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Health of singleton neonates in Switzerland through time and crises: a cross-sectional study at the population level, 2007-2022
M. Le Vu, KL. Matthes, M. Brabec, J. Riou, VW. Skrivankova, I. Hösli, S. Rohrmann, K. Staub
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články
Grantová podpora
197305
Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
197305
Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
197305
Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
NLK
BioMedCentral
od 2001-12-01
BioMedCentral Open Access
od 2001
Directory of Open Access Journals
od 2001
Free Medical Journals
od 2001
PubMed Central
od 2001
ProQuest Central
od 2009-01-01
Open Access Digital Library
od 2001-01-01
Open Access Digital Library
od 2001-01-01
Open Access Digital Library
od 2001-05-01
Nursing & Allied Health Database (ProQuest)
od 2009-01-01
Health & Medicine (ProQuest)
od 2009-01-01
Family Health Database (ProQuest)
od 2009-01-01
ROAD: Directory of Open Access Scholarly Resources
od 2001
Springer Nature OA/Free Journals
od 2001-12-01
- MeSH
- COVID-19 * epidemiologie MeSH
- lidé MeSH
- narození mrtvého plodu epidemiologie MeSH
- novorozenec MeSH
- pandemie MeSH
- porodní hmotnost MeSH
- předčasný porod * epidemiologie MeSH
- průřezové studie MeSH
- těhotenství MeSH
- výsledek těhotenství epidemiologie MeSH
- Check Tag
- lidé MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Švýcarsko MeSH
BACKGROUND: Being exposed to crises during pregnancy can affect maternal health through stress exposure, which can in return impact neonatal health. We investigated temporal trends in neonatal outcomes in Switzerland between 2007 and 2022 and their variations depending on exposure to the economic crisis of 2008, the flu pandemic of 2009, heatwaves (2015 and 2018) and the COVID-19 pandemic. METHODS: Using individual cross-sectional data encompassing all births occurring in Switzerland at the monthly level (2007-2022), we analysed changes in birth weight and in the rates of preterm birth (PTB) and stillbirth through time with generalized additive models. We assessed whether the intensity or length of crisis exposure was associated with variations in these outcomes. Furthermore, we explored effects of exposure depending on trimesters of pregnancy. RESULTS: Over 1.2 million singleton births were included in our analyses. While birth weight and the rate of stillbirth have remained stable since 2007, the rate of PTB has declined by one percentage point. Exposure to the crises led to different results, but effect sizes were overall small. Exposure to COVID-19, irrespective of the pregnancy trimester, was associated with a higher birth weight (+12 grams [95% confidence interval (CI) 5.5 to 17.9 grams]). Being exposed to COVID-19 during the last trimester was associated with an increased risk of stillbirth (odds ratio 1.24 [95%CI 1.02 to 1.50]). Exposure to the 2008 economic crisis during pregnancy was not associated with any changes in neonatal health outcomes, while heatwave effect was difficult to interpret. CONCLUSION: Overall, maternal and neonatal health demonstrated resilience to the economic crisis and to the COVID-19 pandemic in a high-income country like Switzerland. However, the effect of exposure to the COVID-19 pandemic is dual, and the negative impact of maternal infection on pregnancy is well-documented. Stress exposure and economic constraint may also have had adverse effects among the most vulnerable subgroups of Switzerland. To investigate better the impact of heatwave exposure on neonatal health, weekly or daily-level data is needed, instead of monthly-level data.
Center for Primary Care and Public Health University of Lausanne Lausanne Switzerland
Department of Obstetrics and Gynaecology University Hospital of Basel Basel Switzerland
Epidemiology Biostatistics and Prevention Institute University of Zurich Zurich Switzerland
Institute of Computer Science of the Czech Academy of Sciences Prague Czech Republic
Institute of Evolutionary Medicine University of Zurich Zurich Switzerland
Institute of Social and Preventive Medicine University of Bern Bern Switzerland
Citace poskytuje Crossref.org
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