جستجوی مقالات مرتبط با کلیدواژه "maternal outcomes" در نشریات گروه "پزشکی"

More than three years after the outbreak of the new SARS-CoV-2 virus, it remains a health concern for certain populations, including pregnant women. The purpose of this study is to investigate the rate of premature birth and low birth weight in pregnant women with COVID-19 infection and compare it with the population of non-infected mothers.

In this cohort study, 511 pregnant women whose COVID-19 infection was confirmed by a positive SARS-CoV-2 RT-PCR test or with clinical signs and symptoms of COVID-19 pneumonia, as well as 1018 pregnant women without infection, were included. Retrospectively, basic characteristics and data related to maternal and neonatal outcomes were collected from patient records and analyzed using SPSS v.26 software.

The average gestational age at the time of delivery for pregnant women with COVID-19 infection and healthy pregnant women was 37 ± 4 days and 38 ± 2 days, respectively. The rate of cesarean delivery among pregnant women with COVID-19 was significantly higher than that of healthy pregnant women (P < 0.001). No statistical difference in neonatal outcomes was observed in terms of NICU admission rate, neonatal death, or Apgar score. Babies with low birth weight were more common in pregnant women with COVID-19 compared to healthy pregnant women (P < 0.001).

Pregnant mothers infected with COVID-19 have a higher risk of preeclampsia, cesarean delivery, premature delivery, ICU hospitalization, maternal death, and low birth weight of the baby. Additionally, there is a significant correlation between COVID-19 infection and these adverse outcomes. However, we did not observe a significant difference in Apgar scores, NICU admissions, or perinatal mortality. It seems that pregnant mothers with COVID-19 should be given special attention regarding the possibility of preeclampsia and the risk of premature birth.

Coronavirus disease increased concern about vulnerable groups of society including pregnant women and babies. This study was conducted in order to investigate maternal and neonatal outcomes in newborns admitted to Ali Ibn Abi Talib Hospital in Rafsanjan before and after the COVID-19 pandemic.

In this cross-sectional study, 337 infants admitted to the hospital in the first 3 months of 2019 (before the start of the COVID-19 pandemic) and 194 infants admitted in the first 3 months of 2020 (after the start of the COVID-19 pandemic) were included. Demographic characteristics and maternal and neonatal complications were extracted from the files and analyzed by independent two-sample t-test and chi-square test.

The Apgar scores of the first and fifth minutes had significantly decreased during the COVID-19 pandemic (p<0.001), while infant death (p=0.003) and asphyxia at birth (p<0.001) had significantly increased. The frequency of premature rupture of fetal membranes, pre-eclampsia, eclampsia, and diabetes in the pregnant mothers before and after the pandemic were not statistically significant (p>0.05).

According to the results of the present study, although there was no difference in the prevalence of maternal outcomes between the period of COVID-19 and before, but the outcomes of newborns during the period of COVID-19 were more than before, which indicates the need for more careful prenatal care, health protocols training, and careful monitoring of the fetus during and after delivery to reduce neonatal complications and outcomes during the COVID-19.

During the outbreak of emerging infections such as the new coronavirus disease, pregnant women and their fetuses are more vulnerable than other populations. On the other hand, there are also researches and findings about the possible consequences of this disease during pregnancy in pregnant women, so the purpose of the study was to determine and investigate more knowledge of the maternal and neonatal outcomes of pregnant women diagnosed with covid-19 in Shahid Jalil and Imam Sajjad (AS) hospitals. .

In the present descriptive-cross-sectional study, the research population included all pregnant women admitted to Shahid Jalil and Imam Sajjad hospitals to give birth (227 non-infected pregnant women and 109 pregnant women infected with Covid-19) from April 2019 to July 2019. Demographic information, pregnancy, covid-19 disease, childbirth and postpartum were collected using a questionnaire. The collected data were analyzed using chi-score, t-test, and independent t-tests.

The average age in the two studied groups was 30 years. 18.3% of infected women were in the 22nd week of pregnancy, and in the group of non-infected women, 20.7% were between 38 and 39 weeks and 17.2% were between 39 and 40 weeks of pregnancy. 26% of women with covid and 35% of non-infected women experienced their second pregnancy. Both groups had a history of abortion, stillbirth and multiple births. Blood group O+ and A+ were the most common blood groups in pregnant women with covid-19. The average Apgar score in pregnant women with covid was lower than that of non-infected pregnant women. 51.5% of women with covid gave birth by c-section. Premature delivery, respiratory diseases, pre-eclampsia and premature delivery were among the most common complications of covid in pregnant women with covid-19.

It seems that the infection of pregnant women with covid-19 can increase the severity of the disease and its complications and endanger the health of the mother and the fetus. To reduce the severity of the disease, pregnant women should be aware of the potential risks of the disease. Moreover, careful prenatal care, health protocols training, careful monitoring of mother and fetus during and after delivery are necessary to reduce maternal and neonatal complications.

One of the major problems of the fetus is the excretion of the contents of the fetal intestine in the amniotic fluid sac or the amniotic fluid stained with meconium. If the time of stained with meconium is long or if the meconium is thick, it leads to serious risks for the mother and the fetus. The present study was conducted with aim to investigate the prevalence of babies born with meconial stained amniotic fluid and the associated maternal and fetal complications.

