COVID-19 Infection in Parturients: Comparative Neonatal and Maternal Outcomes in a Single-institute Regional Hospital in Thailand
Journal of the Medical Association of Thailand
; 105(8):690-699, 2022.
Article
in English
| EMBASE | ID: covidwho-1998178
ABSTRACT
Objective:
Chonburi province is ranked fourth in Thailand in terms of COVID-19 cases. The objective was to compare neonatal and maternal outcomes among pregnant women with and without COVID-19 infection delivered in Chonburi hospital. Materials andMethods:
The present study was a retrospective matched cohort study that included all pregnant women who delivered between January 1 and August 31, 2021, at Chonburi Hospital, Thailand. The exposure group comprised women with a current or previous positive COVID-19 PCR test, while the comparators were the PCR negative group. The matching ratio was 14, based on gestational and maternal age, parity, and the closest delivery date. Clinical data were obtained from medical records.Results:
Forty-six pregnant women had a positive COVID-19 PCR, 24 (52.17%) were Thai and 22 (47.83%) were of other ethnicities. Most (60.87%) were asymptomatic or required no medical assistance. Three (6.52%) had severe pneumonia and required respiratory support. Neither maternal death nor vertical transmission was detected. Compared with 184 COVID-19-negative pregnant women, no significant differences in low APGAR score of less than 7, and preeclampsia in the 46 COVID-19-positive pregnant women were observed. However, COVID-19-positive pregnant women showed an increased rate of neonatal respiratory distress (RD) (relative risk [RR] 2.55;95% confidence interval [CI] 1.04 to 6.21] and clinical early-onset neonatal sepsis (RR 3.60;1.55 to 8.36). Additionally, a higher cesarean section rate was observed in the COVID-19 positive group (RR 1.45, 1.11 to 1.85).Conclusion:
There were no significant differences in neonates with APGAR of less than 7 between the cohort of 46 pregnant women who tested positive for COVID-19 and those who tested negative. However, a higher rate of cesarean delivery, presumed early-onset neonatal septicemia, and RD in the COVID-19 positive group were noted and should be monitored.
adult; Apgar score; article; assisted ventilation; cesarean section; cohort analysis; controlled study; coronavirus disease 2019; ethnicity; female; gestational age; human; major clinical study; maternal age; maternal death; medical care; medical record; neonatal respiratory distress syndrome; newborn; newborn sepsis; parity; perinatal asphyxia; pneumonia; preeclampsia; pregnancy; pregnant woman; respiratory distress; retrospective study; Thailand; vertical transmission
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Language:
English
Journal:
Journal of the Medical Association of Thailand
Year:
2022
Document Type:
Article
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