Zare Fariba, Karimi Arezoo, Daliri Salman
Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran.
School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.
Iran J Nurs Midwifery Res. 2024 Jan 9;29(1):91-97. doi: 10.4103/ijnmr.ijnmr_252_22. eCollection 2024 Jan-Feb.
One of the high-risk groups exposed to the coronavirus disease 2019 (COVID-19) pandemic was pregnant women at risk of pregnancy complications due to a weakened immune system and inability to use various drugs to treat COVID-19. Accordingly, this study was conducted to investigate the complications in pregnancy before and during the COVID-19 pandemic.
This cross-sectional study was performed on all pregnant women in Shahroud, Iran. The time interval from February 18, 2019, to February 17, 2020, was considered before the COVID-19 pandemic and from February 18, 2020, to February 17, 2021, was considered the COVID-19 pandemic. Sampling was conducted by census and included 6851 pregnant women. The required information was extracted from hospitals' health deputy registration system and high-risk pregnancy registration program.
Based on the findings, hypertension disorder, gestational diabetes, placental abruption, pre-eclampsia, cesarean section, hospitalization in neonatal intensive care unit (NICU), preterm birth, and hospitalization in other hospital wards increased by 1.88%, 1.93%, 0.12%, 0.45%, 5.45%, 1.00%, 1.20%, and 1.40%, respectively, in 2020 compared to 2019. A statistically significant difference was also observed between them ( < 0.05). Also, the regression results showed that the chances of high blood pressure, Gestational Diabetes Mellitus (GDM), placental abruption, and cesarean section were increased by 10.91, 1.53, 5.51, and 2.83 times, respectively.
Pregnancy complications have increased during the COVID-19 pandemic. As a result, there is a need to take appropriate health and medical measures to reduce the risks associated with the COVID-19 epidemic for pregnant women and neonates.
2019冠状病毒病（COVID-19）大流行期间，免疫系统减弱且无法使用多种药物治疗COVID-19的孕妇是面临妊娠并发症风险的高危群体之一。因此，本研究旨在调查COVID-19大流行之前和期间的妊娠并发症情况。
本横断面研究对伊朗沙赫鲁德的所有孕妇进行。2019年2月18日至2020年2月17日的时间段被视为COVID-19大流行之前，2020年2月18日至2021年2月17日被视为COVID-19大流行期间。通过普查进行抽样，共纳入6851名孕妇。所需信息从医院的健康副登记系统和高危妊娠登记项目中提取。
根据研究结果，与2019年相比，2020年高血压疾病、妊娠期糖尿病、胎盘早剥、子痫前期、剖宫产、新生儿重症监护病房（NICU）住院、早产以及其他医院病房住院的发生率分别增加了1.88%、1.93%、0.12%、0.45%、5.45%、1.00%、1.20%和1.40%。两者之间也观察到了统计学上的显著差异（<0.05）。此外，回归结果显示，高血压、妊娠期糖尿病（GDM）、胎盘早剥和剖宫产的发生几率分别增加了10.91倍、1.53倍、5.51倍和2.83倍。
COVID-19大流行期间妊娠并发症有所增加。因此，有必要采取适当的健康和医疗措施，以降低COVID-19疫情给孕妇和新生儿带来的风险。
