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CONFERENCE PROCEEDING
Outcomes of low-risk births care during COVID-19 pandemic: A cohort study from a tertiary care center in Lithuania
1
Lithuanian University of Health Sciences- Medical Academy, The Departament of Ostetrics and Gynaecology, Kaunas, Lithuania
2
Lithuanian University of Health Sciences- Medical Academy, The Department of Preventive Medicine, Kaunas, Lithuania
Eur J Midwifery 2026;10(Supplement 1):A1031
ABSTRACT
BACKGROUND:
According to WHO, midwife-led care is the most appropriate and cost-effective type of perinatal care. As COVID-19 pandemic with it drastic changes and challenges for health systems and medical staff made large adjustments to the health care delivery system, midwife-led care became even more important supportive tool in maintaining unnecessary interventions.
OBJECTIVES:
The aim of this study was to investigate the effects of the first wave of the COVID-19 pandemic on maternal and neonatal outcomes in the low-risk deliveries.
METHODS:
Retrospective cohort study comparing outcomes of midwife-led care and team-led care in low-risk births between the COVID-19 pandemic and non-COVID-19 pandemic period. Total studied population was 1.185 singleton births, it consisted of 727 birth during non-COVID-19 period and 458 birth from COVID-19 period. Data on labor and neonatal outcome and the rate of successful spontaneous vaginal birth were compared between the groups.
RESULTS:
The rate of labor induction did not differ in low-risk parturients of COVID-19 and non-COVID-19 groups (p=0.956). Analysis of analgesia in labor showed that women in COVID-19 group used any analgesia more often compared to non-COVID-19 group (p<0.001). The mean length of postpartum hospitalization was significantly shorter during the COVID-19 period than during non-COVID-19 period in midwifery-led (p<0.001). The rates of newborns with an Apgar score below ≤ 7 after 1 and 5 min, as well as their mean Apgar scores, had no significant difference, compared COVID-19 period with non-COVID-19 period in midwife-led groups.
CONCLUSIONS:
The maternal and perinatal outcomes remained stable without any increase of the rate of unsuccessful vaginal birth and newborn asphyxia. Although maternal length of stay in the hospital was significantly shorter, birth care of low-risk women provided by midwifes preserved autonomy, integrity and resistance to respond to disaster.
KEY MESSAGE:
Our study revealed the safety of low-risk birth care during the first wave of the COVID-19 pandemic. Poster session 4 (Group B)
According to WHO, midwife-led care is the most appropriate and cost-effective type of perinatal care. As COVID-19 pandemic with it drastic changes and challenges for health systems and medical staff made large adjustments to the health care delivery system, midwife-led care became even more important supportive tool in maintaining unnecessary interventions.
OBJECTIVES:
The aim of this study was to investigate the effects of the first wave of the COVID-19 pandemic on maternal and neonatal outcomes in the low-risk deliveries.
METHODS:
Retrospective cohort study comparing outcomes of midwife-led care and team-led care in low-risk births between the COVID-19 pandemic and non-COVID-19 pandemic period. Total studied population was 1.185 singleton births, it consisted of 727 birth during non-COVID-19 period and 458 birth from COVID-19 period. Data on labor and neonatal outcome and the rate of successful spontaneous vaginal birth were compared between the groups.
RESULTS:
The rate of labor induction did not differ in low-risk parturients of COVID-19 and non-COVID-19 groups (p=0.956). Analysis of analgesia in labor showed that women in COVID-19 group used any analgesia more often compared to non-COVID-19 group (p<0.001). The mean length of postpartum hospitalization was significantly shorter during the COVID-19 period than during non-COVID-19 period in midwifery-led (p<0.001). The rates of newborns with an Apgar score below ≤ 7 after 1 and 5 min, as well as their mean Apgar scores, had no significant difference, compared COVID-19 period with non-COVID-19 period in midwife-led groups.
CONCLUSIONS:
The maternal and perinatal outcomes remained stable without any increase of the rate of unsuccessful vaginal birth and newborn asphyxia. Although maternal length of stay in the hospital was significantly shorter, birth care of low-risk women provided by midwifes preserved autonomy, integrity and resistance to respond to disaster.
KEY MESSAGE:
Our study revealed the safety of low-risk birth care during the first wave of the COVID-19 pandemic. Poster session 4 (Group B)
| eISSN: | 2585-2906 |
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