怀孕中的COVID-19:在一个大型卫生系统中的流行率,管理和结果
Anna Schulte1, Sandra Castro-Pearson2, Abbey Sidebottom1
1Care Delivery Research, Allina Health, Minneapolis, MN, USA.
概括
患有SARS-CoV-2 (严重急性呼吸系统综合征冠状病毒2) 的孕妇患者大多没有症状. 怀孕期间出现症状的COVID-19病例增加了住院治疗和不良周产期结果.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 怀孕期间SARS-CoV-2感染的患病率和影响需要持续评估.
- 了解COVID-19对孕产妇和围产期结果的影响对于临床管理至关重要.
研究的目的:
- 为了确定在孕妇患者中SARS-CoV-2阳性的患病率.
- 根据SARS-CoV-2状态和COVID-19症状学来比较孕产妇和产后结果.
主要方法:
- 从2020年3月到2021年12月,对24,310例怀孕的回顾性队列研究.
- 在怀孕期间通过阳性测试或COVID-19诊断定义的SARS-CoV-2阳性.
- 在负面,无症状的阳性和症状的阳性SARS-CoV-2组之间比较结果.
主要成果:
- 1.5%的怀孕有COVID-19的症状,3.9%的无症状阳性,和94.6%的阴性.
- 症状患者住院率 (16.8%) 和ICU入院率 (13.0%) 较高.
- 与无症状 (9.5%) 或负 (9.8%) 组相比,有症状的患者 (15.7%) 的早产率显著更高.
结论:
- 大多数感染SARS-CoV-2的孕妇患者无症状.
- 怀孕期间出现症状的COVID-19显著增加了住院和ICU入院的需要.
- 不良周产期结果,包括早产,在有症状的SARS-CoV-2阳性孕妇中更为频繁.
更多相关视频
相关概念视频
01:30Pneumonia V: Nursing management and Prevention
1.9K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.9K
01:19Mitral Valve Prolapse III: Nursing Management
5
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
5
01:22Healthcare Associated Infections II: Preventive Measures
2.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.5K
01:22Diabetes Mellitus: Type 2 and Gestational
2.2K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.2K
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
3
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
3
01:27Pulmonary Embolism III: Nursing Management
6
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
6