COVID-19 und Schwangerschaft

Autor: Katrina Kraft, Angela Lihs, Vanessa Hepp, CRONOS-Netzwerk, Elsa Hollatz-Galluschki, Tanja Groten, Charlotte Rohlwink, Elisa Méndez-Martorell, Ines Ehrhardt, Babett Ramsauer, Ulrich Pecks, Ute Schäfer-Graf, Bastian Riebe, Helmut Kleinwechter, Peter Oppelt, Michael K. Bohlmann, Mirjiam Kunze, Tanja Rübelmann, Tamina Ravnaq-Möllers, Alexander Hein
Rok vydání: 2021
Předmět:
Zdroj: Der Gynäkologe. 54:357-365
ISSN: 1433-0393
0017-5994
DOI: 10.1007/s00129-021-04784-7
Popis: From March 3 to October 13, 2020, 27 cases with diabetes comorbidity have been recorded in the CRONOS registry (Covid-19 Related Obstetric and Neonatal Outcome Study in Germany) among 262 registered women with SARS-CoV‑2 infection during their pregnancy. Of those, 21 presented with gestational diabetes, 5 with type 2 diabetes and 1 with type 1 diabetes. About half of the women were asymptomatic and were diagnosed via general screening at hospital admission. The most common symptoms were nasal congestion, cough, tiredness, malaise and changes in smell and taste. The majority of pregnant women showed a mild to moderate course, three women were admitted to the intensive care unit and none required invasive ventilation. In the type 2 diabetes group, there were two cases with late fetal death (37 and 40 weeks of gestation) and one with a malformation, an association with diabetes being most likely. Pregnant women with diabetes mellitus represent a special subgroup; 1 in 10 women in this small cohort required intensive care monitoring due to COVID-19. In addition, this case series underscores the need for unrestricted access to pregnancy care, especially in times of pandemic, for optimal perinatal outcome.
Databáze: OpenAIRE
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