Coronavirus disease 2019 infection among asymptomatic and symptomatic pregnant women: two weeks of confirmed presentations to an affiliated pair of New York City hospitals.
Identifieur interne : 001977 ( Main/Corpus ); précédent : 001976; suivant : 001978Coronavirus disease 2019 infection among asymptomatic and symptomatic pregnant women: two weeks of confirmed presentations to an affiliated pair of New York City hospitals.
Auteurs : Noelle Breslin ; Caitlin Baptiste ; Cynthia Gyamfi-Bannerman ; Russell Miller ; Rebecca Martinez ; Kyra Bernstein ; Laurence Ring ; Ruth Landau ; Stephanie Purisch ; Alexander M. Friedman ; Karin Fuchs ; Desmond Sutton ; Maria Andrikopoulou ; Devon Rupley ; Jean-Ju Sheen ; Janice Aubey ; Noelia Zork ; Leslie Moroz ; Mirella Mourad ; Ronald Wapner ; Lynn L. Simpson ; Mary E. D'Alton ; Dena GoffmanSource :
- American journal of obstetrics & gynecology MFM [ 2589-9333 ] ; 2020.
English descriptors
- KwdEn :
- Adult (MeSH), Ambulatory Care (MeSH), Anti-Bacterial Agents (therapeutic use), Asymptomatic Diseases (MeSH), Azithromycin (therapeutic use), COVID-19 (complications), COVID-19 (diagnosis), COVID-19 (physiopathology), COVID-19 (therapy), COVID-19 Nucleic Acid Testing (MeSH), Carrier State (diagnosis), Cesarean Section (MeSH), Disease Management (MeSH), Enzyme Inhibitors (therapeutic use), Female (MeSH), Fluid Therapy (MeSH), Gestational Age (MeSH), Hospitalization (MeSH), Hospitals, Community (MeSH), Hospitals, University (MeSH), Humans (MeSH), Hydroxychloroquine (therapeutic use), Infection Control (methods), Intensive Care Units (MeSH), Labor, Induced (MeSH), Labor, Obstetric (MeSH), Multi-Institutional Systems (MeSH), New York City (MeSH), Obesity, Maternal (complications), Obstetric Labor, Premature (MeSH), Oxygen Inhalation Therapy (MeSH), Pregnancy (MeSH), Pregnancy Complications, Infectious (diagnosis), Pregnancy Complications, Infectious (physiopathology), Pregnancy Complications, Infectious (therapy), Retrospective Studies (MeSH), SARS-CoV-2 (MeSH), Telemedicine (MeSH), Young Adult (MeSH).
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents, Azithromycin, Enzyme Inhibitors, Hydroxychloroquine.
- geographic : New York City.
- complications : COVID-19, Obesity, Maternal.
- diagnosis : COVID-19, Carrier State, Pregnancy Complications, Infectious.
- methods : Infection Control.
- physiopathology : COVID-19, Pregnancy Complications, Infectious.
- therapy : COVID-19, Pregnancy Complications, Infectious.
- Adult, Ambulatory Care, Asymptomatic Diseases, COVID-19 Nucleic Acid Testing, Cesarean Section, Disease Management, Female, Fluid Therapy, Gestational Age, Hospitalization, Hospitals, Community, Hospitals, University, Humans, Intensive Care Units, Labor, Induced, Labor, Obstetric, Multi-Institutional Systems, Obstetric Labor, Premature, Oxygen Inhalation Therapy, Pregnancy, Retrospective Studies, SARS-CoV-2, Telemedicine, Young Adult.
Abstract
Novel coronavirus disease 2019 is rapidly spreading throughout the New York metropolitan area since its first reported case on March 1, 2020. The state is now the epicenter of coronavirus disease 2019 outbreak in the United States, with 84,735 cases reported as of April 2, 2020. We previously presented an early case series with 7 coronavirus disease 2019-positive pregnant patients, 2 of whom were diagnosed with coronavirus disease 2019 after an initial asymptomatic presentation. We now describe a series of 43 test-positive cases of coronavirus disease 2019 presenting to an affiliated pair of New York City hospitals for more than 2 weeks, from March 13, 2020, to March 27, 2020. A total of 14 patients (32.6%) presented without any coronavirus disease 2019-associated viral symptoms and were identified after they developed symptoms during admission or after the implementation of universal testing for all obstetric admissions on March 22. Among them, 10 patients (71.4%) developed symptoms of coronavirus disease 2019 over the course of their delivery admission or early after postpartum discharge. Of the other 29 patients (67.4%) who presented with symptomatic coronavirus disease 2019, 3 women ultimately required antenatal admission for viral symptoms, and another patient re-presented with worsening respiratory status requiring oxygen supplementation 6 days postpartum after a successful labor induction. There were no confirmed cases of coronavirus disease 2019 detected in neonates upon initial testing on the first day of life. Based on coronavirus disease 2019 disease severity characteristics by Wu and McGoogan, 37 women (86%) exhibited mild disease, 4 (9.3%) severe disease, and 2 (4.7%) critical disease; these percentages are similar to those described in nonpregnant adults with coronavirus disease 2019 (about 80% mild, 15% severe, and 5% critical disease).
