{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T13:59:08Z","timestamp":1758635948999,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,10,31]],"date-time":"2021-10-31T00:00:00Z","timestamp":1635638400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The coronavirus disease 2019 (COVID\u201019) pandemic caused by severe acute respiratory syndrome coronavirus 2 has had dramatic effects on the pregnant population worldwide, increasing the risk of adverse perinatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the incidence of antepartum stillbirth (aSB) during the COVID\u201019 pandemic in Austria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We collected epidemiological data from the Austrian Birth Registry and compared the rate of aSB (i.e., fetal death at or after 24<jats:sup>+0<\/jats:sup> gestational weeks) during the pandemic period (March\u2013December 2020) and in the respective pre\u2010pandemic months (2015\u20132019).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 65\u00a0660 pregnancies were included, of which 171 resulted in aSB at 33.7\u00a0\u00b1\u00a04.8 gestational weeks. During the pandemic, the aSB rate increased from 2.49\u2030 to 2.60\u2030 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.601), in contrast to the significant decline in preterm deliveries at or before 37 gestational weeks from 0.61\u2030 to 0.56\u2030 (relative risk [RR] 0.93; 95% confidence interval [CI] 0.91\u20130.96; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). During the first lockdown, the aSB rate significantly increased from 2.38\u2030 to 3.52\u2030 (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.021), yielding an adjusted odds ratio of 1.57 (95% CI 1.08\u20132.27; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.018). The event of aSB during the COVID\u201019 pandemic was strongly related with increased fetal weight and maternal obesity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In Austria, there has been an overall increase in the incidence of aSB during the pandemic with a significant peak during the first lockdown.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13989","type":"journal-article","created":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T22:56:21Z","timestamp":1634770581000},"page":"459-465","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Antepartum stillbirth rates during the COVID\u201019 pandemic in Austria: A population\u2010based study"],"prefix":"10.1002","volume":"156","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8981-4817","authenticated-orcid":false,"given":"Dana A.","family":"Muin","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Feto\u2010maternal Medicine Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabrina","family":"Neururer","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology Tyrolean Federal Institute for Integrated Care Tirol Kliniken GmbH  Innsbruck Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Falcone","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Feto\u2010maternal Medicine Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Windsperger","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Feto\u2010maternal Medicine Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanns","family":"Helmer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Feto\u2010maternal Medicine Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hermann","family":"Leitner","sequence":"additional","affiliation":[{"name":"Department of Clinical Epidemiology Tyrolean Federal Institute for Integrated Care Tirol Kliniken GmbH  Innsbruck Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Herbert","family":"Kiss","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Feto\u2010maternal Medicine Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Farr","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Division of Feto\u2010maternal Medicine Medical University of Vienna  Vienna Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,10,31]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"World Health Organization: WHO's COVID\u201019 response [Online]. Available:http:\/\/www.who.int\/emergencies\/diseases\/novel\u2010coronavirus\u20102019\/interactive\u2010timeline."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(20)30157-2"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-04059-y"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics11010094"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0254364"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13457"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m2107"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m2915"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.12746"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(20)30483-6"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.21369"},{"key":"e_1_2_8_13_1","first-page":"1","article-title":"Letter to the Editor on the original article \"Lack of changes in preterm delivery and stillbirths during COVID\u201019 lockdown in a European region\" by Juan Arnaez","author":"Vimalesvaran S","year":"2021","journal-title":"Eur J Pediatr"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-320682"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.7326\/M20-6367"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431\u2010021\u201003984\u20106"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.13832"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14206"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(21)00079-6"},{"key":"e_1_2_8_20_1","doi-asserted-by":"crossref","unstructured":"MohanM Appiah\u2010SakyiK OliparambilA PullattayilAK LindowSW&KonjeJC.A meta\u2010analysis of global stillbirth rates during the COVID\u201019 pandemic. 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