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Hospitals see significant drop in premature births during lockdown

nytimes.com

21–30 of 32 posts

Re: Hospitals see significant drop in premature births during lockdown

#21

Earlier quoted context omitted.

I think the article already provides a more likely educated guess: "By staying home, some pregnant women may have experienced less stress from work and commuting, gotten more sleep and received more support from their families, the researchers said." I am not saying air pollution should be dismissed as a factor, but the elephant in the room is that the stress levels experienced in a _lot_ of workplaces are not compat…

My experience has been that people have a net greater degree of stress right now vs. pre-pandemic. People are changing interpersonal work stress for interpersonal family stress which is itself magnified by the circumstances, plus the stress of a pandemic. I have no idea what the cause could be, but to argue that "premie births are down because stress is down" can't possibly by tested right now, when stress is at an a…

Pandemic just made my lifestyle the default option most people are living now. Lots of time outdoors. Home cooked meals. Avoid most other humans not in my immediate family (wife, kids). My stress levels aren’t any higher. My one casualty is my preferred sport/hobby (Brazilian Jiu Jitsu) is not feasible. It’s extremely high contact.

Re: Hospitals see significant drop in premature births during lockdown

#22

My labor and delivery nurse MIL speculates it is because of the increase in fevers associated with Covid. More young moms coming in with fevers and testing positive with Covid.

Fevers cause fewer preterm births? Can you explain how that works?

Parents are losing their babies sooner due to fevers.

Re: Hospitals see significant drop in premature births during lockdown

#23
post #2

Uneducated guess: I've read a few studies linking air pollution to pregnancy disorders. Maybe the effects are even stronger than previously thought.

I think the article already provides a more likely educated guess: "By staying home, some pregnant women may have experienced less stress from work and commuting, gotten more sleep and received more support from their families, the researchers said." I am not saying air pollution should be dismissed as a factor, but the elephant in the room is that the stress levels experienced in a _lot_ of workplaces are not compat…

Working exclusively from home since mid-March has certainly made some aspects of pregnancy easier - if I was tired, I could cross the hall and take a short nap in a proper bed, and had my whole house of food to choose from at any time, the quality of which is more under my control than what happens to be in the company canteen or vending machines that day, and wasn’t killing 1.5-2 hours a day getting to and from the office.

Also, I wasn’t exposed to all the other random illnesses besides Covid-19.

If this wasn’t our first kid, I probably would have been more stressed due to childcare problems, though.

This being Germany, I’ve been off work since I hit week 34, pandemic or no pandemic.

Re: Hospitals see significant drop in premature births during lockdown

#24

Earlier quoted context omitted.

Most likely, pregnant women who aren’t working can rest more. They can sit when the want, go to the restroom when the want, etc. These are things that take a cumulative toll when working / add a cumulative benefit when not.

It sounds appealing as an explanation, but so does the general stress argument. I'm skeptical of concrete explanations in general.

The stress of fearing a pandemic is perhaps quite different from the everyday stresses of work. We may find them both severe - even the fear much worse; but it's still conceivable the everyday stresses are worse specifically to the extent they influence birth weight. Perhaps everyday stress is more immediate; perhaps it's more physical; or perhaps it's more social - or perhaps we're grasping at straws and it's something else entirely.

In any case; just because a pandemic is stressful doesn't necessarily mean that stress that matters here isn't lower. All those various strains don't affect us in the same way.

Re: Hospitals see significant drop in premature births during lockdown

#25
post #13

Adding my uneducated guess: - there's some evidence that healthcare in general can benefit from deliberate less intervention by patients and medical staff [0] - maternity intervention is notorious for intervention (historically for good reasons) yet, today, so much extra can be profited by just pre-planning interventions that are distorting incentives [1] - pandemic has raised the stakes of leaving home, particularly…

I was thinking in terms of less travel induced stress, both physical and mental.

Re: Hospitals see significant drop in premature births during lockdown

#26
post #24

Earlier quoted context omitted.

It sounds appealing as an explanation, but so does the general stress argument. I'm skeptical of concrete explanations in general.

The stress of fearing a pandemic is perhaps quite different from the everyday stresses of work. We may find them both severe - even the fear much worse; but it's still conceivable the everyday stresses are worse specifically to the extent they influence birth weight. Perhaps everyday stress is more immediate; perhaps it's more physical; or perhaps it's more social - or perhaps we're grasping at straws and it's someth…

[deleted]

Re: Hospitals see significant drop in premature births during lockdown

#27
post #24

Earlier quoted context omitted.

It sounds appealing as an explanation, but so does the general stress argument. I'm skeptical of concrete explanations in general.

The stress of fearing a pandemic is perhaps quite different from the everyday stresses of work. We may find them both severe - even the fear much worse; but it's still conceivable the everyday stresses are worse specifically to the extent they influence birth weight. Perhaps everyday stress is more immediate; perhaps it's more physical; or perhaps it's more social - or perhaps we're grasping at straws and it's someth…

It could also be that they are sleeping more, which people will try and shoehorn into: "that's a form of stress!" Stress is a buzzword, I'm wary of manhandling the theory too much as counterpoints come up, especially if it involves playing with semantics.

Re: Hospitals see significant drop in premature births during lockdown

#28

Earlier quoted context omitted.

Less drinking/clubs

I guess it is to early for that since most women only accidentally drink during the first two months of pregnancy?

Well, that would depend on self-discipline, which of course is completely absent in the US today.

Re: Hospitals see significant drop in premature births during lockdown

#29
post #13

Adding my uneducated guess: - there's some evidence that healthcare in general can benefit from deliberate less intervention by patients and medical staff [0] - maternity intervention is notorious for intervention (historically for good reasons) yet, today, so much extra can be profited by just pre-planning interventions that are distorting incentives [1] - pandemic has raised the stakes of leaving home, particularly…

In Switzerland we had a massive spike in untreated heart attacks precisely because your third point. It's good that people don't go to the ER for minor things but people should know that symptoms of a heart attack are not to be taken lightly.

Re: Hospitals see significant drop in premature births during lockdown

#30
post #24

Earlier quoted context omitted.

The stress of fearing a pandemic is perhaps quite different from the everyday stresses of work. We may find them both severe - even the fear much worse; but it's still conceivable the everyday stresses are worse specifically to the extent they influence birth weight. Perhaps everyday stress is more immediate; perhaps it's more physical; or perhaps it's more social - or perhaps we're grasping at straws and it's someth…

It could also be that they are sleeping more, which people will try and shoehorn into: "that's a form of stress!" Stress is a buzzword, I'm wary of manhandling the theory too much as counterpoints come up, especially if it involves playing with semantics.

Exactly; stress isn't one clearly defined thing, and the forms do matter: therefore the focus on overall stress isn't that useful.
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