{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:19:18Z","timestamp":1791235158879,"version":"4.1.0"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"9","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: The coronavirus disease pandemic has significantly impacted maternal and neonatal health outcomes.  METHODS: This retrospective study compared the health outcomes of 1,556 pregnant women and their newborns who gave birth before and during the pandemic at a tertiary university hospital. Demographic and clinical data were collected from hospital medical records. The primary outcome was the association between coronavirus disease and neonatal intensive care unit admission rates, while the secondary outcomes included birth weight, gestational age at delivery, 5th-min APGAR scores, and maternal complications.  RESULTS: During the pandemic, screening test rates (58.9 vs. 33.2%, p&lt;0.001), gestational diabetes mellitus prevalence (9.8 vs. 4.2%, p&lt;0.001), and neonatal intensive care unit admission rates (8 vs. 4.4%, p=0.003) were significantly higher than those in the pre-pandemic period. Preterm birth rates were lower during the pandemic (12.5 vs. 25.1%, p&lt;0.001). Logistic regression analysis revealed that infants born during the pandemic had a significantly higher likelihood of neonatal intensive care unit admission (OR 1.910, 95%CI 1.237\u20132.949, p=0.004).  CONCLUSION: These findings highlight the need for health systems to be prepared and resilient to public health crises, ensuring uninterrupted health services for pregnant women and newborns.<\/jats:p>","DOI":"10.1590\/1806-9282.20250553","type":"journal-article","created":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T15:04:53Z","timestamp":1760713493000},"source":"Crossref","is-referenced-by-count":1,"title":["How do pandemic changed obstetric and neonatal outcomes: experience from a tertiary care center"],"prefix":"10.1590","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7262-4320","authenticated-orcid":false,"given":"Samet","family":"K\u0131rat","sequence":"first","affiliation":[{"name":"Kafkas University,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"e759","DOI":"10.1016\/S2214-109X(21)00079-6","article-title":"Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis","volume":"9","author":"Chmielewska B","year":"2021","journal-title":"Lancet Glob Health"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"e3255","DOI":"10.1055\/s-0043-1777717","article-title":"How did the COVID-19 pandemic affect maternal and neonatal health?","volume":"41","author":"Dogan NN","year":"2024","journal-title":"Am J Perinatol"},{"issue":"3","key":"ref3","doi-asserted-by":"crossref","first-page":"977","DOI":"10.4103\/jfmpc.jfmpc_1309_23","article-title":"Maternal and neonatal outcomes during COVID-19 pandemic and pre-pandemic in an urban slum in North India - A community-based ambispective cohort 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2020)"},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.1016\/S2352-4642(20)30108-5","article-title":"Delayed access or provision of care in Italy resulting from fear of COVID-19","volume":"4","author":"Lazzerini M","year":"2020","journal-title":"Lancet Child Adolesc Health"},{"issue":"5","key":"ref8","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1097\/AOG.0000000000003873","article-title":"Coronavirus disease 2019 (COVID-19) and pregnancy: responding to a rapidly evolving situation","volume":"135","author":"Rasmussen SA","year":"2020","journal-title":"Obstet Gynecol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"102779","DOI":"10.1016\/j.midw.2020.102779","article-title":"The impact of the coronavirus (COVID-19) pandemic on maternity care in Europe","volume":"88","author":"Coxon 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mothers","volume":"33","author":"Hecht JL","year":"2020","journal-title":"Mod Pathol"},{"issue":"8","key":"ref16","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1001\/jamapediatrics.2021.1050","article-title":"Maternal and neonatal morbidity and mortality among pregnant women with and without COVID-19 infection: the INTERCOVID multinational cohort study","volume":"175","author":"Villar J","year":"2021","journal-title":"JAMA Pediatr"},{"key":"ref17","article-title":"Risk of preterm birth, small for gestational age at birth, and stillbirth after covid-19 vaccination during pregnancy: population based retrospective cohort study","volume":"378","author":"Fell DB","year":"2022","journal-title":"BMJ"},{"issue":"1","key":"ref18","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1001\/jama.2020.20991","article-title":"Changes in preterm birth phenotypes and stillbirth at 2 philadelphia hospitals during the SARS-CoV-2 pandemic, March-June 2020","volume":"325","author":"Handley 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