AI Article Synopsis
- The study analyzed the decline in cesarean delivery rates during the first 3 months of the COVID-19 pandemic at a Swiss hospital, comparing data from 2020 to previous years.
- The overall cesarean delivery rate dropped significantly from 38.7% pre-pandemic to 30.0% during the pandemic, indicating a notable impact of the health crisis.
- Despite the decrease in cesarean deliveries, maternal and infant health outcomes did not show major differences, suggesting other factors influenced the change, which requires further investigation.
Article Abstract
Objectives: During the first 3 months of the coronavirus disease 2019 (COVID-19) pandemic, our hospital's quality management team determined a decline in the rate of cesarean deliveries (CD). Thus, in this study we examined both the factors associated with this decrease as well as neonatal outcomes.
Methods: This was a retrospective observational cohort study comparing deliveries (n=597) between March and May 2020 (first nationwide "lockdown" in Switzerland) with those during the same period in 2018 and 2019 (n=1,063). A multivariable logistic regression analysis was used to examine the association between CD and the pandemic, adjusting for relevant risk factors for CD.
Results: The overall rate of CD during the pandemic period was lower (30.0%), than during the pre-pandemic period (38.7%, unadjusted odds ratio 0.68, 95% confidence interval [95%CI]: 0.55 to 0.84, p=0.0004) a result that was supported by the adjusted odds ratio (0.73, 95%CI: 0.54 to 0.99, p=0.04).
Conclusions: The results of this study confirmed a significant reduction in the rate of CD in early 2020, during the first lockdown period due to COVID-19, but without major differences in maternal and infant health indicators or in obstetric risk factors than before the pandemic. These results may have been due to a difference in the composition of the obstetric team as well as the behavior of the obstetrics team and in the patients during the pandemic, given the burden it placed on healthcare systems. However, this hypothesis remains to be tested in further research.
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| http://dx.doi.org/10.1515/jpm-2022-0378 | DOI Listing |
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