剖宫产和终止妊娠妇女COVID-19死亡率和发病率的测定

IF 0.5 4区 医学 Q4 MICROBIOLOGY Jundishapur Journal of Microbiology Pub Date : 2023-05-27 DOI:10.5812/jjm-133839
Seyed Mohammad Amin Alavi, Saman Bahrami, Elham Kavousi, N. Saadati, M. Najafian
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引用次数: 0

摘要

背景:新冠肺炎感染是当代全球关注的问题,具有严重的影响。这种疾病是由一种名为严重急性呼吸系统综合征冠状病毒2型的冠状病毒科病毒引起的。怀孕期间的免疫和生理变化使孕妇更容易受到病毒感染,尤其是新冠肺炎。目的:本研究旨在确定新冠肺炎剖宫产和终止妊娠妇女的临床表现、放射学表现、剖宫产指征、潜在条件以及母亲和新生儿的关键结局。方法:对98例新冠肺炎终止妊娠妇女剖宫产时的死亡率和发病率进行横断面研究。人口统计学、临床和妊娠数据于2020年3月至2021年3月从拉兹教学医院收集,并使用SPSS 24版进行分析。结果:平均年龄为31.31±7.16周,平均胎龄为36.45±3.334周。剖宫产最常见的原因是胎儿窘迫(28%),其次是先兆子痫和胎粪吸入。最常见的症状是喉咙痛、咳嗽、发烧、恶心、腹泻和虚弱;此外,甲状腺功能减退和糖尿病是最主要的潜在疾病。平均住院时间为5.21±4.584天,孕产妇死亡率为5.1%,新生儿死亡率为2%。结论:大多数感染新冠肺炎的妇女在妊娠晚期进行了剖宫产和终止妊娠。这突出表明,在这一时期需要为母亲提供更好的照顾和教育。体重指数(BMI)水平和肥胖与新冠肺炎严重程度密切相关。此外,医护人员在怀孕期间应更加关注潜在疾病。
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Determination of COVID-19 Mortality and Morbidity in Women Who Had Cesarean Sections and Terminated Pregnancies
Background: COVID-19 infection is a contemporary global concern with serious ramifications. This disease is caused by a virus belonging to the Coronaviridae family named SARS-CoV-2. Immunologic and physiologic changes during pregnancy make pregnant women more susceptible to viral infection, especially COVID-19. Objectives: The present study aimed to identify the clinical manifestations, radiologic findings, indications for cesarean delivery, underlying conditions, and the critical outcome of mothers and newborns regarding COVID-19 women who had cesarean sections and terminated pregnancies. Methods: This cross-sectional study was conducted on the mortality and morbidity rates of 98 women with terminated pregnancies infected with COVID-19 at the time of their cesarean delivery. The demographic, clinical, and pregnancy data were collected from Razi Teaching Hospital between March 2020 and March 2021 and analyzed using SPSS version 24. Results: The mean age was 31.31 ± 7.16, and the mean gestational age was 36.45 ± 3.334 weeks. The most prevalent cause of cesarean section was fetal distress (28%), followed by preeclampsia and meconium aspiration. The most common symptoms were sore throat, cough, fever, nausea, diarrhea, and weakness; moreover, hypothyroidism and diabetes mellitus were the most predominant underlying diseases. The mean duration for hospitalization was 5.21 ± 4.584 days, the maternal death rate was 5.1%, and the neonatal death rate was 2%. Conclusions: The majority of women infected with COVID-19 had cesarean sections and terminated pregnancies in the third trimester. This highlights the need for better care and education for mothers in this period. The body mass index (BMI) level and obesity are strongly associated with COVID-19 severity. Furthermore, healthcare workers should pay more attention to underlying diseases during pregnancy.
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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
56
审稿时长
6-12 weeks
期刊介绍: Jundishapur Journal of Microbiology, (JJM) is the official scientific Monthly publication of Ahvaz Jundishapur University of Medical Sciences. JJM is dedicated to the publication of manuscripts on topics concerning all aspects of microbiology. The topics include medical, veterinary and environmental microbiology, molecular investigations and infectious diseases. Aspects of immunology and epidemiology of infectious diseases are also considered.
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