Am J Perinatol
DOI: 10.1055/a-1673-0708
Original Article

Effect of the Covid-19 Pandemic on Well-Baby Nursery

Covid-19 Pandemic on Well-Baby Nursery
1  Pediatrics, New York Medical College Department of Pediatrics, Valhalla, United States (Ringgold ID: RIN228379)
,
LIN LIN
2  Pediatrics, Montefiore St. Luke's Cornwall Hospital, Newburgh, United States
,
Harsangeet Gill
3  Pedaitrics, Montefiore St. Luke's Cornwall Hospital, Newburgh, United States
,
Janice Joseph
2  Pediatrics, Montefiore St. Luke's Cornwall Hospital, Newburgh, United States
,
Leandra Tydal
2  Pediatrics, Montefiore St. Luke's Cornwall Hospital, Newburgh, United States
› Author Affiliations

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic is associated with fewer deliveries and premature births; however, the impact of this pandemic on the well-baby nursery (WBN) is unknown. OBJECTIVE: To evaluate the impact of the COVID-19 pandemic on infants admitted to the WBN by comparing pandemic and pre-pandemic cohorts. STUDY DESIGN: We performed a retrospective study of infants admitted to a WBN during the pandemic period (March 18, 2020-to-March 17, 2021) and compared them to those during the pre-pandemic period (March 18, 2019-to-March 17, 2020). Maternal (age, parity, gestation, method of delivery, and COVID-19 status) and neonatal (sex, weight, Apgar score, feeding pattern, urine toxicology, and neonatal intensive care unit [NICU] admission) data were collected and compared between the two periods. The results were statistically analyzed, and significance was set at P < 0.05. RESULTS: There were 824 and 859 WBN admissions during the pandemic and pre-pandemic periods, respectively; a 4% decrease in WBN admissions during the pandemic period. During the pandemic period, the number of deliveries among nulliparous women increased (from 40.3% to 45.1%; p=0.01), and deliveries among multiparous women decreased (from 59.2% to 53.1%; p=0.01). The number of infants exposed to marijuana in-utero increased (24/149 screened vs. 12/146 screened; p=0.038), and transfers from WBN to NICU decreased (from 9% to 6%; p=0.044) during the pandemic period. CONCLUSIONS: Compared to the pre-pandemic period, the number of WBN admissions, multiparous deliveries, and NICU admissions decreased, while the number of nulliparous deliveries and infants exposed to marijuana in-utero increased during the pandemic period.



Publication History

Received: 01 August 2021

Accepted after revision: 07 October 2021

Publication Date:
19 October 2021 (online)

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