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J Perinat Med . Cardiotocographic features in COVID-19 infected pregnant women

tetano

Editor, Senior Moderator
J Perinat Med


. 2021 Aug 19.
doi: 10.1515/jpm-2021-0132. Online ahead of print.
Cardiotocographic features in COVID-19 infected pregnant women


Selcan Sinaci[SUP] 1 [/SUP], Doga Fatma Ocal[SUP] 1 [/SUP], Eda Ozden Tokalioglu[SUP] 1 [/SUP], Filiz Halici Ozturk[SUP] 1 [/SUP], Selvi Aydin Senel[SUP] 1 [/SUP], Levent Huseyin Keskin[SUP] 1 2 [/SUP], Ozlem Moraloglu Tekin[SUP] 1 2 [/SUP], Dilek Sahin[SUP] 1 2 [/SUP]



Affiliations

Abstract

Objectives: We aimed to evaluate the cardiotocograph (CTG) traces of 224 women infected with novel coronavirus 2019 (COVID-19) and analyze whether changes in the CTG traces are related to the severity of COVID-19.
Methods: We designed a prospective cohort study. Two-hundred and twenty-four women who had a single pregnancy of 32 weeks or more, and tested positive for SARS-CoV-2 were included. Clinical diagnosis and classifications were made according to the Chinese management guideline for COVID-19 (version 6.0). Patients were classified into categories as mild, moderate, severe and the CTG traces were observed comparing the hospital admission with the third day of positivity.
Results: There was no statistically significant relationship between COVID-19 severity and CTG category, variability, tachycardia, bradycardia, acceleration, deceleration, and uterine contractility, Apgar 1st and 5th min.
Conclusions: Maternal COVID-19 infection can cause changes that can be observed in CTG. Regardless of the severity of the disease, COVID-19 infection is associated with changes in CTG. The increase in the baseline is the most obvious change.

Keywords: COVID-19; baseline fetal heart ratio (FHR); cardiotocography (CTG); cytokine storm; deceleration.
 
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