PT  - JOURNAL ARTICLE
AU  - Min Du
AU  - Jie Yang
AU  - Na Han
AU  - Min Liu
AU  - Jue Liu
TI  - Association between the COVID-19 pandemic and the risk for adverse pregnancy outcomes: a cohort study
AID  - 10.1136/bmjopen-2020-047900
DP  - 2021 Feb 01
TA  - BMJ Open
PG  - e047900
VI  - 11
IP  - 2
4099  - http://bmjopen.bmj.com/content/11/2/e047900.short
4100  - http://bmjopen.bmj.com/content/11/2/e047900.full
SO  - BMJ Open2021 Feb 01; 11
AB  - Objectives The secondary impacts of the COVID-19 pandemic on adverse maternal and neonatal outcomes remain unclear. In this study, we aimed to evaluate the association between the COVID-19 pandemic and the risk for adverse pregnancy outcomes.Design We conduced retrospective analyses on two cohorts comprising 7699 pregnant women in Beijing, China, and compared pregnancy outcomes between the pre-COVID-2019 cohort (women who delivered from 20 May 2019 to 30 November 2019) and the COVID-2019 cohort (women who delivered from 20 January 2020 to 31 July 2020). The secondary impacts of the COVID-2019 pandemic on pregnancy outcomes were assessed by using multivariate log-binomial regression models, and we used interrupted time-series (ITS) regression analysis to further control the effects of time-trends.Setting One tertiary-level centre in Beijing, ChinaParticipants 7699 pregnant women.Results Compared with women in the pre-COVID-19 pandemic group, pregnant women during the COVID-2019 pandemic were more likely to be of advanced age, exhibit insufficient or excessive gestational weight gain and show a family history of chronic disease (all p<0.05). After controlling for other confounding factors, the risk of premature rupture of membranes and foetal distress was increased by 11% (95% CI, 1.04 to 1.18; p<0.01) and 14% (95% CI, 1.01 to 1.29; p<0.05), respectively, during the COVID-2019 pandemic. The association still remained in the ITS analysis after additionally controlling for time-trends (all p<0.01). We uncovered no other associations between the COVID-19 pandemic and other pregnancy outcomes (p>0.05).Conclusions During the COVID-19 pandemic, more women manifested either insufficient or excessive gestational weight gain; and the risk of premature rupture of membranes and foetal distress was also higher during the pandemic.