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无症状女性中SARS-CoV-2感染的妊娠结局及垂直传播能力:一项在三级农村医疗机构开展的横断面研究

Pregnancy outcomes and vertical transmission capability of SARS-CoV-2 infection among asymptomatic females: A cross-sectional study in a tertiary care rural hospital.

作者信息

Kumari Kalpana, Yadav Ramakant, Mittra Sangh, Kumar Arushi, Bajpai Prashant K, Srivastava Dhiraj K, Kumar Raj

机构信息

Department of Obstetrics and Gynecology, UP University of Medical Sciences, Etawah, Uttar Pradesh, India.

Department of Neurology, UP University of Medical Sciences, Etawah, Uttar Pradesh, India.

出版信息

J Family Med Prim Care. 2021 Sep;10(9):3247-3251. doi: 10.4103/jfmpc.jfmpc_23_21. Epub 2021 Sep 30.

DOI:10.4103/jfmpc.jfmpc_23_21
PMID:34760738
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8565111/
Abstract

BACKGROUND

The COVID-19 pandemic is still spreading throughout the world along with its strange and frightening mutations, and the World Health Organization (WHO) has declared it as a global pandemic.

OBJECTIVE

The present investigation aims to evaluate the effect of SARS-CoV-2 infection on mother and newborn outcomes and the vertical transmission potential of this virus.

STUDY DESIGN

This was a cross-sectional study conducted at a tertiary care dedicated COVID-19 hospital. A total of 40 pregnant females (RT-PCR positive for SARS-CoV-2) and their 41 neonates (including stillbirths and a twin delivery) were included in the present study.

RESULTS

All the mothers in the study were SARS-CoV-2 positive on the RT-PCR test, but none had any COVID-19 symptoms (pneumonia-like fever, cough, fatigue, sore throat, shortness of breath, and diarrhea). Out of 41 newborns, 38 (92.7%) were healthy, one (2.4%) was a stillbirth, and two newborns (4.9%) could not be revived. All the 41 (100.0%) neonates, including stillborn and preterm were negative for the SARS-CoV-2 RT-PCR test. Twenty-Six neonates (63.4%) were delivered by caesarean section, whereas 15 cases (36.6%) had a normal vaginal delivery.

CONCLUSION

The present study showed no suggestion of vertical transmission of SARS-CoV-2 in pregnant females. Therefore, the placenta might function as a barrier to the SARS-CoV-2 virus. Also, there were no complications come upon during the delivery of any neonate in the present study.

摘要

背景

新冠疫情仍在全球蔓延,伴随着奇怪且可怕的变异,世界卫生组织(WHO)已将其宣布为全球大流行。

目的

本研究旨在评估严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染对母婴结局的影响以及该病毒的垂直传播可能性。

研究设计

这是一项在一家三级护理新冠专科医院进行的横断面研究。本研究共纳入40名怀孕女性(SARS-CoV-2逆转录聚合酶链反应(RT-PCR)检测呈阳性)及其41名新生儿(包括死产儿和一对双胞胎)。

结果

研究中的所有母亲RT-PCR检测SARS-CoV-2均呈阳性,但均无任何新冠症状(如肺炎样发热、咳嗽、疲劳、喉咙痛、呼吸急促和腹泻)。41名新生儿中,38名(92.7%)健康,1名(2.4%)为死产儿,2名新生儿(4.9%)未能复苏。包括死产儿和早产儿在内的所有41名(100.0%)新生儿SARS-CoV-2 RT-PCR检测均为阴性。26名新生儿(63.4%)通过剖宫产分娩,而15例(36.6%)为正常阴道分娩。

结论

本研究未显示SARS-CoV-2在怀孕女性中有垂直传播迹象。因此,胎盘可能对SARS-CoV-2病毒起到屏障作用。此外,本研究中任何新生儿分娩期间均未出现并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fcb/8565111/795531221a69/JFMPC-10-3247-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fcb/8565111/795531221a69/JFMPC-10-3247-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fcb/8565111/795531221a69/JFMPC-10-3247-g001.jpg

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