COVID-19 Deliveries: Maternal Features and Neonatal Outcomes.

IF 1.6 Q3 HEALTH CARE SCIENCES & SERVICES Journal of Patient-Centered Research and Reviews Pub Date : 2021-07-19 eCollection Date: 2021-01-01 DOI:10.17294/2330-0698.1848
Viviana Zlochiver, Blair Tilkens, Ana Cristina Perez Moreno, Fatima Aziz, M Fuad Jan
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引用次数: 4

Abstract

Integrated, data-driven criteria are necessary to evaluate delivery outcomes in pregnancies affected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the ongoing COVID-19 pandemic. This study analyzed maternal demographics, clinical characteristics, treatments, and delivery outcomes of 85 ethnically diverse, adult pregnant women who tested positive for SARS-CoV-2 at the time of delivery. Median maternal and gestational ages were 27 years (interquartile range [IQR]: 23-31) and 39 weeks (IQR: 37.3-40.0), respectively. Of the 85 SARS-CoV-2-positive participants, 67 (79%) had no COVID-19 symptoms at the time of routine COVID-19 admission testing, 14 (16%) reported mild COVID-19 symptoms, and 4 (5%) presented severe COVID-19 symptoms that required hospitalization. Patients in the severe COVID-19 group had significantly longer hospitalizations than those with nonsevere COVID-19 (7 [IQR: 4.5-9.5] vs 2 [IQR: 2-3] days; P<0.01). Neonatal outcomes included 100% live births with a median 1-minute Apgar score of 8 and 15% preterm births. No neonatal deaths or vertical transmissions were reported, and all neonatal intensive care unit admissions were related to prematurity. Overall, maternal symptom prevalence and peripartum complication rates were low, suggesting a generally good prognosis for pregnant women with SARS-CoV-2 infections at the time of delivery.

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COVID-19分娩:孕产妇特征和新生儿结局。
在持续的COVID-19大流行期间,需要综合的数据驱动标准来评估受严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)影响的妊娠的分娩结果。本研究分析了85名不同种族的成年孕妇的产妇人口统计学、临床特征、治疗和分娩结果,这些孕妇在分娩时检测出SARS-CoV-2阳性。中位产妇年龄和胎龄分别为27岁(四分位数间距[IQR]: 23-31)和39周(IQR: 37.3-40.0)。在85名sars - cov -2阳性参与者中,67人(79%)在常规COVID-19入院检测时没有COVID-19症状,14人(16%)报告了轻度COVID-19症状,4人(5%)出现了需要住院治疗的严重COVID-19症状。重症组患者的住院时间明显长于非重症组(7 [IQR: 4.5-9.5] vs 2 [IQR: 2-3]天;P
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来源期刊
Journal of Patient-Centered Research and Reviews
Journal of Patient-Centered Research and Reviews HEALTH CARE SCIENCES & SERVICES-
自引率
5.90%
发文量
35
审稿时长
20 weeks
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