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The prevalence of pre\u2010eclampsia, maternal, and perinatal outcomes were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 3914 deliveries were considered, 1059 pre\u2010pandemic and 2855 during the pandemic. The overall prevalence of pre\u2010eclampsia was 10.9%, not differing significantly among periods (9.3%\u201314.3%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.144). Social and demographic characteristics were similar between groups. The use of anti\u2010hypertensive therapy during pregnancy decreased significantly (69.9% pre\u2010pandemic versus 47.1%\u201354.0% during the pandemic,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.007). The diagnosis of early\u2010onset pre\u2010eclampsia reduced significantly (37.9% before and 19.3%\u201330.2% during the pandemic,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.025), and so did the proportion of severe pre\u2010eclampsia (61.1% before and 38.1%\u201358.3% during the pandemic,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.001). However, the gestational age at birth was similar between groups, around 36\u2009weeks. COVID\u201019 positivity increased from 0.9% to 12.0% during the pandemic periods (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). There were no maternal deaths. Newborns were less often admitted to intensive care during the pandemic, and over 60% of these admissions were the result of prematurity in all periods studied. Other perinatal outcomes remained similar.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The prevalence of pre\u2010eclampsia increased during the study period, with diagnoses occurring at later gestational ages, likely due to delays in healthcare access.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70434","type":"journal-article","created":{"date-parts":[[2025,8,9]],"date-time":"2025-08-09T07:04:32Z","timestamp":1754723072000},"page":"953-961","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The impact of the\n                    <scp>COVID<\/scp>\n                    \u201019 pandemic on the diagnosis and management of pre\u2010eclampsia: Identifying healthcare delays"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2708-350X","authenticated-orcid":false,"given":"Juliana","family":"da\u2010Costa\u2010Santos","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences Universidade Estadual de Campinas  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitor V. L.","family":"Reis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences Universidade Estadual de Campinas  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodolfo R.","family":"Japecanga","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences Universidade Estadual de Campinas  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"Seabra","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences Universidade Estadual de Campinas  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maykon Anderson","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences Universidade Estadual de Campinas  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Julia","family":"Ganzeli Oliveira","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences Universidade Estadual de Campinas  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Cintra Vinchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Sciences Universidade Estadual de Campinas  Campinas Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur B. 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