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Maternal and neonatal outcomes of pregnant patients with COVID-19: A prospective cohort study.
Abedzadeh-Kalahroudi, Masoumeh; Sehat, Mojtaba; Vahedpour, Zahra; Talebian, Parisa.
  • Abedzadeh-Kalahroudi M; Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran.
  • Sehat M; Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
  • Vahedpour Z; Obstetrics and Gynecology Department, Kashan University of Medical Sciences, Kashan, Iran.
  • Talebian P; Obstetrics and Gynecologist, Kashan, Iran.
Int J Gynaecol Obstet ; 153(3): 449-456, 2021 Jun.
Article in English | MEDLINE | ID: covidwho-1103309
ABSTRACT

OBJECTIVE:

To determine the maternal and neonatal outcomes of pregnant women with COVID-19 infection.

METHODS:

A cohort study was conducted on 56 pregnant women with COVID-19 and 94 healthy pregnant women during the COVID-19 epidemic in Iran. Two groups were followed until childbirth. Demographic and obstetric information, clinical symptoms, laboratory and radiographic findings of the patients, and maternal and neonatal outcomes of the two groups were gathered by a checklist. Data were analyzed using SPSS version 16. A P value < 0.05 was considered significant.

RESULTS:

The two groups were similar in terms of maternal age, gravida, parity, and co-morbidities (P > 0.05). The rate of cesarean delivery in the exposed group was higher than that in the control group (P = 0.027; relative risk [RR] =2.23). Pre-eclampsia was seen in 19.8% of the exposed group and 7.4% of the control group (P = 0.037; RR = 2.68). The rate of preterm labor in the exposed group was higher than that in the control group (P = 0.003; RR = 2.70). Fetal distress was seen in 16.1% of the exposed group and 4.3% of the control group (P = 0.016; RR = 3.84).

CONCLUSION:

Pregnant women with COVID-19 had an increased risk of pre-eclampsia, preterm labor, and cesarean delivery. Their fetal and neonatal outcomes were fetal distress, newborn prematurity, and low Apgar score.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pre-Eclampsia / Pregnancy Complications / Premature Birth / Fetal Distress / COVID-19 / Obstetric Labor, Premature Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Infant, Newborn / Pregnancy / Young adult Country/Region as subject: Asia Language: English Journal: Int J Gynaecol Obstet Year: 2021 Document Type: Article Affiliation country: Ijgo.13661

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pre-Eclampsia / Pregnancy Complications / Premature Birth / Fetal Distress / COVID-19 / Obstetric Labor, Premature Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Infant, Newborn / Pregnancy / Young adult Country/Region as subject: Asia Language: English Journal: Int J Gynaecol Obstet Year: 2021 Document Type: Article Affiliation country: Ijgo.13661