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新冠病毒肺炎母亲所生的高危早产儿:一例病例报告

High-Risk Preterm Infant Born to a Mother With COVID-19: A Case Report.

作者信息

Formiga Cibelle Kayenne Martins Roberto, Veloso Aline Helena Nascimento, Fernandes Kathlen Terezinha Montes Soares, Guimarães Layra Alves, Avelar Marla Moreira, Medeiros Maja

机构信息

Department of Physiotherapy, State University of Goiás-UEG, Goiânia, Brazil.

Department of Medicine, Hospital das Clínicas, Federal University of Goiás-UFG, Goiânia, Brazil.

出版信息

Front Rehabil Sci. 2022 May 4;3:862403. doi: 10.3389/fresc.2022.862403. eCollection 2022.

Abstract

The COVID-19 pandemic raises concerns about risks for pregnant women and fetuses, considering factors such as vertical transmission and neonatal alterations caused by maternal infection. Despite this, neuropsychomotor and functional complications in infants delivered by mothers with COVID-19 are still little studied. Thus, we aimed to describe the health history and development based on ICF (International Classification of Functioning, Disability and Health) components of a high-risk preterm infant born to a mother hospitalized due to COVID-19 complications. This case report was based on medical records, developmental assessments, and maternal reports. The infant was born at 30 weeks and 3 days, weighing 1,300 g, measuring 40 cm, and with Apgar scores of 2, 5, 6, and 7. COVID-19 test was negative 1 and 72 h after birth. Moreover, the infant had cardiorespiratory complications and hyperechogenicity of the periventricular white matter. The infant presented speech and language delays during follow-up, but neuromotor development occurred according to age. The health care and follow-up provided helped the development of resilience mechanisms by the infant and family to overcome adversities in the prenatal, perinatal, and neonatal periods. The assessments based on ICF components can contribute to future studies on this topic.

摘要

考虑到垂直传播和母体感染引起的新生儿改变等因素,新冠疫情引发了对孕妇和胎儿风险的担忧。尽管如此,新冠病毒感染母亲所分娩婴儿的神经心理运动和功能并发症仍鲜少被研究。因此,我们旨在根据国际功能、残疾和健康分类(ICF)的组成部分,描述一名因新冠并发症住院的母亲所生高危早产儿的健康史和发育情况。本病例报告基于医疗记录、发育评估和母亲报告。该婴儿出生时孕周为30周零3天,体重1300克,身长40厘米,阿氏评分分别为2分、5分、6分和7分。出生后1小时和72小时新冠病毒检测均为阴性。此外,该婴儿有心肺并发症和脑室周围白质高回声。随访期间婴儿出现言语和语言发育迟缓,但神经运动发育与年龄相符。所提供的医疗保健和随访有助于婴儿及其家庭建立恢复力机制,以克服产前、围产期和新生儿期的逆境。基于ICF组成部分的评估可为该主题的未来研究做出贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b01a/9397962/846410c75eb4/fresc-03-862403-g0001.jpg

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