新型冠状病毒肺炎疫情对妊娠的影响及其对生殖医学的启示。
The effects of COVID-19 on pregnancy and implications for reproductive medicine.
机构信息
Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia.
Departments of Pediatrics, Obstetrics and Gynecology, and Epidemiology, University of Florida College of Medicine and College of Public Health and Health Professions, Gainesville, Florida.
出版信息
Fertil Steril. 2021 Apr;115(4):824-830. doi: 10.1016/j.fertnstert.2020.12.032. Epub 2021 Jan 1.
Abstract
COVID-19 was officially declared a pandemic in March 2020. Since then, our understanding of its effects on pregnancy have evolved rapidly. Emerging surveillance data and large cohort studies suggest that pregnancy is associated with an increased risk of intensive care unit hospitalization, invasive ventilation, and death. Pregnancies complicated by SARS-CoV-2 infection are associated with increased likelihood of cesarean delivery and preterm birth. Intrauterine transmission occurs, but seems to be rare. Critical gaps remain, and rigorous high-quality data are needed to better ascertain pregnancy risks and to inform antenatal and obstetrical management.
摘要
2020 年 3 月，COVID-19 被正式宣布为大流行。自此，我们对其妊娠影响的认识迅速发展。新兴的监测数据和大型队列研究表明，妊娠与重症监护病房住院、有创通气和死亡的风险增加有关。合并 SARS-CoV-2 感染的妊娠与剖宫产和早产的可能性增加有关。宫内传播发生，但似乎很少见。仍然存在重大差距，需要严格的高质量数据来更好地确定妊娠风险，并为产前和产科管理提供信息。
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