Impact of COVID-19 on Perinatal Outcomes and Birth Locations in a Large US Metropolitan Area
This was a population-based study to determine the impact of COVID-19 on birth outcomes in the Chicago metropolitan area, comparing pre-pandemic (April–September 2019) versus pandemic (April–September 2020) births. Multivariable regression models that adjusted for demographic and neighborhood charac...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/12/3/340 |
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| author | Esther G. Lee Alejandra Perez Arth Patel Aloka L. Patel Thaddeus Waters Marielle Fricchione Tricia J. Johnson |
| author_facet | Esther G. Lee Alejandra Perez Arth Patel Aloka L. Patel Thaddeus Waters Marielle Fricchione Tricia J. Johnson |
| author_sort | Esther G. Lee |
| collection | DOAJ |
| description | This was a population-based study to determine the impact of COVID-19 on birth outcomes in the Chicago metropolitan area, comparing pre-pandemic (April–September 2019) versus pandemic (April–September 2020) births. Multivariable regression models that adjusted for demographic and neighborhood characteristics were used to estimate the marginal effects of COVID-19 on intrauterine fetal demise (IUFD)/stillbirth, preterm birth, birth hospital designation, and maternal and infant hospital length of stay (LOS). There were no differences in IUFD/stillbirths or preterm births between eras. Commercially insured preterm and term infants were 4.8 percentage points (2.3, 7.4) and 3.4 percentage points (2.5, 4.2) more likely to be born in an academic medical center during the pandemic, while Medicaid-insured preterm and term infants were 3.6 percentage points less likely (−6.5, −0.7) and 1.8 percentage points less likely (−2.8, −0.9) to be born in an academic medical center compared to the pre-pandemic era. Infant LOS decreased from 2.4 to 2.2 days (−0.35, −0.20), maternal LOS for indicated PTBs decreased from 5.6 to 5.0 days (−0.94, −0.19), and term births decreased from 2.5 to 2.3 days (−0.21, −0.17). The pandemic had a significant effect on the location of births that may have exacerbated health inequities that continue into childhood. |
| first_indexed | 2024-03-08T03:56:53Z |
| format | Article |
| id | doaj.art-9dc086d3a9414e7ca9b34a9d9752170d |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-08T03:56:53Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-9dc086d3a9414e7ca9b34a9d9752170d2024-02-09T15:12:39ZengMDPI AGHealthcare2227-90322024-01-0112334010.3390/healthcare12030340Impact of COVID-19 on Perinatal Outcomes and Birth Locations in a Large US Metropolitan AreaEsther G. Lee0Alejandra Perez1Arth Patel2Aloka L. Patel3Thaddeus Waters4Marielle Fricchione5Tricia J. Johnson6Division of Neonatology, Department of Pediatrics, Rush University Medical Center, Chicago, IL 60612, USADepartment of Health Systems Management, Rush University, Chicago, IL 60612, USADepartment of Health Systems Management, Rush University, Chicago, IL 60612, USADivision of Neonatology, Department of Pediatrics, Rush University Medical Center, Chicago, IL 60612, USADepartment of Obstetrics & Gynecology, Rush University Medical Center, Chicago, IL 60612, USADivision of Infectious Diseases, Department of Pediatrics, Rush University Medical Center, Chicago, IL 60612, USADepartment of Health Systems Management, Rush University, Chicago, IL 60612, USAThis was a population-based study to determine the impact of COVID-19 on birth outcomes in the Chicago metropolitan area, comparing pre-pandemic (April–September 2019) versus pandemic (April–September 2020) births. Multivariable regression models that adjusted for demographic and neighborhood characteristics were used to estimate the marginal effects of COVID-19 on intrauterine fetal demise (IUFD)/stillbirth, preterm birth, birth hospital designation, and maternal and infant hospital length of stay (LOS). There were no differences in IUFD/stillbirths or preterm births between eras. Commercially insured preterm and term infants were 4.8 percentage points (2.3, 7.4) and 3.4 percentage points (2.5, 4.2) more likely to be born in an academic medical center during the pandemic, while Medicaid-insured preterm and term infants were 3.6 percentage points less likely (−6.5, −0.7) and 1.8 percentage points less likely (−2.8, −0.9) to be born in an academic medical center compared to the pre-pandemic era. Infant LOS decreased from 2.4 to 2.2 days (−0.35, −0.20), maternal LOS for indicated PTBs decreased from 5.6 to 5.0 days (−0.94, −0.19), and term births decreased from 2.5 to 2.3 days (−0.21, −0.17). The pandemic had a significant effect on the location of births that may have exacerbated health inequities that continue into childhood.https://www.mdpi.com/2227-9032/12/3/340COVID-19preterm birthacademic medical centersbirth hospital designationlength of stay |
| spellingShingle | Esther G. Lee Alejandra Perez Arth Patel Aloka L. Patel Thaddeus Waters Marielle Fricchione Tricia J. Johnson Impact of COVID-19 on Perinatal Outcomes and Birth Locations in a Large US Metropolitan Area Healthcare COVID-19 preterm birth academic medical centers birth hospital designation length of stay |
| title | Impact of COVID-19 on Perinatal Outcomes and Birth Locations in a Large US Metropolitan Area |
| title_full | Impact of COVID-19 on Perinatal Outcomes and Birth Locations in a Large US Metropolitan Area |
| title_fullStr | Impact of COVID-19 on Perinatal Outcomes and Birth Locations in a Large US Metropolitan Area |
| title_full_unstemmed | Impact of COVID-19 on Perinatal Outcomes and Birth Locations in a Large US Metropolitan Area |
| title_short | Impact of COVID-19 on Perinatal Outcomes and Birth Locations in a Large US Metropolitan Area |
| title_sort | impact of covid 19 on perinatal outcomes and birth locations in a large us metropolitan area |
| topic | COVID-19 preterm birth academic medical centers birth hospital designation length of stay |
| url | https://www.mdpi.com/2227-9032/12/3/340 |
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