Abstract
Amaç: COVİD-19 pandemisinin eğitim düzeyine göre, gebe kalma oranları ve doğum şekli üzerine etkisinin değerlendirilmesi amaçlanmıştır.
Materyal ve Metod: Bu çalışma, Kütahya Sağlık Bilimleri Üniversitesi Kadın Hastalıkları ve Doğum polikliniğine gebelik tanısıyla başvuran hastaların verilerinin retrospektif olarak incelenmesiyle oluşturulmuştur. Pandemi öncesindeki 6 aylık dönem ile pandemi sırasındaki 6 aylık dönem; eğitim düzeyleri, gebelik oranları ve doğum şekli açısından karşılaştırılmıştır.
Bulgular: Pandemi öncesi 6 aylık periyotta 960 yeni gebelik başvurusu olmasına karşın pandemi döneminde 6 aylık periyotta 541 yeni gebelik başvurusu olmuştur. Tüm eğitim düzeylerinde, pandemi öncesi döneme göre pandemi döneminde değişim olmuştur (p<0.001). Pandemi öncesi dönemde ilkokul mezunu yeni gebelik başvurusu %26.1’den pandemi döneminde bu oran artarak %40.1’e yükselmiştir. Üniversite ve üstü eğitim düzeyinde yeni gebelik oranı %16’dan %5.9’a düşmüştür. Sezaryen oranları pandemi öncesi döneme göre anlamlı olarak artmıştır (p=0.002).
Sonuç: COVID-19 pandemisinin kadınlar ve çiftler üzerinde olumsuz etkileri olmaktadır. Daha önceki pandemilerde olduğu gibi COVID-19 pandemisinde de gebe kalma oranları olumsuz yönde etkilenmektedir. Kadınlarda eğitim düzeyi arttıkça, pandemi öncesine göre gebe kalma oranları azalmıştır. Doğum şekli açısından sezaryen ile doğum pandemi öncesine göre belirgin olarak artmıştır. Bu sonuçların genellenebilmesi için ülke bazında çok merkezli araştırmalara ihtiyaç vardır.
Keywords
References
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- 22. Chen L, Li Q, Zheng D, Jiang H, Wei Y, Zou L, et al. Clinical Characteristics of Pregnant Women with Covid-19 in Wuhan, China. The New England journal of medicine. 2020;382(25):e100.
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- 25. Dashraath P, Wong JLJ, Lim MXK, Lim LM, Li S, Biswas A, et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. American journal of obstetrics and gynecology. 2020;222(6):521-31.
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- 27. Desrosiers A, Betancourt T, Kergoat Y, Servilli C, Say L, Kobeissi L. A systematic review of sexual and reproductive health interventions for young people in humanitarian and lower-and-middle-income country settings. BMC public health. 2020;20(1):666.
- 28. Jiang L, Hardee KJIjopr. Women's education, family planning, or both? Application of multistate demographic projections in India. 2014;2014.
Abstract
Aim: It was aimed to evaluate the effect of the COVID-19 pandemic on conception rates and mode of delivery according to education level.
Materials and Methods: This study was created by retrospectively examining the data of patients who applied to Kütahya Health Sciences University, Obstetrics and Gynecology outpatient clinic with the diagnosis of pregnancy. The 6-month period before the pandemic and the 6-month period during the pandemic; were compared in terms of education levels, pregnancy rates and mode of delivery.
Results: Although there were 960 new pregnancy applications in the 6-month period before the pandemic, there were 541 new pregnancy applications in the 6-month period during the pandemic period. In all education levels, there was a change in the pandemic period compared to the pre-pandemic period (p<0.001). In the pre-pandemic period, primary school graduate new pregnancy applications increased from 26.1% to 40.1% during the pandemic period. The rate of new pregnancy at university and higher education level decreased from 16% to 5.9%. Cesarean section rates increased significantly compared to the pre-pandemic period (p=0.002).
Conclusion: The COVID-19 pandemic has negative effects on women and couples. As in previous pandemics, pregnancy rates are adversely affected in the COVID-19 pandemic. As the education level of women increased, pregnancy rates decreased compared to the pre-pandemic period. In terms of mode of delivery, cesarean section has increased significantly compared to the pre-pandemic period. In order to generalize these results, multicenter studies are needed on a country basis.
Keywords
References
- 1. Yu N, Li W, Kang Q, Xiong Z, Wang S, Lin X, et al. Clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19 in Wuhan, China: a retrospective, single-centre, descriptive study. The Lancet Infectious diseases. 2020;20(5):559-64.
- 2. Jamieson DJ, Honein MA, Rasmussen SA, Williams JL, Swerdlow DL, Biggerstaff MS, et al. H1N1 2009 influenza virus infection during pregnancy in the USA. Lancet (London, England). 2009;374(9688):451-8.
- 3. Naccasha N, Gervasi MT, Chaiworapongsa T, Berman S, Yoon BH, Maymon E, et al. Phenotypic and metabolic characteristics of monocytes and granulocytes in normal pregnancy and maternal infection. American journal of obstetrics and gynecology. 2001;185(5):1118-23.
