怀孕的青少年患者感染SARS-CoV-2的结果
Anh Quynh Nguyen1, Ellen Murrin1, Sebastian Nasrallah1
1From the Department of Obstetrics and Gynecology, Women's Health Integrated Research Center, Inova Health System, Falls Church, Virginia.
The Pediatric infectious disease journal
|June 1, 2023
概括
患有2019年新冠病毒病 (COVID-19) 的孕妇青少年面临更高的不良妊娠结果风险. 这项研究发现,SARS-CoV-2感染在这个年龄组增加了患孕前和早产等并发症的可能性.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 青少年健康 青少年健康
背景情况:
- 患有COVID-19的孕妇有更高的妊娠不良结果的风险.
- 关于COVID-19对怀孕青少年的具体影响的数据有限.
- 这项研究解决了了解COVID-19对青少年怀孕的影响的差距.
研究的目的:
- 评估感染SARS-CoV-2的孕妇青少年的产科结果.
- 将这些结果与未感染的孕妇青少年的结果进行比较.
- 在这个人群中确定与SARS-CoV-2相关的特定风险和发病率.
主要方法:
- 使用了回顾性队列研究设计.
- 怀孕的青少年 (14-19岁) 对SARS-CoV-2的阳性测试与对照组测试负的结果进行了比较.
- 结局包括先兆子,早产,剖腹产,胎儿生长限制,死产和孕产妇/新生儿发病率的组合.
主要成果:
- 受感染的青少年更有可能是西班牙裔和没有保险的.
- 近80%的感染青少年无症状,但有症状的病例可能会发展为严重的COVID-19.
- 主要综合结局在感染青少年中发生的频率更高 (41.67%对25.38%),母亲的发病率也更高 (6.25%对0.76%).
结论:
- 与未感染的同龄人相比,感染SARS-CoV-2的孕妇青少年患有更高的不良产科结果.
- 在感染的青少年中,孕产妇的发病率明显高于孕产妇.
- 在母体SARS-CoV-2感染和新生儿发病率之间没有发现相关性.
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