Pregnancy and delivery outcomes in coronavirus disease 2019: a cross-sectional study from a tertiary center
Revista da Associação Médica Brasileira,
Год журнала:
2025,
Номер
71(1)
Опубликована: Янв. 1, 2025
SUMMARY
OBJECTIVE:
The
objective
of
this
study
was
to
document
the
clinical
and
laboratory
characteristics
maternal
delivery
outcomes
pregnant
women
with
coronavirus
disease
2019.
METHODS:
We
retrospectively
assessed
who
had
been
admitted
either
symptoms
2019
or
for
from
March
2020
January
2023.
participants
were
evaluated
in
two
cohorts:
initial
cohort
included
all
hospitalized
2019,
final
those
delivered
under
circumstances
RESULTS:
295
symptomless
(n=124,
42%),
mild
(n=122,
41.4%),
moderate
(n=18,
6.1%),
severe
(n=31,
10.5%)
Among
comorbidities,
hypothyroidism
(n=40,
13.6%)
highest
share.
most
frequent
abnormality
elevated
D-dimer
levels
(94.6%).
193
women.
Eight
patients
(4.1%)
required
intensive
care
unit
(ICU)
stay.
Mortality
occurred
five
(2.6%).
Out
121
cesarean
section
(SC)
deliveries,
61.2%
on
an
emergency
basis.
Rates
preterm,
low
birth
weight,
stillbirth
18.7%,
14.5%,
3.1%,
respectively.
Moderate-severe
showed
significant
inverse
correlations
week,
APGAR
scores
at
1
5
min
(p<0.0001).
CONCLUSION:
A
considerable
proportion
experienced
complications,
particularly
preterm
weight.
Hypothyroidism
a
notable
share
among
comorbidities.
Язык: Английский
What does the cardiotocography say about SARS-CoV-2 infection? Cardiotocograph monitoring during the pandemic era: a narrative short review
Italian Journal of Gynaecology and Obstetrics,
Год журнала:
2024,
Номер
36(02), С. 138 - 138
Опубликована: Янв. 9, 2024
Although
emerging
data
indicate
an
increased
risk
of
pre-eclampsia,
intrauterine
growth
restriction,
preterm
birth,
and
stillbirth,
several
questions
remain
unsolved
in
the
case
SARS-CoV-2
infection
pregnant
women.Cardiotocography
(CTG)
is
main
method
for
monitoring
fetal
well-being
during
intrapartum
period
now
used
worldwide
early
detection
distress
labor
delivery.This
literature
review
aims
to
assess
different
CTG
changes
observed
positive
mothers,
understand
whether
should
be
specifically
interpreted
or
correlated
with
seropositivity
mother
improve
their
management.We
reviewed
titles
abstracts
44
records
regarding
SARS-CoV-2,
PubMed
SCOPUS,
abstracting
full
text
10.Of
these,
6
studies
met
eligibility
criteria
were
included
this
narrative
short
review.Maternal
has
been
associated
CTG,
such
as
increase
baseline
due
fever,
inflammatory
response
"cytokine
storm".Moreover,
impact
that
had
on
placenta
noticed
still
accountable
most
alterations
CTG.Despite
lack
specificity
patients,
obstetricians
are
encouraged
not
neglect
because
isolation
woman,
owing
virus's
harmful
effects
placentas
maternal
health.
Язык: Английский
Vitamin D Receptor—Interplay in COVID-19-Negative, -Infected, and -Vaccinated Women during Pregnancy
Journal of Clinical Medicine,
Год журнала:
2024,
Номер
13(20), С. 6140 - 6140
Опубликована: Окт. 15, 2024
The
trophoblast
is
a
significant
source
of
vitamin
D
synthesis
during
pregnancy,
with
the
literature
suggesting
its
role
in
fetal
growth.
We
aim
to
underline
possible
mechanism
that
would
explain
negative
outcomes
COVID-19-positive
mothers
by
examining
relationship
between
altered
placental
structure
and
function
throphoblast
cells'
receptor
levels.
Язык: Английский
Impact of Clinical Severity on Maternal and Perinatal Outcome Across Trimesters in COVID 19 Pregnancies: A Prospective Cohort Study
Kubiszeski EH,
Carmo MAMV,
Carmo AV
и другие.
Journal of Advances in Medicine and Medical Research,
Год журнала:
2024,
Номер
36(2), С. 63 - 76
Опубликована: Фев. 12, 2024
Aims:
To
analyze
the
impact
of
clinical
severity
on
maternal
and
perinatal
outcomes
across
trimesters
in
coronavirus
disease
2019
(COVID-19)
pregnancies.
Study
design:
This
was
a
prospective
open
cohort
study
pregnant
women
with
COVID-19
during
prenatal,
delivery,
postpartum
periods
from
September
2020
to
March
2022.
Methodology:
For
data
analysis,
132
who
had
no
pre-existing
comorbidities
or
pregnancy-related
complications
at
beginning
were
selected.
Data
related
COVID-19,
demographic,
clinical,
obstetric,
laboratory,
ultrasound
birth
collected.
Results:
A
total
followed
up
for
2237
women-week.
Among
them,
19.7%
experienced
such
as
premature
rupture
membranes
(19.7%),
delivery
(10.6%),
hemorrhage
(8.3%),
preeclampsia
(6.8%),
fetal/neonatal
complications,
including
small
gestational
age
(9.1%),
need
neonatal
intensive
care
unit
acute
fetal
distress
(6.1%).
Having
moderate/severe
prenatal
admission
(hazard
ratio
(HR):3.75)
95%
confidence
interval
(CI95%):1.63;
8.61
contracting
infection
second
(HR:
6.35;
CI95%:
2.35;
17.17)
third
trimester
(HR:14.35;
CI95%:4.85;
42.41)
pregnancy
significantly
associated
these
complications.
