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Relationship between coronavirus disease 2019 in pregnancy and maternal and fetal outcomes: Retrospective analytical

Zahra Alipour1, Parisa Samadi2, Narges Eskandari1

  • 1Department of Midwifery, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.

Midwifery
|September 2, 2021
PubMed

Insights

Pregnant women with COVID-19 face increased risks of severe maternal and fetal complications, including ICU admission and preterm birth. This study highlights the adverse outcomes associated with coronavirus disease 2019 in pregnancy.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Public Health

Background:

  • Coronavirus disease 2019 (COVID-19) poses global health challenges.
  • Limited data exist on COVID-19's impact on pregnant individuals.
  • Understanding these effects is crucial for maternal and fetal health management.

Purpose of the Study:

  • To investigate the epidemiological and clinical characteristics of COVID-19 in pregnant women.
  • To assess the association between COVID-19 infection and adverse maternal and fetal outcomes.

Main Methods:

  • Retrospective analytical cohort study.
  • Involved pregnant women diagnosed with COVID-19 and a control group.
  • Data collected from medical records; logistic regression analysis used.

Main Results:

  • Common symptoms included shortness of breath, cough, and fever.
  • COVID-19 in pregnancy significantly increased risks for ICU admission, preterm birth, fetal distress, and NICU admission.
  • A trend towards increased Cesarean sections was observed.

Conclusions:

  • COVID-19 infection during pregnancy is linked to adverse maternal and fetal outcomes.
  • These include higher rates of intensive care unit admission, preterm birth, fetal distress, and neonatal intensive care unit admission.
  • Findings underscore the importance of protective measures for pregnant women.
Abstract

Keywords:
Coronavirus pneumoniaEpidemiological characteristicsFetal outcomesMaternal outcomesPregnancyRetrospective study

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