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2019冠状病毒病与妊娠结局:阿联酋哈伊马角一家三级医院的描述性研究

COVID-19 and Pregnancy Outcomes: A Descriptive Study From a Tertiary Hospital in Ras Al Khaimah, UAE.

作者信息

M Sami Manal, Al Zuheiri Shatha, Sabaneh Nour K, Amir Abdul Latif Mustafa, Al-Blooshi Shooq Yousef, Osman Mira

机构信息

Department of Pathology, RAK College of Medical Sciences, Ras Al Khaimah Medical and Health Sciences University, Ras Al Khaimah, UAE.

Obstetrics and Gynecology Department, Abdullah Bin Omran Hospital for Obstetrics and Gynecology, Emirates Health Services, Ras Al Khaimah, UAE.

出版信息

Obstet Gynecol Int. 2024 Dec 3;2024:5252919. doi: 10.1155/ogi/5252919. eCollection 2024.

Abstract

Over 768 million cases of COVID-19 infection have been reported worldwide, with pregnant women being the most vulnerable members of society during such an infectious disease outbreak. In the United Arab Emirates, there are limited studies explaining the effects of COVID-19 on pregnant women and their fetuses. In this study, the maternal and fetal outcomes in pregnant women with COVID-19 in a tertiary maternal hospital, United Arab Emirates, were examined. A descriptive study was conducted in a tertiary hospital for Obstetrics and Gynecology in Ras Al Khaimah, UAE. The study included all pregnant women who tested positive for COVID-19 infection from April 2020 to September 2021. The study revealed that a higher number of COVID-19-infected pregnant patients presented in their third trimester (69.1%). The comorbidity of body mass index (BMI) had the most effect on the severity/hospitalization status of the patients (=0.018). In the nonhospitalized group, fever was the most common symptom (26%), whereas in the hospitalized group, cough was the most common symptom (94%). Emergency cesarean delivery was found to be significant (=0.0007) in hospitalized patients. COVID-19 pneumonia was the prevailing adverse maternal outcome. NICU admission and prematurity were the most frequent neonatal outcomes. In conclusion, our findings show that adverse maternal outcomes, obesity, and mode of delivery were related to COVID-19 severity in pregnant patients. However, there was no effect generally on the adverse fetal outcomes except for jaundice and birth weight.

摘要

全球已报告超过7.68亿例新冠病毒感染病例,在这样的传染病暴发期间,孕妇是社会中最脆弱的群体。在阿拉伯联合酋长国,关于新冠病毒对孕妇及其胎儿影响的研究有限。在本研究中,对阿拉伯联合酋长国一家三级妇产医院中感染新冠病毒的孕妇的母婴结局进行了检查。在阿联酋哈伊马角的一家三级妇产科医院进行了一项描述性研究。该研究纳入了2020年4月至2021年9月期间新冠病毒检测呈阳性的所有孕妇。研究显示,更多感染新冠病毒的孕妇在孕晚期就诊(69.1%)。体重指数(BMI)合并症对患者的严重程度/住院状况影响最大(=0.018)。在未住院组中,发热是最常见的症状(26%),而在住院组中,咳嗽是最常见的症状(94%)。在住院患者中,急诊剖宫产具有显著性(=0.0007)。新冠病毒肺炎是主要的不良孕产妇结局。新生儿重症监护病房(NICU)入院和早产是最常见的新生儿结局。总之,我们的研究结果表明,不良孕产妇结局、肥胖和分娩方式与感染新冠病毒的孕妇的病情严重程度有关。然而,除黄疸和出生体重外,一般对不良胎儿结局没有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b39/11631290/be6885d55b1d/OGI2024-5252919.001.jpg

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