Abdelmola Amani, Albasheer Osama, Kariri Atyaf A, Akkam Fatimah M, Hakami Rafeef A, Essa Shahd A, Jali Fawziah M
Department of Family and Community Medicine, Jazan University, Jazan, Saudi Arabia.
Faculty of Medicine, Jazan University, Jazan, Saudi Arabia.
Int J Womens Health. 2024 Mar 14;16:475-490. doi: 10.2147/IJWH.S445950. eCollection 2024.
Pregnancy-related coronavirus disease 2019 infection ranges from asymptomatic to very serious illness. This study aimed to determine the impact of the COVID-19 infection on pregnant women in the Jazan region of Saudi Arabia.
Retrospective observational study of women who had COVID-19 positive test in pregnancy admitted in King Fahd Hospital, Abu Arish General Hospital, and Sabya General Hospital, Jazan, Saudi Arabia during the period between March 2020 and March 2022. Data were extracted from the patient's records. Frequency and percentage distributions were calculated for categorical variables. Descriptive studies and regression analysis were conducted to evaluate the association between selected variables and pregnancy outcomes.
Of the 33 pregnant women with confirmed infection, the majority were in their second and third trimester, with approximately 42.4% requiring intensive care unit (ICU) admission and oxygen therapy. The most prevalent symptoms were high respiratory rate and low blood pressure, often accompanied by fever, cough, and shortness of breath. Live births resulted in 54.5% of the cases, while two maternal deaths were reported. Significant associations were found between the need for non-invasive ventilation and timing of infection (p = 0.026), the mode of delivery and timing of infection (p = 0.036), and the mode of delivery and body mass index (BMI) (p = 0.007).
COVID-19 poses significant risks to pregnant women, particularly in the third trimester, and emphasized the importance of early identification of high-risk pregnancies, strategic planning, and enhanced monitoring during antenatal care.
妊娠相关的2019冠状病毒病感染范围从无症状到非常严重的疾病。本研究旨在确定新型冠状病毒肺炎感染对沙特阿拉伯吉赞地区孕妇的影响。
对2020年3月至2022年3月期间在沙特阿拉伯吉赞的法赫德国王医院、阿布阿里什综合医院和萨比亚综合医院住院的孕期新型冠状病毒肺炎检测呈阳性的女性进行回顾性观察研究。数据从患者记录中提取。计算分类变量的频率和百分比分布。进行描述性研究和回归分析以评估选定变量与妊娠结局之间的关联。
在33例确诊感染的孕妇中，大多数处于妊娠中期和晚期，约42.4%需要入住重症监护病房（ICU）并接受氧疗。最常见的症状是呼吸频率高和血压低，常伴有发热、咳嗽和呼吸急促。54.5%的病例分娩存活，同时报告了两例孕产妇死亡。在无创通气需求与感染时间（p = 0.026）、分娩方式与感染时间（p = 0.036）以及分娩方式与体重指数（BMI）（p = 0.007）之间发现了显著关联。
新型冠状病毒肺炎对孕妇构成重大风险，尤其是在妊娠晚期，并强调了在产前护理中早期识别高危妊娠、战略规划和加强监测的重要性。
