孕产妇COVID-19严重程度对产科和新生儿结果的影响:一项回顾性研究
Hadi Fakih1,2, Mohammad Ali Ahmad3, Hussein Tarhini4
1Pediatrics, Faculty of Medical Sciences, Lebanese University, Beirut, LBN.
Cureus
|December 26, 2025
概括
在黎巴嫩,母体COVID-19严重程度显著增加了不良产科和新生儿结果的风险,包括早产和NICU入院. 这凸显了对孕妇的警管理和预防策略的需要.
科学领域:
- 产科和妇科 产科和妇科
- 新生儿医学 新生儿医学
- 传染性疾病 传染性疾病
背景情况:
- 怀孕增加了对COVID-19等严重病毒性呼吸道感染的易感性.
- 怀孕期间的COVID-19与不良结果有关,但中东地区的数据很少.
- 这项研究解决了关于COVID-19对黎巴嫩怀孕的影响的特定区域数据的需求.
研究的目的:
- 在黎巴嫩队列中评估COVID-19严重程度和产科/新生儿结果之间的关联.
- 提供有关COVID-19对孕妇影响的特定区域数据.
- 为临床管理和公共卫生战略提供信息.
主要方法:
- 在谢赫拉盖布哈尔布大学医院进行了回顾性,观察性,单心研究.
- 包括110名PCR确诊COVID-19的孕妇及其新生儿 (2021年).
- 分析了母亲和新生儿的结果,包括COVID-19的严重程度,分娩方式,早产,出生体重,APGAR分数和NICU入院.
主要成果:
- 中度/严重的母体COVID-19与剖腹产 (OR=4.70) 和早产 (OR=3.74) 的更高率有关.
- 患有严重COVID-19的母亲的新生儿具有显著更高的PCR阳性率 (OR=27.00),NICU入院率 (OR=14.33) 和较低的APGAR分数 (OR=0.06).
- 严重的母体COVID-19也与低出生体重和母亲和新生儿的长时间住院相关.
结论:
- 母亲COVID-19的严重程度与黎巴嫩的不良产科和新生儿结果密切相关.
- 新生儿感染和NICU入院的风险增加,需要对孕妇COVID-19患者进行警护理.
- 研究结果强调了像疫苗接种这样的预防措施的重要性,并呼吁进行更大规模的前性研究.
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