tetano
Editor, Senior Moderator
Ginekol Pol
. 2022 Jan 24.
doi: 10.5603/GP.a2021.0201. Online ahead of print.
COVID-19 in pregnancy, management and outcomes among pregnant women and neonates - results from tertiary care center in Wroclaw
Paulina Szczygiol[SUP] 1 [/SUP], Karolina Baranska[SUP] 2 [/SUP], Ilona Korczak[SUP] 2 [/SUP], Aleksandra Zimmer-Stelmach[SUP] 3 [/SUP], Anna Rosner-Tenerowicz[SUP] 3 [/SUP], Mariusz Zimmer[SUP] 3 [/SUP], Barbara Krolak-Olejnik[SUP] 2 [/SUP]
Affiliations
Abstract
Objectives: A novel coronavirus - SARS CoV-2 - outbreak has, for sure, been the greatest medical challenge in recent years. The maternal and neonatal consequences of the infection are still largely unknown.
Material and methods: This prospective study aims to describe the perinatal care and outcomes of SARS-CoV-2 positive pregnant women and their newborn infants during the third wave of the pandemic, in a large tertiary university center in Wroclaw/Poland from 15 February to 1 May 2021.
Results: The paper describes a group of 83 women with confirmed SARS-CoV-2 infection during delivery, as well as their newborn infants (n = 84). The course of COVID-19 disease in pregnant patients was mostly asymptomatic (56%) but 31% women manifested mild to moderate symptoms and 14% had severe infection. The median gestational age at the delivery was 38 weeks. On average, 16.7% of mothers were separated from their newborns at birth, 83.3% practiced skin-to-skin, and roomed in with their babies, and 84.5% of the infants received any mother'smilk. Preterm infants were more often borne by mothers with symptomatic course of COVID-19 infection. Need for neonatal treatment was only due to prematurity. Neonates with acquired infection (after 14th day of life) had to be treated symptomatically with fever and loose stools, only 28.5% had symptoms of respiratory failure.
Conclusions: Despite the confirmed SARS-CoV-2 infection, the majority of mother- infant dyads were in a good health condition. The data on perinatal care reported in the paper could be helpful contribution supporting childbirth physiology protection during the COVID-19 pandemic.
Keywords: COVID-19; SARS-CoV-2; neonate; perinatal care; pregnancy outcomes.
. 2022 Jan 24.
doi: 10.5603/GP.a2021.0201. Online ahead of print.
COVID-19 in pregnancy, management and outcomes among pregnant women and neonates - results from tertiary care center in Wroclaw
Paulina Szczygiol[SUP] 1 [/SUP], Karolina Baranska[SUP] 2 [/SUP], Ilona Korczak[SUP] 2 [/SUP], Aleksandra Zimmer-Stelmach[SUP] 3 [/SUP], Anna Rosner-Tenerowicz[SUP] 3 [/SUP], Mariusz Zimmer[SUP] 3 [/SUP], Barbara Krolak-Olejnik[SUP] 2 [/SUP]
Affiliations
- PMID: 35072251
- DOI: 10.5603/GP.a2021.0201
Abstract
Objectives: A novel coronavirus - SARS CoV-2 - outbreak has, for sure, been the greatest medical challenge in recent years. The maternal and neonatal consequences of the infection are still largely unknown.
Material and methods: This prospective study aims to describe the perinatal care and outcomes of SARS-CoV-2 positive pregnant women and their newborn infants during the third wave of the pandemic, in a large tertiary university center in Wroclaw/Poland from 15 February to 1 May 2021.
Results: The paper describes a group of 83 women with confirmed SARS-CoV-2 infection during delivery, as well as their newborn infants (n = 84). The course of COVID-19 disease in pregnant patients was mostly asymptomatic (56%) but 31% women manifested mild to moderate symptoms and 14% had severe infection. The median gestational age at the delivery was 38 weeks. On average, 16.7% of mothers were separated from their newborns at birth, 83.3% practiced skin-to-skin, and roomed in with their babies, and 84.5% of the infants received any mother'smilk. Preterm infants were more often borne by mothers with symptomatic course of COVID-19 infection. Need for neonatal treatment was only due to prematurity. Neonates with acquired infection (after 14th day of life) had to be treated symptomatically with fever and loose stools, only 28.5% had symptoms of respiratory failure.
Conclusions: Despite the confirmed SARS-CoV-2 infection, the majority of mother- infant dyads were in a good health condition. The data on perinatal care reported in the paper could be helpful contribution supporting childbirth physiology protection during the COVID-19 pandemic.
Keywords: COVID-19; SARS-CoV-2; neonate; perinatal care; pregnancy outcomes.