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022 _a0361-929x
040 _cOCT
100 _aGibson, Brandi
240 _aThe American Journal of Maternal/Child Nursing /
_hJuly/August 2024
245 _aPre-pandemic versus early covid-19 perinatal outcomes at a military hospital /
_cBrandi Gibson, Dehussa Urbieta, Shiela Sweeney, Jane Ferguson, Dale Glaser, and Abigail Yablonsky Marter
300 _aVol 49 (4) pages 219-224 :
_billustrations ;
_c27 cm
500 _aAbstract Purpose: The purpose of this study was to examine the impact of the first year of COVID-19 pandemic on maternal and neonatal outcomes at a large military treatment facility in Southern California. Study Design and Methods: A retrospective review of maternal and neonatal medical records was conducted between January 1, 2019, and December 31, 2020. Outcomes measured included stillbirth rate, neonatal intensive care unit admission, neonatal death, cesarean birth, and postpartum hemorrhage. Results: A total of 4,425 records were analyzed. Rates of stillbirth between the years did not vary. The neonatal death rate decreased more than 50% in 2020 (p = 149). Cesarean births rose by 2.7% in 2020 (p = .046). Rates of postpartum hemorrhage did not vary between years. Clinical Implications: The impact of COVID-19 on maternal and neonatal outcomes at a military treatment facility in the first year of the COVID-19 pandemic provides guidance for optimizing perinatal health care. Vertical transmission of COVID-19 is low and routine testing of asymptomatic neonates of positive mothers may not be neces-sary. COVID-19 infections should not be an indication for cesarean birth and are not associated with neonatal deaths or NICU admission.
650 _aCovid-19
650 _aMilitary family
650 _aNewborn
650 _aPerinatal care
650 _aStillbirth
700 _aUrbieta, Dehussa
700 _aSweeney, Shiela
700 _aFerguson, Jane
700 _aGlaser, Dale
700 _aMarter, Abigail Yablonsky
942 _2ddc
_cCR
_n0
999 _c9947
_d9947