{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T01:21:19Z","timestamp":1777512079820,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T00:00:00Z","timestamp":1712016000000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2024,10]]},"abstract":"Introduction<\/jats:title>The 400\u2009000 residents of the Illawarra Shoalhaven Local Health District (ISLHD) experienced two distinct lockdowns aimed at mitigating the transmission of severe acute respiratory syndrome coronavirus 2 infection. Analysing effects of these lockdowns on maternal and neonatal outcomes presents a valuable opportunity to assess the impact of pandemic\u2010level restrictions on maternal and neonatal outcomes.<\/jats:p><\/jats:sec>Aim<\/jats:title>Evaluate the impacts of restrictions from two lockdown periods on maternal, birthing, and neonatal outcomes within a regional local health district.<\/jats:p><\/jats:sec>Materials and Methods<\/jats:title>The study included 22\u2009166 women who gave birth within ISLHD between 2017 and 2022. Groups included for analysis: Control Group \u2013 mothers pregnant before the pandemic (conception before 3 April 2019); Exposure Group 1 \u2013 mothers pregnant during the first lockdown (conception date 22 January 2020 to 5 May 2020); and Exposure Group 2 \u2013 mothers pregnant during the second lockdown (conception date 30 April 2021 to 13 Sep 2021).<\/jats:p><\/jats:sec>Results<\/jats:title>Odds of adverse birthing outcomes including non\u2010reassuring fetal status (odds ratio (OR) 1.34; 95% CI 1.14\u20131.56 and OR 1.20; 95% CI 1.03\u20131.40), and postpartum haemorrhage (OR 2.04; 95% CI 1.73\u20132.41 and OR 1.74; 95% CI 1.48\u20132.05) were substantially increased in Exposure Groups 1 and 2, respectively. Gestational diabetes, gestational hypertension, low birth weight and admission to neonatal intensive care rates improved.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Pregnant women exposed to pandemic restrictions within ISLHD had decreased odds of adverse antenatal and neonatal outcomes, but increased odds of poor peripartum outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13812","type":"journal-article","created":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T06:13:45Z","timestamp":1712124825000},"page":"459-466","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["COVID<\/scp>\u201019 lockdowns affected birthing outcomes in a regional New South Wales Health District"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4716-4016","authenticated-orcid":false,"given":"Pierre","family":"Hofstee","sequence":"first","affiliation":[{"name":"Graduate School of Medicine, Faculty of Science, Medicine and Health University of Wollongong Wollongong New South Wales Australia"},{"name":"The Tweed Hospital Northern New South Wales Local Health District Tweed Heads New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bridie","family":"Mulholland","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Faculty of Science, Medicine and Health University of Wollongong Wollongong New South Wales Australia"},{"name":"Faculty of Health Sciences and Medicine Bond University Gold Coast Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Kelly","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Faculty of Science, Medicine and Health University of Wollongong Wollongong New South Wales Australia"},{"name":"School of Medical, Indigenous and Health Sciences University of Wollongong Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Warren","family":"Davis","sequence":"additional","affiliation":[{"name":"Graduate School of Medicine, Faculty of Science, Medicine and Health University of Wollongong Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Curtis","sequence":"additional","affiliation":[{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health University of Sydney Sydney New South Wales Australia"},{"name":"Emergency Services Illawarra Shoalhaven Local Health District Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,2]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2020-003075"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2020-319990"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-29136-4_15"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.202604"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.02.017"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.23743"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61602-X"},{"key":"e_1_2_10_9_1","unstructured":"MHMR.Public Health (COVID\u201019 Restrictions on Gathering and Movement) Order 2020 (30 March 2020). New South Wales Government Gazette.2020:1149\u20131163."},{"key":"e_1_2_10_10_1","article-title":"Bondi and beyond. Lessons from three waves of COVID\u201019 from 2020","volume":"31","author":"Kapon A","year":"2021","journal-title":"Public Health Research & Practice"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(21)00079-6"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19084710"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12569"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/14034948211011793"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19084900"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13203"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-04268-5"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003884"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060520939337"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13812","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,20]],"date-time":"2024-12-20T11:13:32Z","timestamp":1734693212000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13812"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,2]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1111\/ajo.13812"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13812","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"value":"0004-8666","type":"print"},{"value":"1479-828X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,2]]},"assertion":[{"value":"2023-08-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}