Pregnancy outcomes of Covid-19 possitive pregnant women at the Hue Central Hospital

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Aim: To investigate some clinical and paraclinical characteristics and pregnant outcomes of pregnant women with COVID-19 at COVID-19 Research and Treatment Central of Hue.

Methods: This retrospective observational study included all identified COVID-19- positive pregnant women admitted to the Hue Central Hospital – Branch 2 at labour from September 2021 to March 2022. Maternity and newborns were followed until discharge from the hospital.

Results: Eighty-three pregnant women were positive for COVID-19. There were 32.5 % asymptomatic cases, 43.4 % had mild symptoms, while 21,1 % had more severe forms of the disease. The main follow-up morbidities were high BMI 24,1 %, anaemia 22.9 %, hypertensive disorders 4.8% and diabetes 2.4 %. The rate of premature births was 12.3%. There are 3/83 pregnant women with twins (3.6 %). Caesarean section was done for 63.9 % of women while 36.1 % delivered vaginally. Previous caesarean section (30.2%) was the most common indication for operative completion of labour. Eighty-five (98.8%) live babies were born, of which 11 (13.3%) were admitted to the neonatal intensive care unit. One baby (1.2%) died shortly after birth due to multiple malformations. Two infants (2.3 %) had a positive PCR test for COVID-19.

Conclusion: Most pregnant women infected with COVID-19 are asymptomatic and mild. Almost pregnant women recovered well after giving birth, but 2 mothers died due to severe development of COVID-19 (their children’s lives were saved). 11 babies needed care in the NICU, one baby (1.2%) died soon after birth due to multiple malformations/prematurity. Two infants (2.3 %) had a positive PCR test for COVID-19.

Tài liệu tham khảo

Bộ Y tế. Quyết định về việc ban hành Hướng dẫn tạm thời Dự phòng và xử trí COVID-19 do chủng vi rút Sars-CoV -2 ở phụ nữ mang thai và trẻ sơ sinh, (Ban hành kèm theo Quyết định số 3982 /QĐ-BYT ngày 18 tháng 08 năm 2021).

Zoumpourlis V, Maria G, Emmanouil R et al. The COVID‐19 pandemic as a scientific and social challenge in the 21st century. Molecular Medicine REPORTS. 2019. 22:3035-3048.

Vale AJM, Fernandes ACL, Guzen FP et al. Susceptibility to COVID-19 in pregnancy, labor, and postpartum period: immune system, vertical transmission, and breastfeeding. Front Glob Womens Health. 2021. 2:602572.

Miranda JD, Michael W, Alissa O et al. Characteristics and Maternal and Birth Outcomes of Hospitalized Pregnant Women with Laboratory-Confirmed COVID-19-COVIDNET, 13 States, March 1-August 22, 2020, MMWR. 2020. 69(38):63-70.

Oscar MP, Pilar PR, Marta MH. The association between SARS-CoV-2 infection and preterm delivery: a prospective study with a multivariable analysis. BMC Pregnancy Childbirth. 2021. 21:273.

Bộ Y tế. Hướng dẫn chẩn đoán và điều trị COVID-19 (Ban hành kèm theo Quyết định số 250 /QĐ-BYT ngày 28 tháng 01 năm 2022): 16 - 33.

Elshafeey F, Magdi R, Hindi N et al. A systematic scoping review of COVID-19 during pregnancy and childbirth. Int J Gynaecol Obstet. 2020. 150:47-52.

Allotey J, Stallings E, Bonet M et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis. BMJ. 2020. 370:m3320.

Zaigham M, Andersson O. Maternal and perinatal outcomes with COVID-19: a systematic review of 108 pregnancies. Acta Obstet Gynecol Scand. 2020. 99:823-9.

Nayak AH, Kapote DS, Fonseca M. et al. Impact of the coronavirus infection in pregnancy: a preliminary study of 141 patients. J Obstet Gynaecol India. 2020. 70:256-61.

Savasi VM, Parisi F, Patanè L et al. Clinical findings and disease severity in hospitalized pregnant women with coronavirus disease 2019 (COVID-19). Obstet Gynecol. 2020. 136:252-8.

Lokken EM, Walker CL, Delaney S. et al. Clinical characteristics of 46 pregnant women with a SARS-CoV-2 infection in Washington State. Am J Obstet Gynecol. 2020. 223:911.e1-911.e14.

Đã xuất bản 31-12-2024
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Ngôn ngữ
Số tạp chí Số 83 (2022)
Phân mục Nghiên cứu
DOI
Từ khóa COVID-19, pregnancy, pregnancy outcome, SARS-CoV-2, vertical infection transmission

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Bản quyền (c) 2022 Tạp chí Y học lâm sàng Bệnh viện Trung Ương Huế

Minh, D. T. P., Phim, B., Tung, L. P. B., Tai, T. V., Son, H. N., & Nha, N. T. T. (2024). Pregnancy outcomes of Covid-19 possitive pregnant women at the Hue Central Hospital. Tạp Chí Y học lâm sàng Bệnh viện Trung Ương Huế, (83), 25–31. Truy vấn từ https://jcmhch.com.vn/index.php/home/article/view/404