分析 COVID-19 大流行期间中国武汉孕妇的阴道分娩结局。
Analysis of vaginal delivery outcomes among pregnant women in Wuhan, China during the COVID-19 pandemic.
机构信息
Department of Gynecology and Obstetrics, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
出版信息
Int J Gynaecol Obstet. 2020 Jul;150(1):53-57. doi: 10.1002/ijgo.13188. Epub 2020 May 19.
OBJECTIVE
To study vaginal delivery outcomes and neonatal prognosis and summarize the management of vaginal delivery during the COVID-19 pandemic.
METHODS
A retrospective analysis of medical records and comparison of vaginal delivery outcomes between 10 pregnant women with clinical diagnosis of COVID-19 and 53 pregnant women without COVID-19 admitted to Zhongnan Hospital of Wuhan University between January 20 and March 2, 2020. Results of laboratory tests, imaging tests, and SARS-CoV-2 nucleic acid tests were also analyzed in neonates delivered by pregnant women with clinical diagnosis of COVID-19.
RESULTS
There were no significant differences in gestational age, postpartum hemorrhage, and perineal resection rates between the two groups. There were no significant differences in birth weight of neonates and neonatal asphyxia rates between the two groups. Neonates delivered by pregnant women with clinical diagnosis of COVID-19 tested negative for SARS-CoV-2 infection.
CONCLUSIONS
Under the premise of full evaluation of vaginal delivery conditions and strict protection measures, pregnant women with ordinary type COVID-19 can try vaginal delivery without exacerbation of COVID-19 and without increasing the risk of SARS-CoV-2 infection in neonates.
目的
研究阴道分娩结局和新生儿预后，并总结 COVID-19 大流行期间阴道分娩的管理。
方法
回顾性分析 2020 年 1 月 20 日至 3 月 2 日期间在武汉大学中南医院收治的 10 例临床诊断为 COVID-19 的孕妇和 53 例无 COVID-19 的孕妇的阴道分娩结局，并对临床诊断为 COVID-19 的孕妇所分娩的新生儿的实验室检查、影像学检查和 SARS-CoV-2 核酸检测结果进行分析。
结果
两组的孕周、产后出血量和会阴侧切率无显著差异。两组新生儿出生体重和新生儿窒息率无显著差异。临床诊断为 COVID-19 的孕妇所分娩的新生儿 SARS-CoV-2 检测均为阴性。
结论
在充分评估阴道分娩条件和严格保护措施的前提下，普通型 COVID-19 孕妇可尝试阴道分娩，不加重 COVID-19，不增加新生儿 SARS-CoV-2 感染风险。
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