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新型冠状病毒肺炎与妊娠:孕产妇及围生结局的叙述性综述。

COVID-19 and Pregnancy: A narrative review of maternal and perinatal outcomes.

机构信息

Department of Obstetrics & Gynecology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman.

Department of Obstetrics & Gynecology, Sultan Qaboos University Hospital, Muscat, Oman.

出版信息

Sultan Qaboos Univ Med J. 2022 May;22(2):167-178. doi: 10.18295/squmj.8.2021.120. Epub 2022 May 26.

Abstract

As of August 11, 2021, approximately 206 million people worldwide had been infected with SARS-CoV-2. However, limited data are available regarding the effects of COVID-19 infection on pregnancy and maternal and perinatal outcomes. This review aimed to resolve this gap in literature. The MEDLINE®, SCOPUS and Cumulative Index to Nursing and Allied Health Literature databases were searched to identify relevant English-language articles published between January 2020 and February 2021. A total of 17 articles describing the outcomes of 762 pregnancies were identified. There were 613 babies born, including 16 sets of twins. Within the cases studied, 12 (1.6%) maternal deaths and eight (1.3%) stillbirths were reported. A small proportion of mothers (3.9%) required admission to the intensive care unit, usually due to associated comorbidities. Rates of caesarean and preterm delivery ranged from 27-100% and 4-50%, respectively. Further research is necessary to determine the effect of COVID-19 infection on early pregnancy.

摘要

截至 2021 年 8 月 11 日,全球约有 2.06 亿人感染了 SARS-CoV-2。然而,关于 COVID-19 感染对妊娠和母婴围产期结局的影响的数据有限。本综述旨在填补这一文献空白。检索了 MEDLINE、SCOPUS 和 Cumulative Index to Nursing and Allied Health Literature 数据库,以确定 2020 年 1 月至 2021 年 2 月期间发表的相关英文文章。共确定了 17 篇描述 762 例妊娠结局的文章。共有 613 名婴儿出生,包括 16 对双胞胎。在所研究的病例中,报告了 12 例(1.6%)母亲死亡和 8 例(1.3%)死产。一小部分母亲(3.9%)需要入住重症监护病房,通常是由于合并症。剖宫产和早产的发生率分别为 27-100%和 4-50%。需要进一步研究以确定 COVID-19 感染对早期妊娠的影响。

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