Socioeconomic Inequalities Exacerbated by Mitigation Measures to COVID-19 and Differences in Prematurity Prevalence
NCT ID: NCT05087160
Last Updated: 2021-10-21
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
37323 participants
OBSERVATIONAL
2021-08-01
2021-09-30
Brief Summary
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Methodology: An analytical observational study was carried out, comparing the semesters from March 15 to September 30, 2019 (year prior to the COVID 19 pandemic) with the same period 2020 (year of the COVID 19 pandemic), in the 2 sub sectors of public and private health care.
Detailed Description
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The semester selected is based on the fact that the first months of the pandemic were the ones with the greatest mitigation measures with drastic socio-economic consequences, but it was also a period of almost zero COVID infection in pregnancy, this being an opportune moment not to have as confounding factor to the maternal and fetal biological complications of this infection.
The situation will be analyzed in the 2 sub sectors of public health care, made up of the State Health Services Administration (ASSE), police health and military health, and the UDELAR Clinic Hospital, on the one hand, and the private sub-sector. made up of the Institutions of Collectivized Medical Assistance (IAMC) of Montevideo and the Interior (FEPREMI) and the private health care insurance.
The primary variable to be analyzed in both periods and in both subsectors of the national integrated system health was the incidence of preterm births (less than 37 weeks gestational age), low birth weight (newborns with a birth weight less than 2,500 grams) and intrauterine growth restriction (marked by doctor attending the birth, as a clinical diagnosis of the current pregnancy)
For the analysis of the national data, of the study periods, the database was requested from the Ministry of Public Health. This database is provided to researchers anonymously
Conditions
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Study Design
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OTHER
CROSS_SECTIONAL
Study Groups
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semester pre pandemia in sub sectors of public health care in Uruguay
all birth in sub sectors of public health care between march 15 and September 30 of 2019, pre pandemia
No interventions assigned to this group
semester pre pandemia in sub sectors of private health care in Uruguay
all birth in sub sectors of private health care between march 15 and September 30 of 2019, pre pandemia
No interventions assigned to this group
semester with mitigation measures against COVID 19 in sub sectors of public health care in Uruguay
all birth in sub sectors of public health care between march 15 and September 30 of 2020, with mitigation measures against COVID- 19
mitigation measures against COVID 19
no intervention
semester with mitigation measures against COVID 19 in sub sectors of private health care in Uruguay
all birth in sub sectors of private health care between march 15 and September 30 of 2020, with mitigation measures against COVID- 19
mitigation measures against COVID 19
no intervention
Interventions
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mitigation measures against COVID 19
no intervention
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
FEMALE
No
Sponsors
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Universidad de la Republica
OTHER
Responsible Party
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Stephanie Viroga
Clinical professor
Locations
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Stephanie Viroga
Montevideo, , Uruguay
Countries
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References
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Briozzo L, Tomasso G, Trujillo J, Viroga S, Pintos J, Nozar F, Aleman A, Buekens P. COVID-19 mitigation measures increase preterm birth and low birth weight in the public healthcare system in Uruguay. Int J Gynaecol Obstet. 2023 Aug;162(2):718-724. doi: 10.1002/ijgo.14778. Epub 2023 Apr 13.
Other Identifiers
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COVID-19 and perinatal results
Identifier Type: -
Identifier Source: org_study_id