感染COVID-19的孕妇剖宫产、早产、死产和低出生体重分娩发生率的荟萃分析

M. Karimi-Zarchi, D. Schwartz, S. A. Dastgheib, R. Bahrami, A. Javaheri, A. Emarati, F. Asadian, E. Akbarian, H. Neamatzadeh
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摘要

背景:本荟萃分析的目的是估计感染SARS-COV-2的孕妇剖宫产(CS)、早产、死产和低出生体重分娩(LBWD)的患病率。方法:检索截至2021年2月30日的所有相关研究。结果:共纳入47项研究,5970名感染孕妇。CS 1010例,死产55例,早产524例,LBWD 82例。汇总数据显示,感染SARS-COV-2的妇女中CS、早产、死产和LBWD的患病率分别为29.6% (95% CI 0.081-0.160)、2.1% (95% CI 0.081-0.160)、11.5% (95% CI 0.081-0.160)和2.1% (95% CI 0.081-0.160)。分层分析显示,亚洲妇女的这些妊娠结局高于白种人。结论:我们的综合数据显示,在COVID-19女性中,CS患病率最高(29.6%),其次是早产(11.5%)、死产(2.1%)和LBWD(2.1%)。
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A Meta-Analysis for Prevalence of Cesarean Section, Preterm Birth, Stillbirth, and Low Birth Weight Deliveries in Infected Pregnant Women with COVID-19
Background: The aim of this meta-analysis was to estimate the prevalence of cesarean section (CS), preterm birth, stillbirth, and low birth weight deliveries (LBWD) in pregnant women with SARS-COV-2 infection. Methods: All relevant studies were searched up to 30 February 2021. Results: A total of 47 studies with 5970 infected pregnant women were included. There were 1010 CS, 55 stillbirths, 524 preterm birth, and 82 with LBWD. Pooled data showed that the prevalence of CS, preterm birth, stillbirth, and LBWD among women with SARS-COV-2 infection was 29.6% (95% CI 0.081-0.160), 2.1% (95% CI 0.081-0.160), 11.5% (95% CI 0.081-0.160), and 2.1% (95% CI 0.081-0.160), respectively. Stratified analysis revealed that these pregnancy outcomes among Asian women were higher than Caucasians. Conclusion: Our combined data revealed that the CS prevalence (29.6%) was the highest followed by preterm birth (11.5%), stillbirth (2.1%), and LBWD (2.1%) among women with COVID-19.
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