The severity of COVID-19 among pregnant women and the risk of adverse maternal outcomes
| Autor: | Roghayeh Ahangari, Maryam Ghaedrahmati, Parisa Samadi, Zahra Alipour |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Critical Care Cross-sectional study Disease Iran Severity of Illness Index law.invention 03 medical and health sciences symbols.namesake 0302 clinical medicine law Pregnancy Severity of illness medicine Humans 030212 general & internal medicine Pregnancy Complications Infectious Fisher's exact test 030219 obstetrics & reproductive medicine Obstetrics business.industry Cesarean Section SARS-CoV-2 Medical record Pregnancy Outcome Obstetrics and Gynecology COVID-19 General Medicine medicine.disease Intensive care unit Cross-Sectional Studies Maternal Mortality symbols Population study Female business Maternal Age |
| Zdroj: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 154(1) |
| ISSN: | 1879-3479 |
| Popis: | OBJECTIVE: To evaluate the relationship between the severity of coronavirus disease 2019 (COVID-19) during pregnancy and the risk of adverse maternal outcomes. METHODS: A descriptive-analytical cross-sectional study conducted on 258 pregnant women who were hospitalized due to confirmed COVID-19 from March 2020 to January 2021 at the Forghani Hospital in Qom, Iran. Demographic and obstetric characteristics, laboratory findings, and adverse maternal outcomes were recorded from the patients' medical records. The Fisher exact test, one-way analysis of variance, and regression logistics were used to assess the relationship between variables. RESULTS: Of the total study population, 206 (79.8%) pregnant women had mild to moderate disease, 43 (16.7%) had severe disease, and 9 (3.5%) were in the critical stage of the disease. Eight women (3.1%) died and 33 (12.8%) were admitted to the intensive care unit (ICU). The most important demographic factors associated with the severity of the disease were ethnicity, underlying conditions, maternal age, and parity. The severity of the disease was significantly associated with increased cesarean delivery and admission to the ICU. CONCLUSION: Pregnant women with severe and critical disease had a high rate of cesarean delivery and admission to the ICU. There were eight cases of maternal mortality. |
| Databáze: | OpenAIRE |
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