Royal College of Obstetricians and Gynaecologists, London, UK; Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Royal College of Obstetricians and Gynaecologists, London, UK; Norfolk and Norwich University Hospitals NHS Trust, Norwich, UK.
Best Pract Res Clin Obstet Gynaecol. 2021 Jun;73:81-90. doi: 10.1016/j.bpobgyn.2021.03.010. Epub 2021 Mar 31.
The disease COVID-19 emerged in late 2019 in Wuhan, China, and rapidly spread, causing a pandemic that is ongoing and has resulted in more than two million deaths worldwide. COVID-19 is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which spreads effectively by direct contact with an infected person or contaminated surface, droplet or aerosol transmission. Vertical transmission, if it does occur, is rare. Among women of childbearing age, most will have mild or asymptomatic infection; severe illness is uncommon. Severe illness is more common in the later stages of pregnancy, when it is associated with complications, including intensive care admission, maternal death and an increased risk of iatrogenic preterm birth. Women who are older, from minority ethnic groups, who are overweight or obese, who have comorbidities or who live with socioeconomic deprivation are more likely to experience severe illness than women without these characteristics.
这种疾病 COVID-19 于 2019 年底在中国武汉出现,并迅速传播,导致全球范围内仍在持续的大流行,已造成超过 200 万人死亡。COVID-19 是由严重急性呼吸系统综合症冠状病毒 2(SARS-CoV-2)引起的,这种病毒通过与感染者或被污染的表面、飞沫或气溶胶直接接触有效传播。垂直传播如果发生,很少见。在育龄妇女中,大多数人会有轻度或无症状感染;严重疾病并不常见。在妊娠后期,严重疾病更为常见,此时会出现并发症,包括入住重症监护病房、产妇死亡和医源性早产风险增加。与没有这些特征的妇女相比,年龄较大、来自少数民族、超重或肥胖、有合并症或生活在社会经济贫困中的妇女更有可能经历严重疾病。