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and speaking about this very important topic. >> when we look at the other nations and compare them to us, there are a couple of different things that we have to look at. we do have to look at the population. we have to look at how they expand their resources towards maternity care and we have to look at the workforce. i think those are some of the biggest issues that we have to look at between the us and those other countries when you look at the norway number really sticks out right? >> zero deaths recorded by norway. what, what do you see there? is that completely accurate? what are they doing that the us is not sure. >> well, i can't speak to exactly what norway is doing, but i can tell you some of the differences and what needs to change here. one of the things that is driving our maternal mortality numbers, especially our black maternal, maternal mortality numbers is the issues around racism or bias i'm not only the effects of that has
directly on bursting individuals and women, but also the bias that's in health care. that is, that's been there for decades for upon decades upon decades also, we have to look at the resources around maternity care that are not resources that are typical here in the united states, but maybe other places, things like covered insurance also, home visits, also, we need to look at the workforce that are doing some of these deliveries physicians, midwives we need to look at how other countries may do it and maybe take some lessons from that and you talked a little bit about this in your last answer, but i really would like to drill down on this because american black women have this even higher maternal, maternal mortality led rate. >> and you talked about the bias that exists in the system. what else can be done to reverse that course and also, is there for any role that this
Introduction: The 400 000 residents of the Illawarra Shoalhaven Local Health District (ISLHD) experienced two distinct lockdowns aimed at mitigating the transmission of severe acute respiratory syndrome coronavirus 2 infection. Analysing effects of these lockdowns on maternal and neonatal outcomes presents a valuable opportunity to assess the impact of pandemic-level restrictions on maternal and neonatal outcomes. Aim: Evaluate the impacts of restrictions from two lockdown periods on maternal, birthing, and neonatal outcomes within a regional local health district. Materials and Methods: The study included 22 166 women who gave birth within ISLHD between 2017 and 2022. Groups included for analysis: Control Group – mothers pregnant before the pandemic (conception before 3 April 2019); Exposure Group 1 – mothers pregnant during the first lockdown (conception date 22 January 2020 to 5 May 2020); and Exposure Group 2 – mothers pregnant during the second lockdown (conception date 30 April 2021 to 13 Sep 2021). Results: Odds of adverse birthing outcomes including non-reassuring fetal status (odds ratio (OR) 1.34; 95% CI 1.14–1.56 and OR 1.20; 95% CI 1.03–1.40), and postpartum haemorrhage (OR 2.04; 95% CI 1.73–2.41 and OR 1.74; 95% CI 1.48–2.05) were substantially increased in Exposure Groups 1 and 2, respectively. Gestational diabetes, gestational hypertension, low birth weight and admission to neonatal intensive care rates improved. Conclusions: Pregnant women exposed to pandemic restrictions within ISLHD had decreased odds of adverse antenatal and neonatal outcomes, but increased odds of poor peripartum outcomes.
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