The associated factors of cesarean section during COVID-19 pandemic: a cross-sectional study in nine cities of China.
10.1186/s12199-020-00899-w
- Author:
Jian ZHANG
1
;
Yumei ZHANG
2
;
Yidi MA
2
;
Yalei KE
2
;
Shanshan HUO
2
;
Liping HE
3
;
Wenjuan LUO
4
;
Jing LI
5
;
Ai ZHAO
6
Author Information
1. Vanke School of Public Health, Tsinghua University, Beijing, 100091, China.
2. School of Public Health, Peking University, Beijing, 100191, China.
3. School of Public Health, XiangNan University, Chenzhou, 423000, China.
4. Jiangxi Maternal and Child Health Hospital, Nanchang, 330006, China.
5. Shenyang Maternal and Child Health Hospital, Shenyang, 110000, China.
6. Vanke School of Public Health, Tsinghua University, Beijing, 100091, China. aizhao18@tsinghua.edu.cn.
- Publication Type:Journal Article
- Keywords:
COVID-19;
Cesarean section;
Gestational weight gain;
Pregnancy
- From:Environmental Health and Preventive Medicine
2020;25(1):60-60
- CountryJapan
- Language:English
-
Abstract:
BACKGROUND:Improving and maintaining the health of mothers and newborns is indisputably a global priority, especially during a pandemic. This study intends to examine the factors associated with cesarean section (CS) during lockdown time.
METHODS:A total of 678 women who just gave birth within 7 days were enrolled from maternal and children hospitals in nine cities of China from April to May 2020. The delivery modes and potential influencing factors were investigated. The subgroup analysis and sensitivity analysis were used to examine the association of CS and risk factors among populations with different characteristics and to control for possible confounding, respectively.
RESULTS:The overall rate of cesarean delivery was 37.3%. In multi-variant model, maternal age > 30 years (OR, 95% CI = 1.71, 1.21-2.41), higher pre-gestational BMI (OR, 95% CI = 1.16, 1.10-1.23), living in regions with confirmed COVID-19 cases > 500 (OR, 95% CI = 2.45, 1.74-3.45), and excess gestational weight gain (OR, 95% CI = 1.73, 1.17-2.55) were associated with cesarean delivery. These trends of associations were not changes in sensitivity analysis and subgroup analysis. Cesarean delivery occurred more in women who got more nutrition instruction during the pandemic period in the univariant model; however, this association showed insignificance in the multiple-variant analysis.
CONCLUSION:A high cesarean delivery rate was found in uninfected women who experienced lockdown in their third trimester. During the COVID-19 pandemic, more medical support should be provided in severely affected regions to ensure and promote health in pregnancy.
