Sattari Mahtab, Bashirian Saeed, Masoumi Seyedeh Zahra, Shayan Arezoo, Jenabi Ensiyeh, Ghelichkhani Samereh, Ali Shirzadeh Azam, Jalili Ebrahim, Alimohammadi Shohreh
Department of Midwifery, School of Nursing and Midwifery, Hamadan university of Medical Sciences, Hamadan, Iran.
Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
J Res Health Sci. 2020 Aug 17;20(3):e00488. doi: 10.34172/jrhs.2020.22.
COVID-19 is a new viral disease with a rapid outbreak. Pregnant women are at a higher risk of contracting viral infections including COVID-19. We aimed to evaluate the clinical course and risk factors of pregnant women diagnosed with COVID 19 in Hamadan Province, west of Iran.
A retrospective cohort study.
The convenience sampling was performed using 50 papers and electronic files of pregnant women diagnosed with COVID-19 according to the WHO's temporary guidelines. They were hospitalized in health centers and clinics of Hamadan Province. The data-collecting tool employed was a researcher-made questionnaire. The data were analyzed via SPSS software version 19.
The mean age of pregnant women with COVID 19 was estimated to be 29.20 ± 5.8 yr and their average gestational age estimated to be 28.8 ± 8.20 weeks. About 32% of them had an underlying disease, 32% a history of influenza, and 40% recently traveled to infected areas. The most common findings were CT scans and multiple mottling and ground-glass opacity chest radiology. The most common symptoms were fever, cough, and shortness of breath. About 8% of the women required ICU hospitalization and the average length of hospital stay was 4.04 ± 2.38 and 29% had premature births. Moreover, 28% of infected mothers had a normal delivery and 20% had a cesarean section.
Early diagnosis of Covid-19 disease is essential in pregnant women. Because there is a possibility of worsening complications in the mother and fetus.
新型冠状病毒肺炎（COVID-19）是一种迅速爆发的新型病毒性疾病。孕妇感染包括COVID-19在内的病毒感染的风险更高。我们旨在评估伊朗西部哈马丹省确诊感染COVID-19的孕妇的临床病程及危险因素。
一项回顾性队列研究。
根据世界卫生组织的临时指南，采用便利抽样法选取50份确诊感染COVID-19的孕妇的病历和电子文件。她们均在哈马丹省的卫生中心和诊所住院。所使用的数据收集工具是一份研究者自行编制的问卷。数据通过SPSS 19版软件进行分析。
确诊感染COVID-19的孕妇的平均年龄估计为29.20±5.8岁，平均孕周估计为28.8±8.20周。其中约32%有基础疾病，32%有流感病史，40%近期去过感染地区。最常见的检查结果是CT扫描以及胸部放射学检查显示多发斑片影和磨玻璃影。最常见的症状是发热、咳嗽和呼吸急促。约8%的女性需要入住重症监护病房，平均住院时间为4.04±2.38天，29%的孕妇早产。此外，28%的感染母亲顺产，20%的母亲剖宫产。
对孕妇而言，COVID-19疾病的早期诊断至关重要。因为母亲和胎儿都有可能出现并发症恶化的情况。
