@文章{信息:doi/10.2196/27769，作者="Noddin, Katie和Bradley, Dani和Wolfberg, Adam"，标题="在怀孕移动应用程序中报告的COVID-19大流行期间的分娩结果:回顾性队列研究"，期刊="JMIR儿科父母"，年="2021"，月=" 10月"，日="4"，卷="4"，数="4"，页="e27769"，关键词="数字健康;COVID-19;孕产妇健康;妇产科;COVID;大流行;孕妇;出生;医院;交付; women's health; Cesarean sections", abstract="Background: The COVID-19 pandemic has presented obstacles for providers and patients in the maternal health care setting, causing changes to many pregnant women's birth plans, as well as abrupt changes in hospital labor and delivery policies and procedures. Few data exist on the effects of the COVID-19 pandemic on the maternal health care landscape at the national level in the United States. Objective: The aim of this study is to assess the incidence of key obstetrics outcomes (preterm delivery, Cesarean sections, and home births) and length of hospital stay during the COVID-19 pandemic as compared to the 6 months prior. Methods: We conducted a retrospective cohort study of women aged 18-44 years in the United States who delivered between October 1, 2019, and September 30, 2020, had singleton deliveries, and completed a birth report in the Ovia Pregnancy mobile app. Women were assigned to the prepandemic cohort if they delivered between October 2019 and March 2020, and the pandemic cohort if they delivered between April and September 2020. Gestational age at delivery, delivery method, delivery facility type, and length of hospital stay were compared. Results: A total of 304,023 birth reports were collected, with 152,832 (50.26{\%}) in the prepandemic cohort and 151,191 (49.73{\%}) in the pandemic cohort. Compared to the prepandemic cohort, principal findings indicate a 5.67{\%} decrease in preterm delivery rates in the pandemic cohort (P<.001; odds ratio [OR] 0.94, 95{\%} CI 0.91-0.96), a 30.0{\%} increase in home birth rates (P<.001; OR 1.3, 95{\%} CI 1.23-1.4), and a 7.81{\%} decrease in the average hospital length of stay postdelivery (mean 2.48 days, SD 1.35). There were no overall changes in Cesarean section rates between cohorts, but differences were observed between age, race, and ethnicity subgroups. Conclusions: Results suggest a need for continuous monitoring of maternal health trends as the COVID-19 pandemic progresses and underline the important role of digital data collection, particularly during the pandemic. ", issn="2561-6722", doi="10.2196/27769", url="https://pediatrics.www.mybigtv.com/2021/4/e27769", url="https://doi.org/10.2196/27769", url="http://www.ncbi.nlm.nih.gov/pubmed/34509975" }