感染 SARS-CoV-2 的无症状孕妇围产期和新生儿预后的比较。

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY
Oğuz Arslan, Burak Giray, Niyazi Tuğ
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引用次数: 0

摘要

研究目的本研究根据严重急性呼吸系统综合征-冠状病毒-2(SARS-CoV-2)RNA检测阳性孕妇的症状状况,对其孕产妇和新生儿结局进行了评估。研究还调查了 SARS-CoV-2 阳性孕妇的临床进展以及冠状病毒病-2019(COVID-19)对新生儿的影响:这项回顾性队列研究是在一家专门治疗 SARS-CoV-2 感染孕妇的三级流行病医院进行的。我们将分娩时 SARS-CoV-2 聚合酶链反应检测呈阳性的患者纳入研究范围,并将其分为有症状组和无症状组:研究共纳入 249 名患者。无症状组孕妇的平均年龄高于无症状组(P=0.001)。有症状组和无症状组的先天性早产率分别为 43.37% 和 8.43%(P=0.001):无症状感染的产妇和胎儿的预后往往较差,这凸显了谨慎管理、良好随访和密切监测的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of perinatal and neonatal outcomes of symptomatic pregnancy infected with SARS-CoV-2.

Objective: In this study, maternal and neonatal outcomes of pregnant women with positive severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) RNA tests were evaluated according to their symptomatic status. The clinical progression of SARS-CoV-2-positive pregnant women and the effect of coronavirus disease-2019 (COVID-19) on newborns was investigated.

Material and methods: This retrospective cohort study was conducted at a tertiary pandemic hospital specializing in caring for pregnant women infected with SARS-CoV-2. We included patients with a positive SARS-CoV-2 polymerase chain reaction test at delivery, subdividing them into symptomatic and asymptomatic groups.

Results: Two hundred and forty-nine patients were included in the study. The mean age of the pregnant women in the symptomatic group was higher than those in the asymptomatic group (p=0.001). The iatrogenic preterm birth rates in the symptomatic and asymptomatic groups were 43.37% and 8.43%, respectively (p<0.001). Cesarean section rate was higher in symptomatic group (p=0.01). Maternal death was significantly higher in symptomatic pregnant women (p<0.001). The neonatal intensive care unit admission rate was higher in symptomatic pregnant women (p<0.001).

Conclusion: The maternal and fetal outcomes for mothers with symptomatic infections tend to be worse, highlighting the importance of careful management, good follow-up and the advisability of closer monitoring.

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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
56
期刊介绍: Journal of the Turkish-German Gynecological Association is the official, open access publication of the Turkish-German Gynecological Education and Research Foundation and Turkish-German Gynecological Association and is published quarterly on March, June, September and December. It is an independent peer-reviewed international journal printed in English language. Manuscripts are reviewed in accordance with “double-blind peer review” process for both reviewers and authors. The target audience of Journal of the Turkish-German Gynecological Association includes gynecologists and primary care physicians interested in gynecology practice. It publishes original works on all aspects of obstertrics and gynecology. The aim of Journal of the Turkish-German Gynecological Association is to publish high quality original research articles. In addition to research articles, reviews, editorials, letters to the editor, diagnostic puzzle are also published. Suggestions for new books are also welcomed. Journal of the Turkish-German Gynecological Association does not charge any fee for article submission or processing.
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