妊娠期间感染COVID-19母亲的新生儿早期病程特征(试点前瞻性队列研究)

Olga G. Betz, A. A. Kornilov, I. G. Khmelevskaya
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摘要

目的:分析不同妊娠期感染COVID-19母亲所生新生儿的早期病程。材料和方法。观察2021年在库尔斯克地区围产期中心出生的7天以下足月儿童:1组-由于妊娠合并COVID-19感染(47人);第二组-对照组(31人)。研究的主要指标是新生儿早期病程的病理性质。结果。出生时的人体测量数据没有显著差异。新生儿短暂性呼吸急促(1组19.1%,2组9.6%),宫内肺炎(1组19.1%,2组3.2%;两者的双侧p值= 0.040)在新生儿中更为常见。结论。发现妊娠期COVID-19感染是新生儿早期发生呼吸系统疾病的危险因素。在解释这些数据时,应考虑到研究的局限性:样本量、研究的观察性质以及用于测量指标的方法。
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Features of the course of the early neonatal period in newborns from mothers who underwent COVID-19 during pregnancy (pilot prospective cohort study)
Objective: analysis of the course of the early neonatal period in newborns from mothers who underwent COVID-19 at different gestation periods. Materials and methods. Full-term children under the age of 7 days of life born in the Regional Perinatal Center of Kursk in 2021 were under observation: group 1 - as a result of pregnancy complicated by COVID-19 infection (47 people); group 2 - control group (31 people). The main indicator of the study is the pathological nature of the course of the early neonatal period. Results. The anthropometric data at birth did not differ significantly. Transient neonatal tachypnea (19.1% in group 1 versus 9.6% in group 2, respectively), intrauterine pneumonia (19.1% in group 1 versus 3.2% in group 2, respectively; both had bilateral p values = 0.040) were detected more frequently in newborn infants. Conclusion. COVID-19 infection during pregnancy was found to be a risk factor for the development of respiratory disorders in newborns in the early neonatal period. When interpreting these data, the limitations of the study should be taken into account: the sample size, the observational nature of the study, and the methods used to measure the indicators.
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