Zhang L, Jiang Y, Wei M, Cheng B H, Zhou X C, Li J, Tian J H, Dong L, Hu R H
Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Department of Neonatology, Renmin Hospital of Wuhan University, Wuhan 430060, China.
Zhonghua Fu Chan Ke Za Zhi. 2020 Mar 25;55(3):166-171. doi: 10.3760/cma.j.cn112141-20200218-00111.
To study the effect of COVID-19 on pregnancy outcomes and neonatal prognosis in Hubei Province. s A retrospective comparison of the pregnancy outcomes was done between 16 women with COVID-19 and 45 women without COVID-19. Also, the results of laboratory tests, imaging examinations, and the 2019 novel coronavirus (2019-nCoV) nucleic acid test were performed in 10 cases of neonatal delivered from women with COVID-19. s (1) Of the 16 pregnant women with COVID-19, 15 cases were ordinary type and 1 case was severe type. No one has progressed to critical pneumonia.The delivery method of the two groups was cesarean section, and the gestational age were (38.7±1.4) and (37.9±1.6) weeks,there was no significant difference between the two groups (0.05). Also, there wee no significant differences in the intraoperative blood loss and birth weight of the newborn between the two groups (all 0.05). (2) Ten cases of neonates delivered from pregnant women with COVID-19 were collected. The 2019-nCoV nucleic acid test were all negative.There were no significant differences in fetal distress, meconium-stained amniotic fluid, preterm birth, and neonatal asphyxia between the two groups (all 0.05).(3) In the treatment of uterine contraction fatigue, carbetocin or carboprost tromethamine was used more in cesarean section for pregnant women with COVID-19 (1.3±0.6), compared with Non-COVID-19 group (0.5±0.7),the difference was statistically significant (0.001). If there is an indication for obstetric surgery or critical illness of COVID-19 in pregnant women, timely termination of pregnancy will not increase the risk of premature birth and asphyxia of the newborn, but it is beneficial to the treatment and rehabilitation of maternal pneumonia. Preventive use of long-acting uterotonic agents could reduce the incidence of postpartum hemorrhage during surgery. 2019-nCoV infection has not been found in neonates delivered from pregnant women with COVID-19.
研究新型冠状病毒肺炎(COVID-19)对湖北省妊娠结局及新生儿预后的影响。对16例COVID-19孕妇和45例非COVID-19孕妇的妊娠结局进行回顾性比较。同时,对10例COVID-19孕妇分娩的新生儿进行实验室检查、影像学检查及新型冠状病毒(2019-nCoV)核酸检测结果分析。(1)16例COVID-19孕妇中,15例为普通型,1例为重型,无1例进展为危重型肺炎。两组分娩方式均为剖宫产,孕周分别为(38.7±1.4)周和(37.9±1.6)周,两组比较差异无统计学意义(P>0.05)。两组术中出血量及新生儿出生体重比较,差异均无统计学意义(均P>0.05)。(2)收集10例COVID-19孕妇分娩的新生儿,2019-nCoV核酸检测均为阴性。两组胎儿窘迫、羊水粪染、早产及新生儿窒息发生率比较,差异均无统计学意义(均P>0.05)。(3)COVID-19孕妇剖宫产术中宫缩乏力治疗时,卡贝缩宫素或卡前列甲酯栓使用次数较多(1.3±0.6),与非COVID-19组(0.5±0.7)比较,差异有统计学意义(P=0.001)。孕妇若有产科手术指征或COVID-19重症,及时终止妊娠不会增加新生儿早产及窒息风险,且有利于孕产妇肺炎的治疗及康复。预防性使用长效宫缩剂可降低手术中产后出血的发生率。未发现COVID-19孕妇分娩的新生儿感染2019-nCoV。