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2019冠状病毒病大流行期间患有轻、中度新型冠状病毒肺炎的分娩女性的特征与结局

Characteristics and Outcomes of Women With Mild and Moderate Forms of COVID-19 Giving Birth During the COVID-19 Pandemic.

作者信息

Baki Yıldırım Sema, Yeniay Dilek

机构信息

Department of Obstetrics and Gynecology, Giresun University, Giresun, TUR.

Department of Anesthesiology and Reanimation, Giresun Maternity and Child Health Training and Research Hospital, Giresun, TUR.

出版信息

Cureus. 2023 Jul 5;15(7):e41397. doi: 10.7759/cureus.41397. eCollection 2023 Jul.

Abstract

INTRODUCTION

We aim to investigate the clinical course and impact of mild and moderate forms of coronavirus disease 2019 (COVID-19) infection on pregnant women.

METHOD

A retrospective cohort study was conducted on pregnant women who delivered in a hospital with confirmed COVID-19 infection. Demographic features, clinical characteristics, and perinatal outcomes were retrospectively evaluated.

RESULTS

In total, 157 pregnant women with COVID-19 were hospitalized. In a total of 46 deliveries, three (6.5%) had comorbidities and six (13%) were symptomatic. Myalgia and cough were the leading symptoms. In total, 11 (23.8%) patients received COVID-19 therapy, 41 (90%) had mild disease, and five (10.9%) were transferred to the intensive care unit (ICU). Maternal mortality was observed in two (4.3%) cases. Of the patients, 15 (32.6) had pregnancy complications (preterm delivery) (n = 13, 28.2%), and the cesarean section rate was 91.3%.

CONCLUSION

The course of COVID-19 was mild in the majority of cases. However, accompanying comorbid conditions may accelerate the return to severe form and cause death.

摘要

引言

我们旨在研究2019冠状病毒病(COVID-19)轻度和中度感染对孕妇的临床病程及影响。

方法

对在一家确诊有COVID-19感染的医院分娩的孕妇进行回顾性队列研究。回顾性评估人口统计学特征、临床特征和围产期结局。

结果

共有157例COVID-19感染孕妇住院。在总共46例分娩中,3例(6.5%)有合并症,6例(13%)有症状。肌痛和咳嗽是主要症状。共有11例(23.8%)患者接受了COVID-19治疗,41例(90%)病情较轻,5例(10.9%)被转入重症监护病房(ICU)。观察到2例(4.3%)产妇死亡。患者中有15例(32.6%)出现妊娠并发症(早产)(n = 13,28.2%),剖宫产率为91.3%。

结论

大多数情况下,COVID-19病程较轻。然而,伴随的合并症可能会加速病情发展为重症并导致死亡。

相似文献

本文引用的文献

1
COVID-19 and Pregnancy.COVID-19 与妊娠。
Infect Dis Clin North Am. 2022 Jun;36(2):423-433. doi: 10.1016/j.idc.2022.01.002. Epub 2022 Jan 31.
3
An update on COVID-19 and pregnancy.关于 COVID-19 与妊娠的最新资讯。
Am J Obstet Gynecol. 2022 Feb;226(2):177-186. doi: 10.1016/j.ajog.2021.08.054. Epub 2021 Sep 14.

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