Changes in preterm birth during the COVID-19 pandemic by duration of exposure and race and ethnicity.
J Perinatol
; 42(10): 1346-1352, 2022 10.
Article
en En
| MEDLINE
| ID: mdl-35974082
ABSTRACT
OBJECTIVE:
We aimed to determine whether coronavirus-disease-2019 (COVID-19) pandemic exposure duration was associated with PTB and if the pandemic modified racial disparities. STUDYDESIGN:
We analyzed Philadelphia births and replicated in New Haven. Compared to matched months in two prior years, we analyzed overall PTB, specific PTB phenotypes, and stillbirth.RESULTS:
Overall, PTB was similar between periods with the following exceptions. Compared to pre-pandemic, early pregnancy (<14 weeks') pandemic exposure was associated with lower risk of PTB < 28 weeks' (aRR 0.60 [0.30-1.10]) and later exposure with higher risk (aRR 1.77 [0.78-3.97]) (interaction p = 0.04). PTB < 32 weeks' among White patients decreased during the pandemic, resulting in non-significant widening of the Black-White disparity from aRR 2.51 (95%CI 1.53-4.16) to aRR 4.07 (95%CI 1.56-12.01) (interaction P = 0.41). No findings replicated in New Haven.CONCLUSION:
We detected no overall pandemic effects on PTB, but potential indirect benefits for some patients which could widen disparities remains possible.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Nacimiento Prematuro
/
COVID-19
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Female
/
Humans
/
Newborn
/
Pregnancy
Idioma:
En
Revista:
J Perinatol
Asunto de la revista:
PERINATOLOGIA
Año:
2022
Tipo del documento:
Article
País de afiliación:
Estados Unidos