From: Effects of the COVID-19 pandemic on perinatal outcomes: a retrospective cohort study from Turkey
Total births, 2019 n = 1,141,385 n (%) | Total births, 2020 n = 1,078,529 n (%) | P | |
---|---|---|---|
Periods | < 0.001 | ||
Period 1 Jan-Feb | 179,743 (15.7)a | 172,071 (16.0)b | |
Period 2 March–May | 282,405 (24.7)a | 261,500 (24.2)b | |
Period 3 June–August | 307,819 (27.0)a | 295,911 (27.4)b | |
Period 4 September–October | 191,347 (16.8)a | 183,478 (17.0)b | |
Period 5 November–December | 180,071 (15.8)a | 165,569 (15.4)b | |
Maternal age (years)* | < 0.001 | ||
< 20 | 39,994 (3.5)a | 44,840 (4.2)b | |
20–34 | 906,164 (79.4)a | 861,148 (79.8)b | |
≥ 35 | 182,934 (16.1)a | 172,535 (16.0)b | |
Gestational Age categories (weeks+days) | < 0.001 | ||
≥ 37 week | 1,015,624 (88.98)a | 960,095 (89.01)a | |
32 + 0–36 + 6 | 111,469 (9.77)a | 105,557 (9.79)a | |
28 + 0–31 + 6 | 9929 (0.87)a | 9066 (0.84)b | |
22 + 0–27 + 6 | 4363 (0.38)a | 3811 (0.35)b | |
Mode of delivery | < 0.001 | ||
Spontaneous vaginal delivery | 482,703 (42.3)a | 428,957 (39.8)b | |
Total CS rate | 658,682 (57.7)a | 649,572 (60.2) b | |
Primary versus Previous CS | < 0.001 | ||
Spontaneous vaginal delivery | 477,043 (41.8) a | 424,061 (39.3) b | |
Spontaneous vaginal delivery (Previous CS history) | 5660 (0.5) a | 4896 (0.5) b | |
Primary CS | 329,051 (28.8) a | 331,932 (30.8) b | |
Repeated CS | 329,631 (28.9) a | 317,640 (29.4) b | |
Parity | 0.138 | ||
Nulliparity | 419,758 (36.8) | 397,677 (36.9) | |
Multiparity | 721,627 (63.2) | 680,852 (63.1) | |
Pregnancy | < 0.001 | ||
Singleton | 1,103,298 (96.7) a | 1,044,879 (96.9) b | |
Multiple | 38,087 (3.3) a | 33,650 (3.1) b | |
Presentation | < 0.001 | ||
Cephalic | 1,056,275 (92.5) a | 996,902 (92.4) b | |
Breech | 64,227 (5.6) a | 61,093 (5.7) a | |
Abnormal lie | 20,883 (1.8) a | 20,534 (1.9) b | |
Onset of labor | < 0.001 | ||
Spontaneous | 1,012,234 (88.7) a | 965,862 (89.6) b | |
Induced | 129,151 (11.3) a | 112,667 (10.4) b | |
Health service category | < 0.001 | ||
Public hospital | 555,120 (48.6) a | 490,923 (45.5) b | |
Private hospital | 507,708 (44.5) a | 518,075 (48.0) b | |
University hospital | 78,557 (6.9) a | 69,531 (6.4) b | |
Infant sex | 0.785 | ||
Female | 555,992 (48.7) | 525,176 (48.7) | |
Male | 585,393 (51.3) | 553,353 (51.3) | |
Birth weight | < 0.001 | ||
≥ 2500 g | 1,050,314 (92.02) a | 995,890 (92.34) b | |
1500- < 2500 g | 78,946 (6.92) a | 71,796 (6.66) b | |
1000- < 1500 g | 7641 (0.69) a | 6887 (0.64) b | |
< 1000 g | 4484 (0.40) a | 3956 (0.37) b | |
Province of residence (NUTS-12) | < 0.001 | ||
Istanbul Region | 197,743 (17.3) a | 184,540 (17.1) b | |
West Marmara Region | 37,208 (3.3) | 35,638 (3.3) | |
Aegean Region | 116,090 (10.2) | 110,179 (10.2) | |
East Marmara Region | 102,760 (9.0) | 96,762 (9.0) | |
West Anatolia Region | 99,898 (8.8) | 93,843 (8.7) | |
Mediterranean Region | 143,862 (12.6) | 136,206 (12.6) | |
Central Anatolia Region | 50,404 (4.4) a | 47,365 (4.1) b | |
West Black Sea Region | 47,704 (4.2) | 44,175 (4.1) | |
East Black Sea | 28,563 (2.5) | 26,843 (2.5) | |
Northeast Anatolia Region | 39,017 (3.4) | 36,715 (3.4) | |
Central East Anatolia Region | 72,440 (6.3) | 68,005 (6.3) | |
Southeast Anatolia Region | 205,696 (18.0) a | 198,258 (18.4) b |