Pregnancy Outcome during the First COVID 19 Lockdown in Vienna, Austria.

Pregnancy Outcome during the First COVID 19 Lockdown in Vienna, Austria.
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DOI:
10.3390/ijerph18073782
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发表时间:
2021-04-05
影响因子:
--
通讯作者:
Hartmann B
Hartmann B
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Kirchengast S;Hartmann B

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新冠状病毒19大流行对未感染的孕妇来说是一个主要压力因素。尽管孕期母亲的压力增加了早产和宫内发育受限的风险,但越来越多的研究没有得出COVID 19封锁对妊娠结局的负面影响。本研究的重点是奥地利首个COVID19封闭期的妊娠结局。特别是,假设国家封锁对出生体重、低出生体重率和早产率没有负面影响。在一项基于医疗记录的回溯性单中心研究中,奥地利维也纳2020年3月至7月封锁阶段的669名单身活产婴儿的结局与2020年1月至2月封锁前几个月同一家医院277名活产婴儿的妊娠结局进行了比较,此外,还比较了2005年至2019年28,807名活产婴儿的结局。在封锁阶段,极低胎龄率明显低于封锁前阶段。然而,在禁闭阶段,低胎龄率略高。平均出生体重在封锁阶段显著较高;低出生体重、极低出生体重和极低出生体重的比率在封锁阶段显著降低。相比之下,在禁闭阶段,孕妇的妊娠体重增加明显更高。奥地利紧张的禁闭阶段似乎对未感染病毒的母亲的孕期长度和新生儿体重没有负面影响。
The COVID 19 pandemic represents a major stress factor for non-infected pregnant women. Although maternal stress during pregnancy increases the risk of preterm birth and intrauterine growth restriction, an increasing number of studies yielded no negative effects of COVID 19 lockdowns on pregnancy outcome. The present study focused on pregnancy outcome during the first COVID 19 lockdown phase in Austria. In particular, it was hypothesized that the national lockdown had no negative effects on birth weight, low birth weight rate and preterm birth rate. In a retrospective medical record-based single center study, the outcome of 669 singleton live births in Vienna Austria during the lockdown phase between March and July 2020 was compared with the pregnancy outcome of 277 live births at the same hospital during the pre-lockdown months of January and February 2020 and, in addition, with the outcome of 28,807 live births between 2005 and 2019. The rate of very low gestational age was significantly lower during the lockdown phase than during the pre-lockdown phase. The rate of low gestational age, however, was slightly higher during the lockdown phase. Mean birth weight was significantly higher during the lockdown phase; the rates of low birth weight, very low birth weight and extremely low birth weight were significantly lower during the lockdown phase. In contrast, maternal gestational weight gain was significantly higher during the lockdown phase. The stressful lockdown phase in Austria seems to have no negative affect on gestational length and newborn weight among non-infected mothers.
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发表时间: 2019-08-01
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