A Comparison of Maternal and Neonatal Outcomes of Pregnant Women with COVID-19 Between Modes of Delivery in Krathumbaen Hospital Samut Sakhon Province
Keywords:
COVID-19, pregnancy, Modes of delivery, Pregnancy outcomesAbstract
The objective of this retrospective study is to compare modes of delivery of pregnant women with SARS-CoV-19 infections who gave birth in Krathumbaen Hospital in the aspect of maternal and neonatal outcomes. The 70 medical records of each group were reviewed since 1 January 2020 to 31 October 2020. Data were collected and analyzed.
The results showed that mean maternal age was 28.96±5.45 and 28.54±6.15 in vaginal route and cesarean section respectively. Both groups were mostly multipara and termed pregnancy. Signs and symptoms of COVID-19 and postpartum hemorrhage were not different between groups. In neonatal aspect, birthweight, birthweight for gestational age, birth asphyxia and pathological jaundice were also not different between groups. The vertical transmission was not detected. The incidence of hypothermia and tachypnea of neonates in cesarean section group was significantly higher than in vaginal delivery group (p<0.05).
In conclusion, management of pregnant women via intrapartum and postpartum periods, focusing on neonatal hypothermia and dyspnea could reduce complications in newborn.
References
Ellington, S., Strid, P., Tong, V. T., Woodworth, K., Galang, R. R., Zambrano, L. D., . . . Gilboa, S. M. (2020). Characteristics of Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status — United States, January 22–June 7, 2020. MMWR. Morbidity and Mortality Weekly Report, 69(25), 769–775. doi:10.15585/mmwr.mm6925a1
Fenizia, C., Biasin, M., Cetin, I., Vergani, P., Mileto, D., Spinillo, A., . . . Savasi, V. (2020). Analysis of SARS-CoV-2 vertical transmission during pregnancy. Nature communications, 11(1), 5128. doi:10.1038/s41467-020-18933-4
Figueiredo, R., Tavares, S., Moucho, M., & Ramalho, C. (2020). Systematic screening for SARS- CoV-2 in pregnant women admitted for delivery in a Portuguese maternity. Journal Of perinatal medicine, 48(9), 977–980. doi:10.1515/jpm-2020-0387
Figueiro-Filho, E. A., Yudin, M., & Farine, D. (2020). COVID-19 during pregnancy: an overview of maternal characteristics, clinical symptoms, maternal and neonatal outcomes of 10,996 cases described in 15 countries. Journal of perinatal medicine, 48(9), 900–911. doi:10.1515/jpm-2020-0364
Gao, Y., Ding, M., Dong, X., Zhang, J., Kursat Azkur, A., Azkur, D., . . . Akdis, C. A. (2020). Risk factors for severe and critically ill COVID‐19 patients: A review. Allergy, 76 (2), 428–455. doi:10.1111/all.14657
Huntley, B., Huntley, E. S., Di Mascio, D., Chen, T., Berghella, V., & Chauhan, S. P. (2020). Rates of Maternal and Perinatal Mortality and Vertical Transmission in Pregnancies Complicated by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-Co-V-2) Infection: A Systematic Review. Obstetrics and gynecology, 136(2), 303–312. doi:10.1097/AOG.0000000000004010
Jafari, M., Pormohammad, A., Sheikh Neshin, S. A., Ghorbani, S., Bose, D., Alimohammadi, S., . . . Zarei, M. (2021). Clinical characteristics and outcomes of pregnant women with COVID‐19 and comparison with control patients: A systematic review and meta‐analysis. Reviews in Medical Virology, 31(5), 1–16. doi:10.1002/rmv.2208
