COVID-19期间的怀孕和分娩

IF 1.1 4区 医学 Q3 NURSING Acta Paulista De Enfermagem Pub Date : 2023-10-25 DOI:10.37689/acta-ape/2024ao0013811
Mariana Torreglosa Ruiz, Hillary Florença Tobias Angotti, Jéssica Aparecida da Silva, Érica Beatriz Oliveira Borges, Monika Wernet, Luciana Mara Monti Fonseca, Jamile Claro de Castro Bussadori, Cynthya Viana de Resende
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引用次数: 0

摘要

目的了解可上网孕妇感染SARS-CoV-2的分娩情况及其结局。方法将横断面研究纳入前瞻性队列,收集于2021年8月至2022年2月期间,基于304名在大流行期间怀孕和/或分娩的妇女的回答。结果25.7%的受访者患有COVID-19,第三季度的诊断占主导地位。与感染有关的主诉为嗅觉丧失、疲劳和头痛。使用统一卫生系统进行护理的变量(p = 0.084);妊娠期糖尿病(p = 0.141);低出生体重(p = 0.117);由于p值低于0.20,因此将新生儿住院需求(p = 0.120)纳入回归模型。在模型中插入涉及交付类型的变量(p=1.000),因为它是一个感兴趣的变量,并且在文献中具有相关性描述。在双变量分析中,早产是唯一与妊娠期SARS-CoV-2感染有统计学关联的变量(p = 0.008),解释了妊娠期感染的结果(<0.001),这在泊松稳健回归模型中得到证实。结论2019冠状病毒病患病率高,症状多样,以手术分娩为主。然而,SARS-CoV-2感染只能解释早产发生率较高的原因。
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Pregnancies and births in times of COVID-19
Objective Identify the profile of births of pregnancies of women with internet access who were infected with SARS-CoV-2 and their outcomes. Methods Cross-sectional study integrated into a prospective cohort, with collection between August 2021 and February 2022, based on the responses of 304 women who had pregnancies and/or deliveries during the pandemic period. Results Of the total, 25.7% of the interviewees had COVID-19, with a predominance of diagnoses in the third quarter. Complaints of anosmia, fatigue and headache prevailed as related to the infection. The variables using the Unified Health System for care (p = 0.084); gestational diabetes (p = 0.141); low birth weight (p = 0.117); need for admission to a neonatal unit (p = 0.120) were included in the regression model because they had p values lower than 0.20. The variable referring to the type of delivery (p=1.000) was inserted in the model because it is a variable of interest and with a description of relevance in the literature. Prematurity was the only variable that was statistically associated with SARS-CoV-2 infection during pregnancy (p = 0.008) in the bivariate analysis, explaining the outcome of infection during pregnancy (<0.001), confirmed in the Poisson Robust Regression model. Conclusion There was a high prevalence of COVID-19 in the sample, with varying symptoms and a predominance of operative deliveries. However, SARS-CoV-2 infection only explained the higher occurrence of premature births.
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
92
审稿时长
4 weeks
期刊介绍: Acta Paulista de Enfermagem – (Acta Paul Enferm.), ISSN 1982-0194, is a [bilingual] technical-scientific electronic publication of the Escola Paulista de Enfermagem – EPE, Universidade Federal de São Paulo – UNIFESP. Our mission: To disseminate the scientific knowledge generated within the rigor of research and ethics methodology. Our objective: To publish results of original research for advancement of practices of clinical, surgical, and management nursing, as well as education, research, and information and communication technology.
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