在2019年冠状病毒疾病中的怀孕和分娩结果:来自高等中心的横截面研究
Suzan Şahin1, Bülent Kaya1, Emre Mat2
1Kartal Dr. Lütfi Kırdar City Hospital, Department of Infectious Diseases and Microbiology - İstanbul, Türkiye.
Revista da Associacao Medica Brasileira (1992)
|March 19, 2025
概括
患有2019年新冠病毒病 (COVID-19) 的孕妇面临着严重的孕产妇和分娩并发症,包括早产和低出生体重. 在这些病例中,甲状腺功能低下是常见的并发症.
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:
- 怀孕呈现出独特的生理变化,可以改变对感染的易感性和反应.
- 冠状病毒疾病2019 (COVID-19) 已成为全球健康问题,需要了解它对孕妇等弱势群体的影响.
研究的目的:
- 记录诊断出COVID-19的孕妇的临床和实验室特征.
- 分析COVID-19的孕妇的孕产妇和分娩结果.
主要方法:
- 对2020年3月至2023年1月期间因COVID-19住院或分娩的孕妇的回顾性评估.
- 对两个队列的评估:住院的COVID-19孕妇和在大流行期间分娩的孕妇.
- 对临床数据,实验室结果,并发症和分娩结果的分析.
主要成果:
- 总共有295名孕妇被纳入初始队列,疾病严重程度不同,甲状腺功能低下是最常见的并发症 (13.6%).
- 升高的D-二聚物水平是最常见的实验室异常 (94.6%).
- 在分娩队列中 (193名妇女),4.1%需要接受ICU治疗,2.6%的死亡率,61.2%的剖腹产是紧急情况. 观察到早产 (18.7%),低出生体重 (14.5%) 和死产 (3.1%). 中度至重度的COVID-19与分娩周,出生体重和APGAR分数相反相关.
结论:
- 患有COVID-19的孕妇有很大的孕产妇和分娩并发症的风险,包括早产和低出生体重的婴儿.
- 甲状腺功能低下症被确定为COVID-19的孕妇中显著的并发症.
- 怀孕期间COVID-19的严重程度与新生儿不良结果有关.
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