Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Results of Pregnancy Control before and during the Covid-19 Pandemic: A Comparison of Two Cohorts

Version 1 : Received: 20 June 2021 / Approved: 22 June 2021 / Online: 22 June 2021 (10:22:56 CEST)

A peer-reviewed article of this Preprint also exists.

Llorca, J.; Lechosa-Muñiz, C.; Frank de Zulueta, P.; López-Gómez, S.; Orallo, V.; Alonso-Molero, J.; Arozamena-Llano, B.; Jubete, Y.; Paz-Zulueta, M.; Cabero, M.J.; on behalf of the MOACC-19 Group. Results of Pregnancy Control before and during the COVID-19 Pandemic: A Comparison of Two Cohorts. Int. J. Environ. Res. Public Health 2021, 18, 8182. Llorca, J.; Lechosa-Muñiz, C.; Frank de Zulueta, P.; López-Gómez, S.; Orallo, V.; Alonso-Molero, J.; Arozamena-Llano, B.; Jubete, Y.; Paz-Zulueta, M.; Cabero, M.J.; on behalf of the MOACC-19 Group. Results of Pregnancy Control before and during the COVID-19 Pandemic: A Comparison of Two Cohorts. Int. J. Environ. Res. Public Health 2021, 18, 8182.

Abstract

COVID-19 pandemic put pregnant women in high risk, but behavioural changes has also led to lower rates of preterm births in high-income countries. The main goal in this article is to study the impact that COVID-19 pandemic is having on pregnancy control and outcomes. This is a joint analysis of two cohorts. A pre-pandemic one includes 969 pregnant women recruited in 2018. The pandemic cohort comprises 1168 pregnant women recruited in 2020. Information on demographic and socio-economic characteristics, reproductive history, characteristics of the current pregnancy and its outcome were obtained from medical records. Caesarean section was more frequent in the pre-pandemic cohort (24% vs. 18%, p = 0.004). Birth with less than 37 weeks of gestational age was more frequent in the pre-pandemic cohort (6% vs. 5%, p = 0.04). Weight at birth lower than 2500 grams occurred more frequently in the pre-pandemic cohort (9% vs. 6%, p = 0.001). Exclusive breastfeeding at hospital discharge was more frequent in the pandemic cohort than in the pre-pandemic one (60% vs. 54%, p = 0.005). We are reporting reductions in Caesarean section and preterm birth during the pandemic in a hospital located Northern of Spain. Further analysis would clarify if these lessening are related to changes in health-related behaviour or health-care functioning.

Keywords

COVID19; pregnant; cohort

Subject

Medicine and Pharmacology, Immunology and Allergy

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