COVID-19 疫情如何影响孕产妇和新生儿健康?
Nazan N Dogan1, Ozgul Salihoglu1
1Division of Neonatology, Department of Pediatrics, University of Health Sciences, Bakirkoy Dr. Sadi Konuk Training Research Center, Istanbul, Turkey.
American journal of perinatology
|December 15, 2023
概括
冠状病毒疾病2019 (COVID-19) 流行病与较低的Apgar分数和新生儿早产风险增加有关. 然而,COVID-19并没有影响婴儿体重指数或出生时的比例增长.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿科学 新生儿科学
- 传染性疾病 传染性疾病
背景情况:
- 冠状病毒疾病2019 (COVID-19) 流行病引起了人们对其对怀孕结果的影响的担忧.
- 孕期COVID-19感染可能会影响母亲的健康和胎儿的发育.
研究的目的:
- 调查COVID-19对胎儿生长,母亲健康和新生儿结果的影响.
- 为了比较COVID-19和没有COVID-19的孕妇之间的孕妇和新生儿结局.
主要方法:
- 采用了比较性研究设计,包括一组COVID-19的孕妇研究组 (第一组) 和一组没有COVID-19的对照组 (第二组).
- 评估和比较两个组的孕产妇和新生儿结局,共有230名参与者.
主要成果:
- 与对照组 (组2) 相比,患有COVID-19的孕妇 (组1) 的糖尿病,高血压,早产和剖腹产的发病率较高.
- 患有COVID-19的母亲出生的婴儿的妊娠年龄,出生体重和Apgar分数较低,NICU入院和机械通风需求增加.
- 虽然在第一组中,阳性早产的发生率更高,但在第二组中,自发早产的发生率更高. 权重指数显示,两组之间没有显著差异.
结论:
- 怀孕期间的COVID-19与新生儿不良结果有关,包括低Apgar分数和早产并发症风险增加.
- 患有COVID-19的孕妇中,糖尿病和高血压等母亲的并发病更为频繁.
- 该研究发现,COVID-19对婴儿出生时的体重指数或成长比例没有显著影响.
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