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Record W7117411861 · doi:10.1016/j.srhc.2025.101182

Impact of COVID-19 on Group B Streptococcus Colonization Prevalence And Pregnancy Outcomes: A Single-Center Retrospective Study

2025· article· en· W7117411861 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueSexual & Reproductive Healthcare · 2025
Typearticle
Languageen
FieldMedicine
TopicNeonatal and Maternal Infections
Canadian institutionsBrampton Civic HospitalUniversité du Québec en OutaouaisMcGill University
FundersFakulteit Geneeskunde en Gesondheidswetenskappe, Universiteit Stellenbosch
KeywordsRetrospective cohort studyColonizationPregnancyGroup BPandemicStreptococcusHealth carePostpartum period

Abstract

fetched live from OpenAlex

OBJECTIVES: This study aimed to evaluate the impact of COVID-19 on the prevalence of group B Streptococcus (GBS) colonization and to examine whether the pandemic has influenced pregnancy complications among women colonized by GBS. METHODS: A retrospective chart review was conducted on 2,448 pregnant women who received care at the Outaouais Birthing Center between 2016 and 2023. Pre- and post-pandemic onset data were compared for GBS positive and negative women. Primary outcomes included termination due to miscarriage, transfers (pre- and post-32 weeks, perinatal, postnatal and newborn), reasons for transfers and newborns' Apgar scores. The secondary outcomes included gestational age at delivery, delivery type and location, newborn birth weight, vaginal birth after cesarean (VBAC) and feeding type. Demographic data were collected to ensure group comparability. RESULTS: GBS prevalence was similar before (29.43 %) and after (26.59 %) COVID-19 onset (p = 0.06), with a significant spike in 2020 (32.95 %, p = 0.009). An inverse relationship was observed between COVID-19 and newborn transfers in the GBS positive group (p < 0.001). Apgar scores below 7 increased during the pandemic (p = 0.006), and reasons for perinatal transfers differed significantly (p = 0.004). In the GBS negative group, postnatal transfers were negatively correlated with COVID-19 (p < 0.001), and transfer reasons post-32 weeks (p = 0.02), perinatal (p < 0.001), and newborn (p = 0.02) transfers differed significantly. CONCLUSION: COVID-19 did not increase the prevalence of GBS in pregnant women. The rise in postpartum transfers and variations in transfer reasons suggest that the pandemic may have influenced healthcare practices rather than directly increasing GBS-related complications.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.007
Threshold uncertainty score0.662

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.048
GPT teacher head0.399
Teacher spread0.351 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it