- 4. Souto S, Albuquerque RS, Prata AP. Fear of childbirth in time of the new coronavirus pandemic. Revista brasileira de enfermagem. 2020;73(Suppl 2):e20200551.
- 5. Nosratabadi M, Sarabi N, Masoudiyekta L. A Case Report of Vaginal Delivery at Home due to Fear of Covid-19. Iranian journal of psychiatry. 2020;15(4):366-9.
- 6. Liang H, Acharya G. Novel corona virus disease (COVID-19) in pregnancy: What clinical recommendations to follow? Acta obstetricia et gynecologica Scandinavica. 2020;99(4):439-42.
- 7. Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet (London, England). 2020;395(10226):809-15.
- 8. Zhu H, Wang L, Fang C, Peng S, Zhang L, Chang G, et al. Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia. Translational pediatrics. 2020;9(1):51-60.
- 9. Taubman-Ben-Ari O, Chasson M, Abu Sharkia S, Weiss E. Distress and anxiety associated with COVID-19 among Jewish and Arab pregnant women in Israel. Journal of reproductive and infant psychology. 2020;38(3):340-8.
- 10. Wu Y, Zhang C, Liu H, Duan C, Li C, Fan J, et al. Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 outbreak in China. American journal of obstetrics and gynecology. 2020;223(2):240.e1-.e9.
- 11. Turpeinen O. Fertility and mortality in Finland since 1750. Population studies. 1979;33(1):101-14.
- 12. Jester B, Uyeki T, Jernigan D. Readiness for Responding to a Severe Pandemic 100 Years After 1918. American journal of epidemiology. 2018;187(12):2596-602.
- 13. Mamelund SE. Fertility fluctuations in times of war and pandemic influenza. The Journal of infectious diseases. 2012;206(1):140-1; author reply 1-3.
- 14. Mamelund S-EJP. Can the Spanish influenza pandemic of 1918 explain the baby boom of 1920 in neutral Norway? 2004;59(2):229-60.
- 15. Abedi V, Olulana O, Avula V, Chaudhary D, Khan A, Shahjouei S, et al. Racial, Economic, and Health Inequality and COVID-19 Infection in the United States. Journal of racial and ethnic health disparities. 2021;8(3):732-42.
- 16. Pérez-Escamilla R, Cunningham K, Moran VH. COVID-19 and maternal and child food and nutrition insecurity: a complex syndemic. Maternal & child nutrition. 2020;16(3):e13036.
- 17. Pfefferbaum B, North CS. Mental Health and the Covid-19 Pandemic. The New England journal of medicine. 2020;383(6):510-2.
- 18. Anser MK, Yousaf Z, Khan MA, Voo XH, Nassani AA, Alotaibi SM, et al. The impacts of COVID-19 measures on global environment and fertility rate: double coincidence. Air quality, atmosphere, & health. 2020:1-10.
- 19. Livingston G, Cohn DJW, DC: Pew Research Center. Retrieved January. US birth rate decline linked to recession. 2010;19:2012.
- 20. Aassve A, Cavalli N, Mencarini L, Plach S, Livi Bacci M. The COVID-19 pandemic and human fertility. Science (New York, NY). 2020;369(6502):370-1.
- 21. Vardhelli V, Pandita A, Pillai A, Badatya SK. Perinatal COVID-19: review of current evidence and practical approach towards prevention and management. European journal of pediatrics. 2021;180(4):1009-31.
- 22. Chen L, Li Q, Zheng D, Jiang H, Wei Y, Zou L, et al. Clinical Characteristics of Pregnant Women with Covid-19 in Wuhan, China. The New England journal of medicine. 2020;382(25):e100.
- 23. Control CfD, Prevention. Data on COVID-19 during pregnancy: severity of maternal illness. 2020.
- 24. Qi H, Luo X, Zheng Y, Zhang H, Li J, Zou L, et al. Safe delivery for pregnancies affected by COVID-19. BJOG : an international journal of obstetrics and gynaecology. 2020;127(8):927-9.
- 25. Dashraath P, Wong JLJ, Lim MXK, Lim LM, Li S, Biswas A, et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. American journal of obstetrics and gynecology. 2020;222(6):521-31.
- 26. M. B. Coronavirus baby boom or bust? How the pandemic is affecting birthrates worldwide. The Washington Post. 2020.
- 27. Desrosiers A, Betancourt T, Kergoat Y, Servilli C, Say L, Kobeissi L. A systematic review of sexual and reproductive health interventions for young people in humanitarian and lower-and-middle-income country settings. BMC public health. 2020;20(1):666.
- 28. Jiang L, Hardee KJIjopr. Women's education, family planning, or both? Application of multistate demographic projections in India. 2014;2014.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Obstetrics and Gynaecology |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | July 1, 2022 |
| Submission Date | July 11, 2021 |
| Acceptance Date | October 26, 2021 |
| Published in Issue | Year 2022 Volume: 19 Issue: 2 |