DOI: 10.1016/j.ajogmf.2020.100118
PubMed: 32292903
PubMed Central: PMC7144599
Links to Exploration step
pubmed:32292903Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Coronavirus disease 2019 infection among asymptomatic and symptomatic pregnant women: two weeks of confirmed presentations to an affiliated pair of New York City hospitals.</title><author><name sortKey="Breslin, Noelle" sort="Breslin, Noelle" uniqKey="Breslin N" first="Noelle" last="Breslin">Noelle Breslin</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Baptiste, Caitlin" sort="Baptiste, Caitlin" uniqKey="Baptiste C" first="Caitlin" last="Baptiste">Caitlin Baptiste</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Gyamfi Bannerman, Cynthia" sort="Gyamfi Bannerman, Cynthia" uniqKey="Gyamfi Bannerman C" first="Cynthia" last="Gyamfi-Bannerman">Cynthia Gyamfi-Bannerman</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Miller, Russell" sort="Miller, Russell" uniqKey="Miller R" first="Russell" last="Miller">Russell Miller</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Martinez, Rebecca" sort="Martinez, Rebecca" uniqKey="Martinez R" first="Rebecca" last="Martinez">Rebecca Martinez</name><affiliation><nlm:affiliation>Division of Obstetric Anesthesia, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Bernstein, Kyra" sort="Bernstein, Kyra" uniqKey="Bernstein K" first="Kyra" last="Bernstein">Kyra Bernstein</name><affiliation><nlm:affiliation>Division of Obstetric Anesthesia, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Ring, Laurence" sort="Ring, Laurence" uniqKey="Ring L" first="Laurence" last="Ring">Laurence Ring</name><affiliation><nlm:affiliation>Division of Obstetric Anesthesia, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Landau, Ruth" sort="Landau, Ruth" uniqKey="Landau R" first="Ruth" last="Landau">Ruth Landau</name><affiliation><nlm:affiliation>Division of Obstetric Anesthesia, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Purisch, Stephanie" sort="Purisch, Stephanie" uniqKey="Purisch S" first="Stephanie" last="Purisch">Stephanie Purisch</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Friedman, Alexander M" sort="Friedman, Alexander M" uniqKey="Friedman A" first="Alexander M" last="Friedman">Alexander M. Friedman</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Fuchs, Karin" sort="Fuchs, Karin" uniqKey="Fuchs K" first="Karin" last="Fuchs">Karin Fuchs</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Sutton, Desmond" sort="Sutton, Desmond" uniqKey="Sutton D" first="Desmond" last="Sutton">Desmond Sutton</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Andrikopoulou, Maria" sort="Andrikopoulou, Maria" uniqKey="Andrikopoulou M" first="Maria" last="Andrikopoulou">Maria Andrikopoulou</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Rupley, Devon" sort="Rupley, Devon" uniqKey="Rupley D" first="Devon" last="Rupley">Devon Rupley</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Sheen, Jean Ju" sort="Sheen, Jean Ju" uniqKey="Sheen J" first="Jean-Ju" last="Sheen">Jean-Ju Sheen</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Aubey, Janice" sort="Aubey, Janice" uniqKey="Aubey J" first="Janice" last="Aubey">Janice Aubey</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Zork, Noelia" sort="Zork, Noelia" uniqKey="Zork N" first="Noelia" last="Zork">Noelia Zork</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Moroz, Leslie" sort="Moroz, Leslie" uniqKey="Moroz L" first="Leslie" last="Moroz">Leslie Moroz</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Mourad, Mirella" sort="Mourad, Mirella" uniqKey="Mourad M" first="Mirella" last="Mourad">Mirella Mourad</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Wapner, Ronald" sort="Wapner, Ronald" uniqKey="Wapner R" first="Ronald" last="Wapner">Ronald Wapner</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Simpson, Lynn L" sort="Simpson, Lynn L" uniqKey="Simpson L" first="Lynn L" last="Simpson">Lynn L. Simpson</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="D Alton, Mary E" sort="D Alton, Mary E" uniqKey="D Alton M" first="Mary E" last="D'Alton">Mary E. D'Alton</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Goffman, Dena" sort="Goffman, Dena" uniqKey="Goffman D" first="Dena" last="Goffman">Dena Goffman</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32292903</idno><idno type="pmid">32292903</idno><idno type="doi">10.1016/j.ajogmf.2020.100118</idno><idno type="pmc">PMC7144599</idno><idno type="wicri:Area/Main/Corpus">001977</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001977</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Coronavirus disease 2019 infection among asymptomatic and symptomatic pregnant women: two weeks of confirmed presentations to an affiliated pair of New York City hospitals.