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Qin-Yu Cai,1,2 Yin Yang,3 Yong-Heng Wang,1,2 Han-Lin Cui,1,2 Xue-Peng Wu,2 Kai-Mai Liao,1 Xin Luo,2,4 Tai-Hang Liu1,2 1Department of Bioinformatics, The School of Basic Medicine, Chongqing Medical University, Chongqing, Peopleâs Republic of China; 2The Joint International Research Laboratory of Reproduction and Development, Ministry of Education, Chongqing Medical University, Chongqing, Peopleâs Republic of China; 3Department of Infection Controlling Section, Women and Childrenâs Hospital of Chongqing Medical University, Chongqing, Peopleâs Republic of China; 4Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, Peopleâs Republic of ChinaCorrespondence: Tai-Hang Liu; Xin Luo, Chongqing Medical University, Box 197, No. 1 Yixueyuan Road, Chongqing, 400016, Peopleâs Republic of China, Tel +86 023 68485008, Fax +86 023 68485000, Email liuth@cqmu.edu.cn; lxcqmu@outlook.comObject: COVID-19 pandemic and worldwide quarantine seriously affected the physical and mental health of the general public. Our study aimed to investigate the effects of the COVID-19 quarantine on pregnancy outcomes among pregnant women with hypertensive disorders of pregnancy (HDP).Methods: This single-center retrospective cohort study collected complete clinical data of HDP patients with a history of home quarantine in The First Affiliated Hospital of Chongqing Medical University (Chongqing, China) in 2020 as well as the patients without home quarantine in 2018 and 2019. Then, the maternal and neonatal outcomes of two subtypes of HDP, gestational hypertension (GH) and preeclampsia/eclampsia (PE/E), were analyzed over the three years.Results: The incidence of HDP increased from 0.84% in 2018 and 0.51% in 2019 to 2.30% in 2020. The data suggested that home quarantine was associated with higher gestational weight gain, obesity rates, blood pressure, and uric acid among the patients with HDP in 2020. Furthermore, HDP patients with a history of home quarantine may have worse neonatal outcomes, including lower newborn weight, shorter body length, lower Apgar score, and higher risk of fetal growth restriction.Conclusion: Our results suggested that COVID-19 quarantine may be a risk factor for poor pregnancy outcomes in HDP patients. Lifestyle guidance and antenatal care may be necessary for HDP patients with home quarantine in an epidemic outbreak.Keywords: COVID-19, home quarantine, pregnancy outcomes, HDP, obesity |
