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10.1002/ijgo.13564

http://scihub22266oqcxt.onion/10.1002/ijgo.13564
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33368201!9087794!33368201
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suck abstract from ncbi


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pmid33368201      Int+J+Gynaecol+Obstet 2021 ; 153 (1): 76-82
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  • Stillbirths and the COVID-19 pandemic: Looking beyond SARS-CoV-2 infection #MMPMID33368201
  • Kumar M; Puri M; Yadav R; Biswas R; Singh M; Chaudhary V; Jaiswal N; Meena D
  • Int J Gynaecol Obstet 2021[Apr]; 153 (1): 76-82 PMID33368201show ga
  • OBJECTIVE: To study the impact of the COVID-19 outbreak and subsequent lockdown on the incidence, associated causes, and modifiable factors of stillbirth. METHODS: An analytical case-control study was performed comparing stillbirths from March to September 2020 (cases) and March to September 2019 (controls) in a tertiary care center in India. Modifiable factors were observed as level-I, level-II, and level-III delays. RESULTS: A significant difference in the rate of stillbirths was found among cases (37.4/1000) and controls (29.9/1000) (P = 0.045). Abruption in normotensive women was significantly higher in cases compared to controls (P = 0.03). Modifiable factors or preventable causes were noted in 76.1% of cases and 59.6% of controls; the difference was highly significant (P < 0.001, relative risk [RR] 1.8). Level-II delays or delays in reaching the hospital for delivery due to lack of transport were observed in 12.7% of cases compared to none in controls (P < 0.006, RR 47.7). Level-III delays or delays in providing care at the facility were observed in 31.3% of cases and 11.5% of controls (P < 0.001, RR 2.7). CONCLUSION: Although there was no difference in causes of stillbirth between cases and controls, level-II and level-III delays were significantly impacted by the pandemic, leading to a higher rate of preventable stillbirths in pregnant women not infected with COVID-19.
  • |*COVID-19/epidemiology/prevention & control[MESH]
  • |*Pregnancy Complications/epidemiology/prevention & control/therapy[MESH]
  • |Adult[MESH]
  • |Case-Control Studies[MESH]
  • |Causality[MESH]
  • |Communicable Disease Control/*methods[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |India/epidemiology[MESH]
  • |Needs Assessment[MESH]
  • |Pregnancy[MESH]
  • |SARS-CoV-2[MESH]
  • |Stillbirth/*epidemiology[MESH]
  • |Tertiary Care Centers/statistics & numerical data[MESH]


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