| Title: |
Impact of pandemic service changes on ethnic inequalities in maternal and perinatal outcomes in England: a population-based study. |
| Authors: |
Ibrahim, Buthaina; Jardine, Jennifer Elizabeth; Lenguerrand, Erik; Judge, Andrew; Khalil, Asma; Draycott, Tim; Iliodromiti, Stamatina |
| Publisher Information: |
BMJ; Department of Obstetrics and Gynaecology; //doi.org/10.1136/bmjopen-2024-090359 |
| Publication Year: |
2025 |
| Collection: |
Apollo - University of Cambridge Repository |
| Subject Terms: |
COVID-19; Health Services; OBSTETRICS; Adult; Female; Humans; Infant; Newborn; Pregnancy; England; Ethnicity; Healthcare Disparities; Maternal Health Services; Pandemics; Perinatal Care; Pregnancy Outcome; Retrospective Studies; State Medicine |
| Description: |
OBJECTIVE: In the UK and worldwide, there are substantial ethnic inequalities in maternal and perinatal care and outcomes. We aim to assess the impact of the unprecedented change in care provision during the COVID-19 pandemic on inequalities in adverse maternity outcomes. DESIGN: Retrospective cohort study using structured electronic health record data. SETTING: English hospital trusts providing maternity care. PARTICIPANTS: Women giving birth and babies born in the National Health Service (NHS) in England between 1 April 2018 and 31 March 2021, in three time groups: prepandemic, the first pandemic wave (26 March 2020 to 30 June 2020) and second pandemic wave (1 July 2020 to 31 March 2021). Self-reported ethnicity was grouped into White, South-Asian, Black, Mixed and Other. MAIN OUTCOME MEASURES: Composite and component measures of maternal (emergency caesarean section, obstetric anal sphincter injury, hysterectomy, sepsis, anaesthetic complications and prolonged hospital stay) and perinatal (stillbirth, neonatal death, preterm birth, brain injury, small for gestational age and prolonged hospital stay). Poisson regression was used to compare relative risks between different ethnic groups. FINDINGS: 1.54 million maternal and 1.43 million neonatal records were included. The overall incidence of adverse outcomes per 1000 births initially decreased maternal: from 308.0 (95% CI 307.0 to 309.0) to 291.0 (95% CI 311.4 to 314.9) (p |
| Document Type: |
article in journal/newspaper |
| File Description: |
Electronic; application/pdf |
| Language: |
English |
| Relation: |
https://www.repository.cam.ac.uk/handle/1810/380477 |
| Availability: |
https://www.repository.cam.ac.uk/handle/1810/380477 |
| Rights: |
Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) ; https://creativecommons.org/licenses/by-nc/4.0/ |
| Accession Number: |
edsbas.3D655910 |
| Database: |
BASE |