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2019冠状病毒病对妊娠和分娩的影响——当前认知

Impact of COVID-19 on pregnancy and delivery - current knowledge.

作者信息

Krupa Aleksandra, Schmidt Marta, Zborowska Katarzyna, Jorg Daria, Czajkowska Mariola, Skrzypulec-Plinta Violetta

机构信息

Department of Sexuology, Department od Woman's Health, School of Health Sciences in Katowice, Medical Univeristy of Silesia, Katowice, Poland.

Department of Propaedeutics of Obstetrics, Department od Woman's Health, School of Health Sciences in Katowice, Medical Univeristy of Silesia, Katowice, Poland.

出版信息

Ginekol Pol. 2020;91(9):564-568. doi: 10.5603/GP.a2020.0127.

Abstract

The World Health Organization announced on 12 March 2020 a global pandemic of the new SARS-CoV-2 coronavirus causing COVID-19 disease associated with pneumonia and acute respiratory failure. SARS-CoV-2 has caused so far over 6.66 million recorded cases, of which 393,000 ended in death (as of June 1, 2020). Despite the demographic statistics of incidence, there is no current recording of cases in the group of pregnant or perinatal women. Changes occurring in the female body system during pregnancy also affect and alter the immune system, and as studies based on other viral respiratory infections have shown, the population of pregnant women is at risk of having a severe course of the disease. The aim of the study is to summarize current reports on the course of COVID-19 disease in a group of pregnant women and the possible impact of SARS-CoV-2 on the foetus and vertical transmission, taking into account changes occurring in the woman's immune system during pregnancy. Available advice and recommendations for antenatal and perinatal care of pregnant women during the pandemic period are also included.

摘要

世界卫生组织于2020年3月12日宣布,新型严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引发了全球大流行,导致与肺炎和急性呼吸衰竭相关的新冠肺炎疾病。截至目前,SARS-CoV-2已造成超过666万例确诊病例,其中39.3万例死亡(截至2020年6月1日)。尽管有发病率的人口统计数据,但目前尚无孕妇或围产期妇女群体的病例记录。孕期女性身体系统发生的变化也会影响并改变免疫系统,而且基于其他病毒性呼吸道感染的研究表明,孕妇群体有患重症的风险。本研究的目的是总结目前关于孕妇群体新冠肺炎疾病病程的报告,以及SARS-CoV-2对胎儿的可能影响和垂直传播情况,同时考虑孕期女性免疫系统发生的变化。文中还包括了大流行期间针对孕妇产前和围产期护理的现有建议和推荐。

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