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Social distancing and extremely preterm births in the initial COVID-19 pandemic period

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2024年2月22日

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  • Vivek V. Shukla,
  • Benjamin A. Carper,
  • Namasivayam Ambalavanan,
  • Matthew A. Rysavy,
  • Edward F. Bell,
  • Abhik Das,
  • Ravi M. Patel,
  • Carl T. D’Angio,
  • Kristi L. Watterberg,
  • C. Michael Cotten,
  • Stephanie L. Merhar,
  • Myra H. Wyckoff,
  • Pablo J. Sánchez,
  • Neha Kumbhat,
  • Waldemar A. Carlo,
  • Richard A. Polin,
  • Abbot R. Laptook,
  • Martin Keszler,
  • Angelita M. Hensman,
  • Elisa Vieira,
  • Lucille St. Pierre,
  • Anna Maria Hibbs,
  • Michele C. Walsh,
  • Nancy S. Newman,
  • Sarah Smucney,
  • Arlene Zadell,
  • Brenda B. Poindexter,
  • Kurt Schibler,
  • Cathy Grisby,
  • Kristin Kirker,
  • Sandra Wuertz,
  • Juanita Dudley,
  • Traci Beiersdorfer,
  • Julia Thompson,
  • Ronald N. Goldberg,
  • Joanne Finkle,
  • Kimberley A. Fisher,
  • Matthew M. Laughon,
  • Gennie Bose,
  • Cindy Clark,
  • Stephen D. Kicklighter,
  • Donna White,
  • David P. Carlton,
  • Yvonne Loggins,
  • Judith Laursen,
  • Colleen Mackie,
  • Diane I. Bottcher,
  • Andrew A. Bremer,
  • Rosemary D. Higgins,
  • Stephanie Wilson Archer,
  • Jon E. Tyson,
  • Amir M. Khan,
  • Barbara J. Stoll,
  • Gabriela Dominguez,
  • Elizabeth Eason,
  • Donna J. Hall,
  • Apoorva Mahatme,
  • Karen Martin,
  • Ilse Reyna,
  • Emily K. Stephens,
  • Jaleesa Wade,
  • Michelle White,
  • Leif D. Nelin,
  • Sudarshan R. Jadcherla,
  • Jonathan L. Slaughter,
  • Patricia Luzader,
  • Jacqueline McCool,
  • Kyrstin Warnimont,
  • Jessica Purnell,
  • Kristi Small,
  • Melanie Stein,
  • Rox Ann Sullivan,
  • Laura Marzac,
  • Hallie Baugher,
  • Eli Zettler,
  • Bethany Miller,
  • Demi R. Beckford,
  • Brittany DeSantis,
  • Rachel Reedy,
  • Marie G. Gantz,
  • Carla M. Bann,
  • Kristin M. Zaterka-Baxter,
  • Jenna Gabrio,
  • David Leblond,
  • Jeanette O’Donnell Auman,
  • Krisa P. Van Meurs,
  • David K. Stevenson,
  • Valerie Y. Chock,
  • M. Bethany Ball,
  • Barbara P. Recine,
  • Elizabeth N. Reichert,
  • Monica V. Collins,
  • Shirley S. Cosby,
  • Tarah T. Colaizy,
  • Heidi M. Harmon,
  • Michelle L. Baack,
  • Laurie A. Hogden,
  • Karen J. Johnson,
  • Mendi L. Schmelzel,
  • Jacky R. Walker,
  • Claire A. Goeke,
  • Sarah E. Faruqui,
  • Brenda J. Coulter,
  • Bailey M. Schrimper,
  • Syndney S. Jellison,
  • Chelsey Elenkiwich,
  • Megan M. Henning,
  • Megan Broadbent,
  • Sarah Van Muyden,
  • Janell Fuller,
  • Robin K. Ohls,
  • Sandra Sundquist Beauman,
  • Conra Backstrom Lacy,
  • Mary Hanson,
  • Elizabeth Kuan,
  • Sara B. DeMauro,
  • Eric C. Eichenwald,
  • Soraya Abbasi,
  • Christine Catts,
  • Aasma S. Chaudhary,
  • Megan A. Dhawan,
  • Sarvin Ghavam,
  • Toni Mancini,
  • Karen M. Puopolo,
  • Jonathan Snyder,
  • Ronnie Guillet,
  • Anne Marie Reynolds,
  • Satyan Lakshminrusimha,
  • Michael G. Sacilowski,
  • Mary Rowan,
  • Rosemary Jensen,
  • Rachel Jones,
  • Alison Kent,
  • Diane Prinzing,
  • Ann Marie Scorsone,
  • Kyle Binion,
  • Stephanie Guilford,
  • Constance Orme,
  • Premini Sabaratnam,
  • Daisy Rochez,
  • Emily Li,
  • Jennifer Donato,
  • Luc P. Brion,
  • Joanne Duran,
  • Frances Eubanks,
  • Michelle Harrod,
  • Pollieanna Sepulvida,
  • Diana M. Vasil,
  • Bradley A. Yoder,
  • Mariana Baserga,
  • Stephen D. Minton,
  • Mark J. Sheffield,
  • Carrie A. Rau,
  • Susan Christensen,
  • Kathleen Coleman,
  • Jennifer O. Elmont,
  • Barbara L. Francom,
  • Jamie Jordan,
  • Manndi C. Loertscher,
  • Trisha Marchant,
  • Earl Maxson,
  • Kandace McGrath,
  • Hena G. Mickelsen,
  • D. Melody Parry,
  • Katherine Tice,
  • Kimberlee Weaver-Lewis,
  • Kathryn D. Woodbury

摘要

Hypothesis

Increased social distancing was associated with a lower incidence of extremely preterm live births (EPLB) during the initial COVID-19 pandemic period.

Study design

Prospective study at the NICHD Neonatal Research Network sites comparing EPLB (220/7–286/7 weeks) and extremely preterm intrapartum stillbirths (EPIS) rates during the pandemic period (March-July, weeks 9–30 of 2020) with the reference period (same weeks in 2018 and 2019), correlating with state-specific social distancing index (SDI).

Results

EPLB and EPIS percentages did not significantly decrease (1.58–1.45%, p = 0.07, and 0.08–0.06%, p = 0.14, respectively). SDI was not significantly correlated with percent change of EPLB (CC = 0.29, 95% CI = −0.12, 0.71) or EPIS (CC = −0.23, 95% CI = −0.65, 0.18). Percent change in mean gestational age was positively correlated with SDI (CC = 0.49, 95% CI = 0.07, 0.91).

Conclusions

Increased social distancing was not associated with change in incidence of EPLB but was associated with a higher gestational age of extremely preterm births.

ClinicalTrials.gov ID

Generic Database: NCT00063063.