Operative Obstetrics
Poster Session 1
Noa Leybovitz-Haleluya, MD (she/her/hers)
OB/Gyn resident
Soroka University Medical Center
Meitar, HaDarom, Israel
Alla Saban, MD, MPH
Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Beer Sheva, HaDarom, Israel, Israel
Lior Yahav, MD, MPH
Soroka Medical Center
Beer-Sheva, HaDarom, Israel
Yael Geva, MD (she/her/hers)
Staff physician in obstetrics
Ben Gurion University
Beer-Sheva, HaDarom, Israel
Neta Geva, MD
Soroka University Medical Center
Beer-Sheva, HaDarom, Israel
Adi Y. Weintraub, MD
Soroka Medical Center
Beer-Sheva, HaDarom, Israel
Tamar Eshkoli, MD
Senior
Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Beer Sheva, HaDarom, Israel, Israel
Reli Hershkovitz, MD
Head of the Obstretics and Gynecology Division
Soroka Medical Center
Omer, HaDarom, Israel
Pregnant women infected with the COVID-19 virus have higher risk of developing severe outcomes of the disease compared to nonpregnant women. Furthermore, pregnant women with COVID-19 infection may also be at an increased susceptibility for adverse obstetrical outcomes. Limited data exists regarding how the virus specifically affects the characteristics of cesarean deliveries (CD) among infected women. Therefore, our study aimed to examine the correlation between COVID-19 infection and CD characteristics in a cohort of women who underwent cesarean section.
Study Design:
We conducted a population-based retrospective cohort study at a tertiary medical center, including all women with singleton pregnancies who underwent cesarean section delivery (CD) between 2020 and 2022. Exclusion criteria consisted of incomplete medical records, multiple gestations, and fetal malformations. The study group included women diagnosed with COVID-19 infection during their hospitalization, while the comparison group comprised women without COVID-19 infection. We examined the differences in CD characteristics between both groups using a multivariable logistic regression analysis to adjust for potential confounders, including emergent CD, parity, ethnicity and gestational age at delivery.
Results:
The study population consisted of a total of 4398 women who underwent cesarean delivery and met the inclusion criteria. Among them, 98 women were infected with COVID-19. COVID-19 infection was significant associated with an increased risk of emergent surgery (Table 1, 75.5% vs. 55.1%; p< 0.001). Furthermore , COVID-19 was associated with a prolonged duration of anesthesia and higher proportion of regional anesthesia. Using a multivariable logistic regression analysis, after adjusting for parity, ethnicity and gestational age at delivery, the association between COVID -19 infection and an elevated risk of emergent CD remained significant (adjusted OR 2.45, 95% CI 1.50-3.99; p< 0.001).
Conclusion:
Among women who underwent cesarean section, COVID-19 infection was found to be predictive of an increased risk of emergent surgery.