- Akdeniz Tıp Dergisi
- Vol: 9 Issue: 2
- Effect of Sars-Cov-2 Pandemic On Obstetric Management And Pregnancy Complications In Healthy Women
Effect of Sars-Cov-2 Pandemic On Obstetric Management And Pregnancy Complications In Healthy Women
Authors : Serap Firtina Tuncer, Aysel Derbent
Pages : 199-205
Doi:10.53394/akd.1141380
View : 7 | Download : 3
Publication Date : 2023-05-01
Article Type : Research Article
Abstract :Objective: We aimed to investigate the effect of the SARS-CoV-2 pandemic on obstetric management and pregnancy complications in healthy pregnant women without SARS-CoV-2 infection. Methods: A total of 750 pregnant women who delivered singleton infants after 11 March 2020, the date when the World Health Organization (WHO) declared a pandemic, formed the study group, while 750 pregnant women who gave birth before this date formed the control group. The study included pregnant women who were found to have no infection clinically or by SARS-CoV-2 serology testing. The groups were compared in terms of demographic characteristics, type and duration of delivery, gestational age, indication for cesarean section, and pregnancy complications. Results: The median±IQR gestational age at delivery was 38±2 weeks in pregnant women who gave birth during the pandemic and 39±1 weeks in women who gave birth before the pandemic (p<0.001). Fetal birth weight was lower during the pandemic (Mean±SD: 3078±688) compared to the pre-pandemic period (Mean±SD: 3182±633) (p=0.002). The rate of primary cesarean section increased during the pandemic compared to the pre-pandemic period (61.2-50.8%, p=0.002). The rate of cesarean section due to maternal anxiety and failure to progress in labor indications was higher during the pandemic compared to the pre-pandemic period (24.3% vs. 10%, p=<0.001 and 18.3% vs. 10.4%, p=0.002, respectively). The time to delivery (vaginal or cesarean section) of patients admitted for vaginal delivery was shorter during the pandemic compared to the pre-pandemic period (Mean±SD: 9.09±3.85 vs. 10.13±3.75, p<0.001). Furthermore, the time to the diagnosis of failure to progress in labor was shorter in patients who were found to have a failure to progress in labor during the vaginal delivery process and who underwent cesarean section during the pandemic compared to the pre-pandemic period (Mean±SD: 3.56±3.04 vs 13.70±8.76, p<0.001). There was no increase in negative obstetric outcomes during the pandemic.Keywords : SARS-CoV-2, Covid-19, Pandemi, Sezaryen, Doğum, Maternal anksiyete