Reproductive Medicine Center, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430015, China.
Reproductive Medical Center, Renmin Hospital of Wuhan University, Wuhan, 430060, China.
Curr Med Sci. 2021 Apr;41(2):306-311. doi: 10.1007/s11596-021-2347-9. Epub 2021 Apr 20.
This retrospective study aimed to investigate the clinical characteristics and neonatal outcomes of pregnant women with SARS-COV-2 in Wuhan Children's Hospital and further suggested a possible management strategy for infected pregnant women under epidemic situation. In this study, 8 pregnant women with SARS-COV-2 who were admitted into Wuhan Children's Hospital, China from February 1, 2020 to March 30, 2020 and the clinical features, laboratory data, maternal and neonatal outcomes were analyzed. The mean age of the women at the time of admission was 30.6 years. The mean gestational age of the women was 37 weeks+4 days, and one woman presented with dichorionic diamniotic (DCDA) twin pregnancy. Except for one woman who was febrile, others had no typical clinical symptoms. For all pregnant women, the count of white blood cells and lymphocytes appeared normal, but 6 had a lower percentage of lymphocytes. C-reactive protein (CRP) levels were normal for all the women. One neonate was tested positive for the coronavirus IgG and IgM antibodies. The clinical symptoms of the pregnant women with SARS-COV-2 were mild, and the laboratory data showed similar characteristics to those of non-infected pregnant women. Since one neonate was tested positive for coronavirus, there is a possibility of vertical transmission of SARS-CoV-2. Prompt and efficient screening, triage, and isolation of pregnant women are effective management strategies to reduce nosocomial infection during the SARS-COV-2 epidemic.
本回顾性研究旨在探讨武汉儿童医院 SARS-CoV-2 感染孕妇的临床特征和新生儿结局,并进一步提出疫情期间感染孕妇的可能管理策略。本研究分析了 2020 年 2 月 1 日至 2020 年 3 月 30 日期间因 SARS-CoV-2 入住武汉儿童医院的 8 例孕妇的临床特征、实验室数据、母婴结局。入院时孕妇的平均年龄为 30.6 岁,平均孕龄为 37 周+4 天,1 例为双绒毛膜双羊膜囊(DCDA)双胎妊娠。除 1 例发热外,其余孕妇均无典型临床症状。所有孕妇的白细胞和淋巴细胞计数均正常,但 6 例孕妇的淋巴细胞百分比较低。所有孕妇的 C 反应蛋白(CRP)水平均正常。1 例新生儿冠状病毒 IgG 和 IgM 抗体检测阳性。SARS-CoV-2 感染孕妇的临床症状较轻,实验室数据与未感染孕妇相似。由于 1 例新生儿冠状病毒检测阳性,SARS-CoV-2 存在垂直传播的可能。及时、有效的筛查、分诊和隔离孕妇是减少 SARS-CoV-2 流行期间医院感染的有效管理策略。