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有活跃COVID-19感染的孕妇的阴道分娩:一个回顾性分析
Jiao Yi1, Zhiguo Tang2, Xianxia Chen1
1Department of Obstetrics and Gynecology, Maternal and Child Health Care Hospital affiliated with Anhui Medical University, Hefei Maternal and Child Health care Hospital, Hefei, China.
概括
阴道分娩对于患有轻度或无症状COVID-19的孕妇是安全的. 然而,COVID-19感染增加了分娩期间发烧的风险,需要加强监测.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 调查怀孕妇女的阴道分娩的安全性和结果 2019年活跃的冠状病毒疾病 (COVID-19).
- 评估COVID-19阳性与阴道分娩的阴道分娩的女性的风险和产周结果.
研究的目的:
- 为了评估阴道分娩的安全性,相关风险和围产后的结果,在妇女与活跃的COVID-19感染.
- 为了比较COVID-19阳性和阴性孕妇之间的分娩参数和结果.
主要方法:
- 一项涉及351名分娩妇女的队列研究,将351名患有COVID-19 (病例) 的妇女与没有 (对照) 的妇女进行比较.
- 在各组之间分析了母亲人口统计,产后数据和围产期结果.
主要成果:
- 在COVID-19和非COVID-19组之间没有观察到母亲人口统计学方面的显著差异.
- 延长的分娩阶段在COVID-19组中更频繁 (p<0.05),但在回归分析中没有统计相关性.
- 在COVID-19组 (p<0.05) 中,分娩期间发烧率较高,发现风险增加了8倍.
结论:
- 阴道分娩是怀孕后期无症状或轻度COVID-19病例的合适选择.
- COVID-19感染与分娩期间发烧的风险增加有关.
- 患有COVID-19的孕妇可能会从劳动和分娩管理期间加强监测中受益.
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