cannot be delayed, and such care was therefore presumed to be maintained. The aim is to analyze the changes in the practice of abortion in 2020 to identify the consequences of the two lockdowns and the effects of the extension of the legal time limit. Methods We analyzed the data collected by the French national health insurance system, which covers 99% of the population. All women who had an elective abortion, either surgical or with medication, in France in 2019 and 2020 were included in the study. Trend changes in abortions were analyzed by comparing the ratio of the weekly number of abortions in 2020 with the weekly number in 2019. Results Both 2020 lockdowns were followed by a drop in abortions, particularly after the first and stricter lockdown. This may be explained not by an abrupt shutdown of access to abortion services, but rather by a decrease in conceptions during the lockdown weeks. The decrease was more marked for surgical abortions than for medication abortions in a hospital setting, and less so for medication abortions in non-hospital settings. Moreover, the proportion of the latter type of abortions continued to increase, showing the reinforcement of a previous trend. Conclusions Our findings indicate that expanding the legal time limit for abortion, diversifying the settings where abortions can be performed and the range of abortion providers help to facilitate access to this fundamental reproductive care.

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Section: Discussionmentioning

confidence: 99%

“…Our findings would benefit from complementary work on the most vulnerable social groups. Detailed analysis by geographical region would also be relevant because medication abortion care in non-hospital settings is not uniformly available throughout the country [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Medication abortion during the COVID-19 pandemic in France: A research based on the French national health insurance database

Chaput,

Becquet,

Bithorel

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

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The impact of hospital saturation on non-COVID-19 hospital mortality during the pandemic in France: a national population-based cohort study

Boyer,

Pauly,

Brousse

et al. 2024

BMC Public Health

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Background A previous study reported significant excess mortality among non-COVID-19 patients due to disrupted surgical care caused by resource prioritization for COVID-19 cases in France. The primary objective was to investigate if a similar impact occurred for medical conditions and determine the effect of hospital saturation on non-COVID-19 hospital mortality during the first year of the pandemic in France. Methods We conducted a nationwide population-based cohort study including all adult patients hospitalized for non-COVID-19 acute medical conditions in France between March 1, 2020 and 31 May, 2020 (1st wave) and September 1, 2020 and December 31, 2020 (2nd wave). Hospital saturation was categorized into four levels based on weekly bed occupancy for COVID-19: no saturation (< 5%), low saturation (> 5% and ≤ 15%), moderate saturation (> 15% and ≤ 30%), and high saturation (> 30%). Multivariate generalized linear model analyzed the association between hospital saturation and mortality with adjustment for age, sex, COVID-19 wave, Charlson Comorbidity Index, case-mix, source of hospital admission, ICU admission, category of hospital and region of residence. Results A total of 2,264,871 adult patients were hospitalized for acute medical conditions. In the multivariate analysis, the hospital mortality was significantly higher in low saturated hospitals (adjusted Odds Ratio/aOR = 1.05, 95% CI [1.34–1.07], P < .001), moderate saturated hospitals (aOR = 1.12, 95% CI [1.09–1.14], P < .001), and highly saturated hospitals (aOR = 1.25, 95% CI [1.21–1.30], P < .001) compared to non-saturated hospitals. The proportion of deaths outside ICU was higher in highly saturated hospitals (87%) compared to non-, low- or moderate saturated hospitals (81–84%). The negative impact of hospital saturation on mortality was more pronounced in patients older than 65 years, those with fewer comorbidities (Charlson 1–2 and 3 vs. 0), patients with cancer, nervous and mental diseases, those admitted from home or through the emergency room (compared to transfers from other hospital wards), and those not admitted to the intensive care unit. Conclusions Our study reveals a noteworthy “dose-effect” relationship: as hospital saturation intensifies, the non-COVID-19 hospital mortality risk also increases. These results raise concerns regarding hospitals’ resilience and patient safety, underscoring the importance of identifying targeted strategies to enhance resilience for the future, particularly for high-risk patients.

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Interruption volontaire de grossesse et COVID-19 : ce que la pandémie a modifié en 2020

Cited by 2 publications

References 19 publications

Medication abortion during the COVID-19 pandemic in France: A research based on the French national health insurance database

Medication abortion during the COVID-19 pandemic in France: A research based on the French national health insurance database

The impact of hospital saturation on non-COVID-19 hospital mortality during the pandemic in France: a national population-based cohort study

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