Prevalence and Factors Related to COVID-19 Infection Among Pregnant Women at Mae Ai Hospital Chiang Mai Province
Keywords:
Prevalence, Factors, COVID-19 infection, Pregnant womenAbstract
Pregnant women are a group at risk for COVID-19 infection which affects the health of pregnant women and their fetus. This retrospective case-control study aimed to explore the prevalence of and factors related to COVID-19 infection in pregnant women who came for antenatal care at Mae Ai Hospital, Chiang Mai Province, during October 2021-September 2022. The subjects included the medical records of pregnant women with and without COVID-19 infection. The cases group was match paired with the control group. The cases group consisted of 106 cases, and the control group consisted of 166 cases, resulting in a total of 272 cases. The research instrument was a data collection tool recording information about factors related to COVID-19 infection in pregnant women. Data were analyzed using descriptive statistics, chi-square test, Fisher’s exact test, and simple logistic regression test.
The results revealed that:
1. Pregnant women were infected with COVID-19 at 13.28%.
2. Factors related to the COVID-19 infection of pregnant women included age ≥ 35 years (OR 3.09, 95%CI: 1.19-8.00); pregnancy ≥ 4 times (OR 5.13, 95%CI: 1.80-14.63); history of miscarriage (OR 2.98, 95%CI: 1.31-6.79); and not receiving the COVID-19 vaccine (OR 11.43, 95%CI: 6.08-21.51) with statistical significance (p < .05)
The findings in this study can be used to plan education for pregnant women and public health personnel and encourage pregnant women to get vaccinated against COVID-19 to prevent infection.
References
Allotey, J., Stallings, E., Bonet, M., Yap, M., Chatterjee, S., Kew, T., Debenham, L., Llavall, A. C., Dixit, A., Zhou, D., Balaji, R., Lee, S. I., Qiu, X., Yuan, M., Coomar, D., Sheikh, J., Lawson, H., Ansari, K., Wely, M. V., … Thangaratinam, S. (2020). Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: Living systematic review and meta-analysis. British Medical Journal, 370, m3320. https://doi.org/10.1136/bmj.m3320
Badell, M. L., Dude, C. M., Rasmussen, S. A., & Jamieson, D. J. (2022). Covid-19 vaccination in pregnancy. British Medical Journal, 378, e069741. http://dx.doi.org/10.1136/bmj-2021-069741
Cunningham, F. G., Leveno, K. J., Dashe, J. S., Hoffman, B. L., Spong, C. Y., & Casey, B. M. (2022). Williams obstetrics (26th ed.). McGraw Hill.
Department of Disease Control, Ministry of Public Health. (2022). The situation of COVID-19 cases in the country. https://ddc.moph.go.th/covid19-dashboard/ (in Thai)
Department of Health Promotion, Chiang Mai Provincial Public Health Office. (2022) Report on the results of pregnant women infected with COVID-19. https://www.chiangmaihealth.go.th/cmpho_web/document/220806165976914421.pdf (in Thai)
Elshafeey, F., Magdi, R., Hindi, N., Elshebiny, M., Farrag, N., Mahdy, S., Sabbour, M., Gebril, S., Nasser, M., Kamel, M., Amir, A., Emara, M. M., & Nabhan, A. (2020). A systematic scoping review of COVID-19 during pregnancy and childbirth. International Journal of Gynecology & Obstetrics, 150(1), 47–52. https://doi.org/10.1002/ijgo.13182
Hapshy, V., Aziz, D., Kahar, P., Khanna, D., Johnson, K. E., & Parmar, M. S. (2021). Covid-19 and pregnancy: Risk, symptoms, diagnosis, and treatment. SN Comprehensive ClinicalMedicine, 3(7), 1477-1483.
Laosiritaworn, Y. (n.d.). Epidemiology study design. http://www.ppho.go.th/webppho/dl_strat/F20170616075639.pdf (in Thai)
Mailoungkard, M. (2023). Situation of coronavirus disease 2019 in pregnant women and factors associated with disease severity, delivery and neonatal outcome in health region 2, 2021. Journal of Disease Prevention and Control: DPC. 2 Phitsanulok, 10(1), 26-40. (in Thai)
Metz, T. D., Clifton, R. G., Hughes, B. L., Sandoval, G., Saade, G. R., Grobman, W. A., Manuck, T. A., Miodovnik, M., Sowles, A., Clark, K., Gyamfi-Bannerman, C., Mendez-Figueroa, H., Sehdev, H. M., Rouse, D. J., Tita, A. T. N., Bailit, J., Costantine, M. M., Simhan, H. N., & Macones, G. A. (2021). Disease severity and perinatal outcomes of pregnant patients with coronavirus disease 2019 (COVID-19). Obstetrics & Gynecology, 137(4), 571-580.
Ngamnil, N. (2023). Effects on pregnancy women and newborns from COVID-19 infection among pregnant women infected prior to or during delivery. Buddhachinaraj Medical Journal, 40(1), 12-21. (in Thai)
Overton, E. E., Goffman, D., & Friedman, A. M. (2021). The epidemiology of COVID-19 in pregnancy. Clinical Obstetrics and Gynecology, 65(1), 110-122.
Royal College of Obstetricians & Gynaecologists [RCOG]. (2022). Coronavirus (COVID-19) infection in pregnancy. https://www.rcog.org.uk/media/ftzilsfj/2022-12-15-coronavirus-covid-19-infection-in-pregnancy-v16.pdf
Sornwai, A., & Limpitikul, W. (2022). Neonatal outcomes of mothers with Covid-19 infection in Tak. ChiangRai Medical Journal, 14(1), 55-70. (in Thai)
Stock, S. J., Carruthers, J., Clavert, C., Denny, C., Donaghy, J., Goulding, A., Hopcroft, L. E. M., Hopkins, L., McLaughlin, T., Pan, J., Shi, T., Taylor, B., Agrawal, U., Auyeung, B., Katikireddi, S. V., McCowan, C., Murray, J., Simpson, C. R., Robertson, C., … Wood, R. (2022). SARS-CoV-2 infection and COVID-19 vaccination rates in pregnant women in Scotland. Nature Medicine, 28, 504-512. https://doi.org/10.1038/s41591-021-01666-2
Thongwon, T., Lumpo, W., Saenthaweesuk, A., Plodrit, L., Meechaichana, P., Khunkumhaeng, N., & Lahfahroengron, P. (2022). Challenging role of nurse-midwives during the pandemic of the coronavirus 2019. Nursing Journal CMU, 49(4), 383-402. (in Thai)
World Health Organization (WHO). (2022). Covid-19 weekly epidemiological update. https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---24-august-2022
Zhang, J. J., Dong, X., Liu, G-H., & Gao, Y-D. (2023). Risk and protective factors for COVID-19 morbidity, severity, and mortality. Clinical Reviews in Allergy & Immunology, 64(1), 90-107. https://doi.org/10.1007/s12016-022-08921-5
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