Does infection with COVID-2019 during labor increase the risk for obstetric anal sphincter injuries?

IF 2.6 3区医学 Q2 OBSTETRICS & GYNECOLOGY

International Journal of Gynecology & Obstetrics Pub Date : 2024-10-21 DOI:10.1002/ijgo.15966

Alla Saban, Noa Leybovitz-Haleluya, Reli Hershkovitz, Yael Geva, Adi Y Weintraub

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引用次数: 0

Abstract

Objective: To investigate the association between coronavirus disease 2019 (COVID-19) infection during the peripartum period and obstetric anal sphincter injuries (OASIS).

Methods: A retrospective cohort study was conducted, including all singleton vaginal deliveries and cesarean deliveries due to failed vacuum extraction, between June 2020 and January 2022 at a large tertiary medical center. OASIS complication during childbirth was compared between women with and without peripartum diagnosis of COVID-19, defined as a positive polymerase chain reaction test obtained within 1 week before delivery or up to 3 days after delivery. Universal screening for COVID-19 was implemented. A logistic regression model was used to adjust for confounding variables.

Results: The study included 22 911 women, among whom 468 (2.0%) tested positive for COVID-19 and 22 443 women had no COVID-19 diagnosis. After adjusting for confounding variables, peripartum infection with COVID-19 was found to be independently associated with OASIS (adjusted odds ratio 4.38, 95% confidence interval 2.00-9.61; P < 0.001).

Conclusion: Infection with COVID-19 during the peripartum period significantly increases the risk for OASIS by more than fourfold. These findings emphasize the importance of understanding the impact of COVID-19 on birth complications, such as OASIS, to improve public health measures and enhance obstetric outcomes during pandemics.

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分娩时感染 COVID-2019 是否会增加产科肛门括约肌损伤的风险？

目的研究围产期感染冠状病毒病2019（COVID-19）与产科肛门括约肌损伤（OASIS）之间的关联：方法：在一家大型三级医疗中心开展了一项回顾性队列研究，包括2020年6月至2022年1月期间的所有单胎阴道分娩和因真空吸引失败而进行的剖宫产。研究人员比较了产前确诊和未确诊 COVID-19 的产妇在分娩过程中出现 OASIS 并发症的情况，COVID-19 是指在产前 1 周内或产后 3 天内聚合酶链反应检测呈阳性。对 COVID-19 进行了普遍筛查。采用逻辑回归模型对混杂变量进行调整：研究共纳入 22 911 名妇女，其中 468 人（2.0%）COVID-19 检测呈阳性，22 443 名妇女未确诊 COVID-19。在对混杂变量进行调整后发现，围产期感染 COVID-19 与 OASIS 独立相关（调整后的几率比为 4.38，95% 置信区间为 2.00-9.61；P 结论：在围产期感染 COVID-19 与 OASIS 独立相关：围产期感染 COVID-19 会使 OASIS 风险显著增加四倍以上。这些发现强调了了解 COVID-19 对分娩并发症（如 OASIS）影响的重要性，以改善公共卫生措施并提高大流行期间的产科预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Gynecology & Obstetrics 医学-妇产科学

CiteScore

5.80

自引率

2.60%

发文量

493

审稿时长

3-6 weeks

期刊介绍： The International Journal of Gynecology & Obstetrics publishes articles on all aspects of basic and clinical research in the fields of obstetrics and gynecology and related subjects, with emphasis on matters of worldwide interest.