This cross-sectional study was conducted in a period of 6 months (Dec 2014 to June 2015) on 1383 women with a singleton pregnancy and a gestational age of more than 28 weeks who had referred to Omolbanian Hospital in Mashhad due to the onset of labor pains. The investigated information included: mother's age, gestational age, number of pregnancies, mode of delivery, amniotic fluid condition, baby's gender, baby's Apgar, ABG (arterial blood gas), birth weight and the need for baby resuscitation. Data analysis was done using SPSS statistical software (version 22) and t-test and chi-square statistical tests. P< 0.05 was considered statistically significant.

In the present study, out of 1383 cases of normal delivery, 114 cases had meconium-stained amniotic fluid (prevalence of 8.2%). The number of cesarean section was higher in the thick meconial group (26 cases (%43.3)) compared to thin meconial group (9 cases (16.7%)) (p=0.002). The amount of abnormal ABG was 10 cases (8.7%) in the meconial group, of which 6 cases (5.2%) were in the fetal distress group. The amount of abnormal ABG was 8%, which was significantly higher in the thick meconial group (p=0.002). First minute Apgar less than 7 was more in the thick meconial group (p=0.01) and 5th minute Apgar had no difference between the two groups. There were no cases of convulsions or death of infant in the two groups.

In this study, the prevalence of amniotic fluid stained with meconium was 8.2%. Although the rate of cesarean delivery was higher in the thick meconial group, there was no significant difference in fetal distress in the thick and thin meconial groups. Considering the complications of cesarean section for the mother, natural delivery can be a choice method in these mothers and cesarean section is limited to cases of fetal distress or thick meconium far from delivery.

Many women today tend to exercise during pregnancy. Given the importance of this period of life, the present study was conducted to investigate the effects of exercise on pregnancy and the recommendations that should be considered. According to studies, despite physiological and anatomical changes in pregnancy, physical activity in improving cardiovascular fitness, preventing overweight, preventing hypertension, controlling gestational diabetes, reducing depressive symptoms and reducing the macrosomic prevalence of the fetus and shortening the active stage of labor it is affect. According to the instructions, in the absence of obstetric complications, 30 minutes of moderate-intensity aerobic exercise 3-4 times a week during pregnancy is recommended. Also, after delivery, the time to start exercising depends on the individual's ability, the type of delivery, and the presence of medical or surgical complications. According to the findings, exercise is beneficial in maintaining the health of the mother and fetus, and pregnant women, like non-pregnant women, can exercise and enjoy its health benefits.

The coronavirus disease 2019 (COVID-19) pandemic has raised concerns about high-risk groups in community. Due to physiologic changes in pregnancy, these women are prone to this infection; therefore, this study was conducted to evaluate Covid-19 infection and pregnancy outcomes in Qazvin Province. 

This longitudinal study was done in Qazvin Province from March to October 2020. The participants included 133 pregnant women who with a definitive diagnosis of COVID-19 using CT scan and PCR test. A four-section questionnaire was used to collect demographic data, COVID-19 symptoms, and pregnancy outcomes. The mothers were followed up until six months after delivery. Data were analyzed using the SPSS software version 24 and descriptive statistics.

The mean age of the mothers was 27.09 ± 5.67 years. Fever, cough, and body pain were the most common symptoms of Covid-19 in the mothers. The majority (87.96%) of the mothers were in second and third trimester of pregnancy. Maternal outcomes included preterm labor (9%), Cesarean section (51.1%) and maternal death (11.28% or 5 cases). Perinatal outcomes were abortion (6%) and fetal death (3%).

Based on the results of the present study, Covid-19 increased the rate of maternal mortality and preterm delivery in pregnant women. Attention should be paid to support the expecting mothers, and more emphasis should be placed on health protocols in this group of patients.

Coronavirus 2019 is an emerging infectious disease. During an outbreak of infectious diseases, pregnant women and their fetuses are at high-risk populations. This study was performed with aim to investigate the maternal and neonatal consequences of pregnant women with COVID-19.

In this descriptive case-series study, all pregnant women referred to Tehran Amir Al-Momenin Hospital for delivery and were suspicious for COVID 19 were examined during March to May 2020. The subjects were sampled, and the maternal and neonatal complications diagnosed by clinical or laboratory symptoms were evaluated. Data were analyzed by SPSS software (version 21) and descriptive statistical methods (mean, standard deviation, number and percentage).

The most common symptom of COVID19 in 7 women (100%) in this study was fever. Only 2 women (28.57%) needed nasal oxygen after delivery, and none of the pregnant women needed assisted breathing device. All patients had high CRP and pulmonary involvement in CT scans. Five pregnant women delivered their infants by vaginal delivery, one of them was preterm labor and one infant had low birth weight. One male infant had asphyxia, and one male infant was dead 5 hours after birth, and two infants were hospitalized with symptoms of COVID 19, although their PCR tests were reported negative.

According to the results of the present study, COVID 19 is associated with maternal and neonatal complications.