Kamath, B. D., Todd, J. K., Glazner, J. E., Lezotte, D., & Lynch, A. M. (2009). Neonatal outcomes after elective cesarean delivery. Obstetrics and gynecology, 113(6), 1231–1238. doi:10.1097/AOG.0b013e3181a66d57
Kotlyar, A. M., Grechukhina, O., Chen, A., Popkhadze, S., Grimshaw, A., Tal, O., . . . Tal, R.(2021). Vertical transmission of coronavirus disease 2019: a systematic review and meta-analysis. American Journal of Obstetrics and Gynecology, 224(1), 35–53.e3. doi:doi.org/10.1016/j.ajog.2020.07.049
Lunze, K., Bloom, D. E., Jamison, D. T., & Hamer, D. H. (2013). The global burden of neonatal hypothermia: systematic review of a major challenge for newborn survival. BMC medicine, 11, 24. doi:10.1186/1741-7015-11-24
Martínez-Perez, O., Vouga, M., Cruz Melguizo, S., Forcen Acebal, L., Panchaud, A., Muñoz-Chápuli, M., & Baud, D. (2020). Association Between Mode of Delivery Among Pregnant Women With COVID-19 and Maternal and Neonatal Outcomes in Spain. JAMA, 324(3), 296. doi:10.1001/jama.2020.10125
Norman, M., Navér, L., Söderling, J., Ahlberg, M., Hervius Askling, H., Aronsson, B., . . . Stephansson, O. (2021). Association of Maternal SARS-CoV-2 Infection in Pregnancy With Neonatal Outcomes. JAMA, 325(20), 2076–2086. doi:10.1001/jama.2021.5775
Sarici, S. U., Serdar, M. A., Korkmaz, A., Erdem, G., Oran, O., Tekinalp, G., . . . Yigit, S. (2004). Incidence, course, and prediction of hyperbilirubinemia in near-term and term newborns. Pediatrics, 113(4), 775–780. doi:10.1542/peds.113.4.775
Sutton, D., Fuchs, K., D'Alton, M., & Goffman, D. (2020). Universal Screening for SARS-CoV-2 in Women Admitted for Delivery. The New England journal of medicine, 382(22), 2163–2164. doi:10.1056/NEJMc2009316
Wang, M. J., Schapero, M., Iverson, R., & Yarrington, C. D. (2020). Obstetric hemorrhage
risk associated with novel covid-19 diagnosis from a single-institution cohort in the United States. American journal of perinatology, 37(14), 1411–1416. doi:10.1055/s-0040-1718403
Wastnedge, E. A. N., Reynolds, R. M., van Boeckel, S. R., Stock, S. J., Denison, F. C., Maybin, J. A., & Critchley, H. O. D. (2021). Pregnancy and COVID-19. Physiological Reviews, 101(1), 303–318. doi:10.1152/physrev.00024.2020
World Health Organization. (2020). Coronavirus disease 2019 (COVID-2019): situation report-46. Retrieved 9 December 2021, from https://www.who.int/docs/default-source/ coronaviruse/situation-reports/20200306-sitrep-46-covid-19.pdf?sfvrsn=96b04adf_4
Yang, Z., Wang, M., Zhu, Z., & Liu, Y. (2020). Coronavirus disease 2019 (COVID-19) and pregnancy: a systematic review. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 1–4. Advance online publication. doi:10.1080/14767058.2020.1759541
Yassa, M., Yirmibes, C., Cavusoglu, G., Eksi, H., Dogu, C., Usta, C., . . . Tug, N. (2020). Outcomes of universal SARS-CoV-2 testing program in pregnant women admitted to hospital and the adjuvant role of lung ultrasound in screening: a prospective cohort study. The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 33(22), 3820–3826. doi:10.1080/14767058.2020.1798398
Downloads
Published
Issue
Section
License
Copyright (c) 2022 ฺ
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความทีตีพิมพ์ในวารสารนี้ถือว่าเป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี ราชบุรี และผลงานวิชาการหรือวิจัยของคณะผู้เขียน ไม่ใช่ความคิดเห็นของบรรณาธิการหรือผู้จัดทํา
