COVID-19,怀孕和糖尿病患者的情况
Helmut J Kleinwechter1, Katharina S Weber2, Tatjana P Liedtke2
1diabetologikum kiel, Diabetes Center and Diabetes Education Center, Kiel, Germany.
Zeitschrift fur Geburtshilfe und Neonatologie
|November 2, 2023
概括
感染SARS-CoV-2 (COVID-19) 的孕妇面临更大的风险. 虽然COVID-19不会导致永久性糖尿病,但生活方式的改变和严重的疾病可能会增加妊娠期糖尿病 (GDM) 的风险.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 内分泌学 在内分泌学.
背景情况:
- 怀孕是严重COVID-19的危险因素之一.
- COVID-19可能会对孕产妇和胎儿的结果产生负面影响.
- 糖尿病,GDM和肥胖症加剧了怀孕期间的COVID-19风险.
研究的目的:
- 审查SARS-CoV-2感染对孕妇的影响.
- 评估COVID-19和妊娠期糖尿病 (GDM) 之间的关系.
- 评估怀孕期间mRNA疫苗接种的安全性和有效性.
主要方法:
- 文献审查和对怀孕期间COVID-19现有数据的分析.
- 检查SARS-CoV-2对母亲代谢健康和胎盘功能的影响.
- 评估流行病学数据关于GDM在流行病期间的流行情况.
主要成果:
- SARS-CoV-2 感染增加了周产期和周产期的发病率和死亡率.
- 没有证据表明SARS-CoV-2会导致母亲或后代的永久糖尿病.
- 增加GDM患病率与生活方式的改变和严重的COVID-19恶化葡萄糖耐受性有关.
结论:
- COVID-19对孕妇及其胎儿构成重大风险.
- 在孕妇中,mRNA疫苗接种是安全有效的预防严重的COVID-19.
- 孕妇,特别是未接种疫苗的孕妇,面临COVID-19变种 (如Omicron) 的风险增加.
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