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J Perinat Med . Covid-19 and pregnancy: the experience of a tertiary maternity hospital

tetano

Editor, Senior Moderator
J Perinat Med


. 2021 Jun 29.
doi: 10.1515/jpm-2021-0070. Online ahead of print.
Covid-19 and pregnancy: the experience of a tertiary maternity hospital


Panagiotis Antsaklis[SUP] 1 [/SUP], Konstantinos Tasias[SUP] 1 [/SUP], Alexandros Psarris[SUP] 1 [/SUP], Marianna Theodora[SUP] 1 [/SUP], George Daskalakis[SUP] 1 [/SUP], Alexandros Rodolakis[SUP] 1 [/SUP]



Affiliations

Abstract

Objectives: The aim of our study is to present the effect of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in pregnancy and evaluate its impact on maternal and neonatal outcomes.
Methods: We retrospectively reviewed the medical records of all COVID-19 positive pregnant women who were admitted to "Alexandra" maternity hospital from March to December 2020 (n=40). The infection status was determined via real-time polymerase chain reaction (RT-PCR) of nasopharyngeal swab specimen. We documented the demographic features, clinical status, pregnancy characteristics and maternal and fetal outcomes.
Results: Forty COVID-19 positive pregnant women were admitted to our clinic during the study period. Mean maternal age was 27.6 years. Gestational age (GA) ranged from 10-42 weeks of pregnancy with mean GA calculated at 38[SUP]+3[/SUP] weeks. Associated comorbidities included hypertension, hypothyroidism, epilepsy, hepatitis B and asthma. Thirty-five out of 40 women delivered within the study period. Cesarean section was performed in 57.1% of the cases. Most of the cases (87.5%) were asymptomatic while ventilation was required for only one patient. All neonates tested negative for SARS-CoV-2. Neither maternal nor neonatal deaths occurred.
Conclusions: In alignment to other studies, our data show that the course of coronavirus disease 2019 (COVID-19) during pregnancy in the majority of cases is mild and neonatal outcomes also appear favorable.

Keywords: COVID‐19; SARS‐CoV‐2; maternal outcome; neonatal outcomes; obstetric outcomes; pregnancy.
 
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