Abstract：
OBJECTIVE: The purpose of this study was to examine the impact of the first year of COVID-19 pandemic on maternal and neonatal outcomes at a large military treatment facility in Southern California.
METHODS: A retrospective review of maternal and neonatal medical records was conducted between January 1, 2019, and December 31, 2020. Outcomes measured included stillbirth rate, neonatal intensive care unit admission, neonatal death, cesarean birth, and postpartum hemorrhage.
RESULTS: A total of 4,425 records were analyzed. Rates of stillbirth between the years did not vary. The neonatal death rate decreased more than 50% in 2020 (p = .149). Cesarean births rose by 2.7% in 2020 (p = .046). Rates of postpartum hemorrhage did not vary between years.
CONCLUSIONS: The impact of COVID-19 on maternal and neonatal outcomes at a military treatment facility in the first year of the COVID-19 pandemic provides guidance for optimizing perinatal health care. Vertical transmission of COVID-19 is low and routine testing of asymptomatic neonates of positive mothers may not be necessary. COVID-19 infections should not be an indication for cesarean birth and are not associated with neonatal deaths or NICU admission.
METHODS: A retrospective review of maternal and neonatal medical records was conducted between January 1, 2019, and December 31, 2020. Outcomes measured included stillbirth rate, neonatal intensive care unit admission, neonatal death, cesarean birth, and postpartum hemorrhage.
RESULTS: A total of 4,425 records were analyzed. Rates of stillbirth between the years did not vary. The neonatal death rate decreased more than 50% in 2020 (p = .149). Cesarean births rose by 2.7% in 2020 (p = .046). Rates of postpartum hemorrhage did not vary between years.
CONCLUSIONS: The impact of COVID-19 on maternal and neonatal outcomes at a military treatment facility in the first year of the COVID-19 pandemic provides guidance for optimizing perinatal health care. Vertical transmission of COVID-19 is low and routine testing of asymptomatic neonates of positive mothers may not be necessary. COVID-19 infections should not be an indication for cesarean birth and are not associated with neonatal deaths or NICU admission.
摘要：
目的：这项研究的目的是研究在南加州的一家大型军事治疗机构中，COVID-19大流行的第一年对孕产妇和新生儿结局的影响。
方法：在2019年1月1日至2020年12月31日期间对孕产妇和新生儿的医疗记录进行了回顾性审查。测量的结果包括死胎率，新生儿重症监护病房入院，新生儿死亡,剖宫产,产后出血。
结果：共分析了4,425条记录。几年之间的死胎率没有变化。2020年新生儿死亡率下降了50%以上（p=0.149）。2020年剖腹产率上升2.7%（p=0.046）。产后出血的发生率在几年之间没有变化。
结论：在COVID-19大流行的第一年，COVID-19对军事治疗机构的母婴结局的影响为优化围产期保健提供了指导。COVID-19的垂直传播很低，可能不需要对阳性母亲的无症状新生儿进行常规检测。COVID-19感染不应成为剖宫产的指征，也与新生儿死亡或NICU入院无关。
方法：在2019年1月1日至2020年12月31日期间对孕产妇和新生儿的医疗记录进行了回顾性审查。测量的结果包括死胎率，新生儿重症监护病房入院，新生儿死亡,剖宫产,产后出血。
结果：共分析了4,425条记录。几年之间的死胎率没有变化。2020年新生儿死亡率下降了50%以上（p=0.149）。2020年剖腹产率上升2.7%（p=0.046）。产后出血的发生率在几年之间没有变化。
结论：在COVID-19大流行的第一年，COVID-19对军事治疗机构的母婴结局的影响为优化围产期保健提供了指导。COVID-19的垂直传播很低，可能不需要对阳性母亲的无症状新生儿进行常规检测。COVID-19感染不应成为剖宫产的指征，也与新生儿死亡或NICU入院无关。
