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High rates of preterm birth and cesarean delivery have been reported in women with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.1 However, studies have inadequate power to assess uncommon outcomes like stillbirth (fetal death ≥24 weeks’ gestation). The UK Obstetric Surveillance System reported 3 stillbirths among 247 completed pregnancies in women with confirmed coronavirus disease 2019 (COVID-19) vs the national rate (12.1 per 1000 births vs 4-5 per 1000 births).2 We assessed the change in stillbirth and preterm delivery rates during the pandemic.
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Corresponding Author: Asma Khalil, MD, Fetal Medicine Unit, Department of Obstetrics and Gynaecology, St George’s University Hospitals, NHS Foundation Trust, Blackshaw Road, London SW17 0QT, United Kingdom (firstname.lastname@example.org).
Accepted for Publication: June 29, 2020.
Published Online: July 10, 2020. doi:10.1001/jama.2020.12746
Author Contributions: Dr Khalil had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: Khalil, von Dadelszen, O’Brien, Magee.
Acquisition, analysis, or interpretation of data: Khalil, Draycott, Ugwumadu, O’Brien, Magee.
Drafting of the manuscript: Khalil, Draycott, Ugwumadu, O’Brien.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Khalil.
Administrative, technical, or material support: Khalil, von Dadelszen, Ugwumadu, Magee.
Conflict of Interest Disclosures: Dr Draycott reported receipt of grants from Tommy’s Centre for Maternity Improvement outside the submitted work. No other disclosures were reported.
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