Similarly,
having
(HR:3.90;
CI95%:1.48;
10.24)
(HR:6.84;
CI95%:2.05;
22.84)
(HR:22.4;
CI95%:6.57;
76.33)
also
complications.
Conclusion:
Pregnant
have
higher
risk
if
they
present
occurs
pregnancy.
Язык: Английский
Impact of SARS-COV-2 Infection on Maternal, Obstetric and Neonatal Outcomes in a Cohort of Vaccinated Women: A Pilot Study
Biological Research For Nursing,
Год журнала:
2024,
Номер
26(3), С. 429 - 437
Опубликована: Март 1, 2024
We
aimed
to
investigate
the
impact
of
COVID-19
infection
on
maternal
characteristics
and
obstetric
neonatal
outcomes
in
a
cohort
women
labor
previously
vaccinated
who
tested
positive
for
SARS-CoV-2
infection,
compared
aged-matched
healthy
controls.
A
retrospective
case-control
study
was
conducted
among
66
labor.
Clinical
data
were
obtained
from
medical
records.
The
attendance
rates
at
childbirth
parenting
classes,
as
well
implementation
birth
plan,
significantly
lower
group
(6.1%
vs.
48.5%,
<0.001;
6.1%
33.3%,
p
=
.005,
respectively).
Women
with
had
higher
prevalence
prolonged
postpartum
hospital
stay
(33.3%
9.1%,
.016),
spontaneous
preterm
(27.3%
1.09%,
.006).
Breastfeeding
within
first
24
hr
also
(72.7%
97.0%,
Maternal
are
influenced
by
women.
Complications
include
birth,
stay,
lack
breastfeeding
hr.
Childbirth
education,
classes
implementing
plan
may
be
associated
decreased
risk
infection.
Язык: Английский
Predictors of Postpartum Hemorrhage and Associated Outcomes at a Midwest Academic Medical Center
Women s Health Reports,
Год журнала:
2024,
Номер
5(1), С. 358 - 366
Опубликована: Апрель 1, 2024
Background:
Postpartum
hemorrhage
(PPH)
remains
a
significant
cause
of
maternal
morbidity
and
mortality
around
the
world,
with
rates
increasing
in
United
States.
The
objective
this
study
was
to
determine
predictors
of,
outcomes
associated
with,
PPH
at
Midwest
academic
health
center.
Язык: Английский
Septicemia caused by Enterococcus coli in a pregnant woman after cerclage—A case report
SAGE Open Medical Case Reports,
Год журнала:
2024,
Номер
12
Опубликована: Янв. 1, 2024
The
objective
of
this
case
report
is
to
discuss
a
septicemia
caused
by
Escherichia
coli
following
cervical
cerclage.
study
described
42-year-old
female
patient
who
visited
the
Ante-natal
Clinic
for
follow-up
appointment
during
8th
week
gestation.
had
previously
undergone
successful
in
vitro
fertilization
treatment
16
years
primary
infertility.
A
routine
ultrasound
scan
revealed
dilatation
2–3
cm.
was
advised
undergo
cerclage
insertion.
Two
days
after
surgery,
she
presented
with
pneumonia
and
also
experienced
vaginal
bleeding,
necessitating
removal
Unfortunately,
suffered
stillbirth.
Her
condition
deteriorated
day,
leading
septic
shock
multiple
organ
dysfunction.
After
receiving
treatment,
discharged;
2
being
discharged
patient’s
blood
culture
sensitivity
results
indicated
significant
growth
diagnosis
toxic
myocarditis.
Following
months
intensive
showed
improvement;
however,
there
presence
some
mild
renal
impairment
he
ultimately
home.
Maternal
sepsis
poses
risk
health
lives
pregnant
women.
stands
out
as
causative
agent
Язык: Английский
The association maternal cortisol levels and anxiety during labor with neonatal outcome: a cross-sectional
Italian Journal of Gynaecology and Obstetrics,
Год журнала:
2024,
Номер
online first
Опубликована: Авг. 1, 2024
Objective.This
study
aims
to
investigate
the
association
of
maternal
cortisol
levels
and
anxiety
during
labor
with
neonatal
outcome
in
primigravida
women.
Materials
methods.A
total
147
pairs
their
neonates
included
study.The
was
conducted
from
January
May
2023
using
cross-sectional
design.Labor
were
assessed
Labor
Anxiety
Questionnaire
Kwestionariusz
Lęku
Porodowego-II
(KLP-II).The
measured
ELISA
at
active
phase
labor.Data
analyzed
Chi-Square
test
Mann-whitney
test.Results.The
mean
age
birth
weight
24.52±
4.21
years
2992±
377.68
gr,
respectively.The
median
serum
concentration
58.35
ng/ml
an
interquartile
range
22.19
-70.98
ng/ml.There
no
between
(
antropometry
APGAR
score)
(P>
0.05).Labor
duration
also
not
influenced
by
labor,
instead
birthweight
(P<
0.05).
Conclusions.Both
associated
outcome.Further
research
is
needed
a
larger
sample
size
confirm
whether
acute
stress
can
influence
outcome.
Язык: Английский
Women’s experiences of receiving antenatal and intrapartum care during COVID-19 at public hospitals in the Sidama region, Ethiopia: A qualitative study using the combination of three delay and social-ecological framework (hybrid framework)
Women s Health,
Год журнала:
2024,
Номер
20
Опубликована: Янв. 1, 2024
The
COVID-19
pandemic,
drought
and
internal
conflict
have
worsened
Ethiopia's
already
weak
healthcare
system.
Antenatal
intrapartum
care
are
especially
prone
to
interruption
under
these
circumstances.
Язык: Английский