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新型冠状病毒肺炎在妊娠中的影响及垂直传播:一项系统评价

COVID-19's Effect in Pregnancy and Vertical Transmission: A Systematic Review.

作者信息

Abbasi Fatemeh, Movahedi Minoo, Seresht Leila Mousavi, Nazari Farzaneh, Naeiji Zahra, Arbabzadeh Taraneh, Khanjani Somayeh

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Isfahan University of Medical Science, Isfahan, Iran.

Department of Obstetrics and Gynecology, Bushehr University of Medical Sciences, Bushehr, Iran.

出版信息

Int J Prev Med. 2024 Aug 5;15:25. doi: 10.4103/ijpvm.ijpvm_245_23. eCollection 2024.

Abstract

The COVID-19 pandemic has significantly impacted public health and the global economy. It has also been found to have potential effects on pregnancy, neonatal outcomes, and mother-to-infant transmission. This systematic review aims to provide an overview of the maternal and perinatal outcomes associated with pregnancy. A systematic review study was conducted by searching the PubMed, MEDLINE, Embase, and Web of Science databases according to PRISMA guidelines from December 1, 2019, to December 23, 2022. The results indicate that there was an increase in the rate of cesarean delivery among mothers infected with SARS-CoV-2. However, the study found that the mode of delivery for pregnant women infected with SARS-CoV-2 did not increase or decrease the risk of infection for newborns. During the COVID-19 pandemic, there has been an increase in maternal and infant mortality rates, as well as stillbirths and ruptured ectopic pregnancies. Research has shown that SARS-CoV-2 can potentially be transmitted during pregnancy, although vertical transmission is rare. However, additional data are needed to investigate this adverse effect, especially regarding reports of disease recurrence in mothers infected with SARS-CoV-2.

摘要

新冠疫情对公众健康和全球经济产生了重大影响。人们还发现它对妊娠、新生儿结局以及母婴传播可能有潜在影响。本系统评价旨在概述与妊娠相关的孕产妇和围产期结局。根据PRISMA指南,于2019年12月1日至2022年12月23日在PubMed、MEDLINE、Embase和科学网数据库中进行了一项系统评价研究。结果表明,感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的母亲剖宫产率有所上升。然而,该研究发现,感染SARS-CoV-2的孕妇的分娩方式并未增加或降低新生儿感染风险。在新冠疫情期间,孕产妇和婴儿死亡率、死产率以及异位妊娠破裂率均有所上升。研究表明,SARS-CoV-2在孕期有可能传播,尽管垂直传播很少见。然而,需要更多数据来调查这种不良影响,尤其是关于感染SARS-CoV-2的母亲疾病复发的报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9ad/11376542/efce6a9fd0b6/IJPVM-15-25-g001.jpg

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