{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T22:41:17Z","timestamp":1787956877853,"version":"build-2784847793"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,5,12]],"date-time":"2022-05-12T00:00:00Z","timestamp":1652313600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this observational study was to examine whether the course of pregnancy and birth and accompanying outcomes among low\u2010risk pregnant women changed in the COVID\u201019 pandemic compared to the prepandemic period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed data from the Dutch Midwifery Case Registration System (VeCaS). Differences in the course of pregnancy and birth, and accompanying maternal and neonatal outcomes, were calculated between women pregnant during the initial months of the COVID\u201019 pandemic (March 1 to August 3, 2020) and the prepandemic period (March 1\u2013August 3, 2019). We also conducted a stratified analysis by parity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We included 5913 low\u2010risk pregnant women of whom 2963 (50.1%) were pregnant during the first surge of the COVID\u201019 pandemic, and 2950 (49.9%) in the prepandemic period. During the COVID\u201019 pandemic, more women desired and had a home birth. More women used pain medication and fewer had an episiotomy in the COVID\u201019 period than prior. Multiparous women had a higher suspected rate of fetal growth restriction during COVID; however, the actual rate of small for gestational age infants was not significantly increased. We observed no differences for onset and augmentation of labor or for mode of birth, though the rate of vaginal births increased.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>During the COVID\u201019 pandemic, there was a higher rate of planned and actual home birth, and suspected growth restriction and a lower rate of episiotomy among low\u2010risk pregnant women in the Netherlands.<\/jats:p><\/jats:sec>","DOI":"10.1111\/birt.12646","type":"journal-article","created":{"date-parts":[[2022,5,12]],"date-time":"2022-05-12T15:36:05Z","timestamp":1652369765000},"page":"792-804","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["More home births during the <scp>COVID<\/scp>\u201019 pandemic in the Netherlands"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0001-0888","authenticated-orcid":false,"given":"Corine J. M.","family":"Verhoeven","sequence":"first","affiliation":[{"name":"Department of Midwifery Science, AVAG\/Amsterdam Reproduction and Development Center Amsterdam University Medical Centres, Vrije Universiteit Amsterdam  Amsterdam Netherlands"},{"name":"Department of Midwifery, School of Health Sciences University of Nottingham  Nottingham UK"},{"name":"Department of Obstetrics and Gynaecology Maxima Medical Centre  Veldhoven the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Boer","sequence":"additional","affiliation":[{"name":"Department of Midwifery Science, AVAG\/Amsterdam Reproduction and Development Center Amsterdam University Medical Centres, Vrije Universiteit Amsterdam  Amsterdam Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjolein","family":"Kok","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Amsterdam Reproduction and Development Center Amsterdam University Medical Centre, Universiteit van Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Nieuwenhuijze","sequence":"additional","affiliation":[{"name":"Research Centre for Midwifery Science Zuyd University  Maastricht the Netherlands"},{"name":"CAPHRI School for Public Health and Primary Care Maastricht University  Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ank","family":"de Jonge","sequence":"additional","affiliation":[{"name":"Department of Midwifery Science, AVAG\/Amsterdam Public Health Research Institute Amsterdam University Medical Centres, Vrije Universiteit Amsterdam  Amsterdam Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2342-0799","authenticated-orcid":false,"given":"Lilian L.","family":"Peters","sequence":"additional","affiliation":[{"name":"Department of Midwifery Science, AVAG\/Amsterdam Reproduction and Development Center Amsterdam University Medical Centres, Vrije Universiteit Amsterdam  Amsterdam Netherlands"},{"name":"Department of General Practice and Elderly Care Medicine University of Groningen, University Medical Centre Groningen  Groningen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,12]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"National Geographic. (2020).\u2018Wet markets\u2019 likely launched the coronavirus. Here\u2019s What you Need to Know.https:\/\/www.nationalgeographic.com\/animals\/2020\/04\/coronavirus\u2010linked\u2010to\u2010chinese\u2010wet\u2010markets\/. Accessed November 26 2021."},{"key":"e_1_2_8_3_1","unstructured":"World Health Organization. (2021).WHO Coronavirus Disease (COVID\u201019) Dashboard.https:\/\/covid19.who.int. Accessed April 13 2022."},{"key":"e_1_2_8_4_1","unstructured":"World Health Organization\/Diseases\/Coronavirus disease (COVID\u201019).2020 Advice for the public (who.int)"},{"key":"e_1_2_8_5_1","unstructured":"NZa.Aanvullende maatregelen noodzakelijk om zorg voor corona\u2010 en niet\u2010coronapati\u00ebnten toegankelijk te houden;2020.https:\/\/www.nza.nl\/actueel\/nieuws\/2020\/12\/15\/aanvullende\u2010maatregelen\u2010noodzakelijk\u2010om\u2010zorg\u2010voor\u2010covid\u2010\u2010en\u2010non\u2010covid\u2010patienten\u2010toegankelijk\u2010te\u2010houden. 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Data: v1.14 bijgewerkt; Accessed September 9 2021."},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0229488"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l5517"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(20)30223-1"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2012.07.010"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12646","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/birt.12646","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12646","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T02:48:54Z","timestamp":1692499734000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.12646"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,12]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1111\/birt.12646"],"URL":"https:\/\/doi.org\/10.1111\/birt.12646","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"value":"0730-7659","type":"print"},{"value":"1523-536X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,12]]},"assertion":[{"value":"2021-12-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}