Daylight Saving Time and Spontaneous Deliveries: A Case-Control Study in Italy

Int J Environ Res Public Health. 2020 Nov 3;17(21):8091. doi: 10.3390/ijerph17218091.

Abstract

(1) Background: Although the current literature shows that daylight saving time (DST) may play a role in human health and behavior, this topic has been poorly investigated with reference to Obstetrics. The aim of this case-control study was to evaluate whether DST may influence the number of spontaneous deliveries. (2) Methods: A low-risk pregnancy cohort with spontaneous onset of labor (n = 7415) was analyzed from a single Italian region for the period 2016-2018. Primary outcome was the number of spontaneous deliveries. Secondary outcomes were: gestational age at delivery, type and time of delivery, use of analgesia, birth weight, and 5-min Apgar at delivery. We compared the outcomes in the two weeks after DST (cases) to the two weeks before DST (controls). (3) Results: Data showed no significant difference between the number of deliveries occurring before and after DST (Chi-square = 0.546, p = 0.46). Vaginal deliveries at any gestational age showed no statistical difference between the two groups (Chi-square = 0.120, p = 0.73). There were no significant differences in the secondary outcomes, as well. (4) Conclusions: DST has neither a significant impact on the number of deliveries nor on the obstetric variables investigated by this study.

Keywords: chronobiology; circadian rhythm; daylight saving time (DST); desynchronization; midwifery; nursing; obstetrics; spontaneous delivery.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Case-Control Studies
  • Delivery, Obstetric*
  • Female
  • Gestational Age
  • Humans
  • Italy / epidemiology
  • Labor, Obstetric*
  • Pregnancy
  • Retrospective Studies
  • Time Factors