{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T04:57:18Z","timestamp":1781153838240,"version":"3.54.1"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:00:00Z","timestamp":1777680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:00:00Z","timestamp":1777680000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Preterm birth rates may have been affected during the COVID\u201019 pandemic but the impact of this on perinatal morbidity is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To review the impact of the COVID\u201019 pandemic on rates of preterm birth and perinatal mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medline, Embase, and online pre\u2010prints were searched from Jan 2020 to Oct 2022. Case\u2013control, cohort studies and reports comparing rates of preterm birth, stillbirth and neonatal death before and during the COVID\u201019 pandemic period were included. The pooled odds ratio (OR) for preterm birth, stillbirth and neonatal death was calculated using a random effects model. The primary outcome was the rate of preterm birth, stillbirth and neonatal death in the pre\u2010pandemic and pandemic periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      100 studies were included. Compared with pre\u2010pandemic periods, there was a decrease in preterm births during the pandemic period: OR 0.95 (95% CI 0.94\u20130.97)\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>\n                        <jats:italic>2<\/jats:italic>\n                      <\/jats:sup>\n                      \u2009=\u20090.93, with the greatest reduction for births &lt;\u200928\u2009weeks' gestation in high\u2010income countries: OR 0.92 (95% CI 0.88\u20130.96),\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>\n                        <jats:italic>2<\/jats:italic>\n                      <\/jats:sup>\n                      \u2009=\u20090.46. There was a reduction in neonatal deaths in high\u2010income countries: OR 0.78 (95% CI 0.64\u20130.95),\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>\n                        <jats:italic>2<\/jats:italic>\n                      <\/jats:sup>\n                      \u2009=\u20090.4. In low\u2010 and middle\u2010income countries the stillbirth rate increased during the pandemic compared with the pre\u2010pandemic period: OR 1.18 (95% CI 1.02\u20131.36),\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>\n                        <jats:italic>2<\/jats:italic>\n                      <\/jats:sup>\n                      \u2009=\u20090.86.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The COVID\u201019 pandemic was associated with a reduction in preterm births and neonatal deaths. Further research is needed to investigate the mechanisms underlying these findings. Stillbirth rates increased in low\u2010 and middle\u2010income countries where access to healthcare may have been restricted and strategies to address this in future pandemics are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70403","type":"journal-article","created":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:15:31Z","timestamp":1777706131000},"page":"924-935","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preterm Birth and Perinatal Mortality During the\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic Period: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"62","author":[{"given":"S. R.","family":"Peart","sequence":"first","affiliation":[{"name":"Neonatal Services The Royal Women's Hospital Melbourne  Parkville Australia"},{"name":"Clinical Sciences Murdoch Children's Research Institute  Parkville Australia"},{"name":"Department of Obstetrics, Gynaecology and Newborn Health The University of Melbourne  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Haj\u2010Yahya","sequence":"additional","affiliation":[{"name":"Department of Maternal Fetal Medicine The Royal Women's Hospital Melbourne  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Nugent","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Western Health  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Ganbold","sequence":"additional","affiliation":[{"name":"Department of Medicine, Melbourne Medical School University of Melbourne  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Harbinson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynaecology and Newborn Health The University of Melbourne  Parkville Australia"},{"name":"Department of Maternal Fetal Medicine The Royal Women's Hospital Melbourne  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheong","family":"JLY","sequence":"additional","affiliation":[{"name":"Neonatal Services The Royal Women's Hospital Melbourne  Parkville Australia"},{"name":"Clinical Sciences Murdoch Children's Research Institute  Parkville Australia"},{"name":"Department of Obstetrics, Gynaecology and Newborn Health The University of Melbourne  Parkville Australia"},{"name":"Department of Medicine, Melbourne Medical School University of Melbourne  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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L.","family":"Whitehead","sequence":"additional","affiliation":[{"name":"Clinical Sciences Murdoch Children's Research Institute  Parkville Australia"},{"name":"Department of Obstetrics, Gynaecology and Newborn Health The University of Melbourne  Parkville Australia"},{"name":"Department of Maternal Fetal Medicine The Royal Women's Hospital Melbourne  Parkville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,2]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2017.07.009"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30451-0"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2018.04.003"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60136-1"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61856-X"},{"key":"e_1_2_15_7_1","volume-title":"Born Too Soon: The Global Action Report on Preterm Birth","author":"Howson C. 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