</title><author><name sortKey="Breslin, Noelle" sort="Breslin, Noelle" uniqKey="Breslin N" first="Noelle" last="Breslin">Noelle Breslin</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Baptiste, Caitlin" sort="Baptiste, Caitlin" uniqKey="Baptiste C" first="Caitlin" last="Baptiste">Caitlin Baptiste</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Gyamfi Bannerman, Cynthia" sort="Gyamfi Bannerman, Cynthia" uniqKey="Gyamfi Bannerman C" first="Cynthia" last="Gyamfi-Bannerman">Cynthia Gyamfi-Bannerman</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Miller, Russell" sort="Miller, Russell" uniqKey="Miller R" first="Russell" last="Miller">Russell Miller</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Martinez, Rebecca" sort="Martinez, Rebecca" uniqKey="Martinez R" first="Rebecca" last="Martinez">Rebecca Martinez</name><affiliation><nlm:affiliation>Division of Obstetric Anesthesia, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Bernstein, Kyra" sort="Bernstein, Kyra" uniqKey="Bernstein K" first="Kyra" last="Bernstein">Kyra Bernstein</name><affiliation><nlm:affiliation>Division of Obstetric Anesthesia, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Ring, Laurence" sort="Ring, Laurence" uniqKey="Ring L" first="Laurence" last="Ring">Laurence Ring</name><affiliation><nlm:affiliation>Division of Obstetric Anesthesia, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Landau, Ruth" sort="Landau, Ruth" uniqKey="Landau R" first="Ruth" last="Landau">Ruth Landau</name><affiliation><nlm:affiliation>Division of Obstetric Anesthesia, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Purisch, Stephanie" sort="Purisch, Stephanie" uniqKey="Purisch S" first="Stephanie" last="Purisch">Stephanie Purisch</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Friedman, Alexander M" sort="Friedman, Alexander M" uniqKey="Friedman A" first="Alexander M" last="Friedman">Alexander M. Friedman</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Fuchs, Karin" sort="Fuchs, Karin" uniqKey="Fuchs K" first="Karin" last="Fuchs">Karin Fuchs</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Sutton, Desmond" sort="Sutton, Desmond" uniqKey="Sutton D" first="Desmond" last="Sutton">Desmond Sutton</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Andrikopoulou, Maria" sort="Andrikopoulou, Maria" uniqKey="Andrikopoulou M" first="Maria" last="Andrikopoulou">Maria Andrikopoulou</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Rupley, Devon" sort="Rupley, Devon" uniqKey="Rupley D" first="Devon" last="Rupley">Devon Rupley</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Sheen, Jean Ju" sort="Sheen, Jean Ju" uniqKey="Sheen J" first="Jean-Ju" last="Sheen">Jean-Ju Sheen</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Aubey, Janice" sort="Aubey, Janice" uniqKey="Aubey J" first="Janice" last="Aubey">Janice Aubey</name><affiliation><nlm:affiliation>Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Zork, Noelia" sort="Zork, Noelia" uniqKey="Zork N" first="Noelia" last="Zork">Noelia Zork</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Moroz, Leslie" sort="Moroz, Leslie" uniqKey="Moroz L" first="Leslie" last="Moroz">Leslie Moroz</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Mourad, Mirella" sort="Mourad, Mirella" uniqKey="Mourad M" first="Mirella" last="Mourad">Mirella Mourad</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Wapner, Ronald" sort="Wapner, Ronald" uniqKey="Wapner R" first="Ronald" last="Wapner">Ronald Wapner</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Simpson, Lynn L" sort="Simpson, Lynn L" uniqKey="Simpson L" first="Lynn L" last="Simpson">Lynn L. Simpson</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="D Alton, Mary E" sort="D Alton, Mary E" uniqKey="D Alton M" first="Mary E" last="D'Alton">Mary E. D'Alton</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author><author><name sortKey="Goffman, Dena" sort="Goffman, Dena" uniqKey="Goffman D" first="Dena" last="Goffman">Dena Goffman</name><affiliation><nlm:affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</nlm:affiliation></affiliation></author></analytic><series><title level="j">American journal of obstetrics & gynecology MFM</title><idno type="eISSN">2589-9333</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Ambulatory Care (MeSH)</term><term>Anti-Bacterial Agents (therapeutic use)</term><term>Asymptomatic Diseases (MeSH)</term><term>Azithromycin (therapeutic use)</term><term>COVID-19 (complications)</term><term>COVID-19 (diagnosis)</term><term>COVID-19 (physiopathology)</term><term>COVID-19 (therapy)</term><term>COVID-19 Nucleic Acid Testing (MeSH)</term><term>Carrier State (diagnosis)</term><term>Cesarean Section (MeSH)</term><term>Disease Management (MeSH)</term><term>Enzyme Inhibitors (therapeutic use)</term><term>Female (MeSH)</term><term>Fluid Therapy (MeSH)</term><term>Gestational Age (MeSH)</term><term>Hospitalization (MeSH)</term><term>Hospitals, Community (MeSH)</term><term>Hospitals, University (MeSH)</term><term>Humans (MeSH)</term><term>Hydroxychloroquine (therapeutic use)</term><term>Infection Control (methods)</term><term>Intensive Care Units (MeSH)</term><term>Labor, Induced (MeSH)</term><term>Labor, Obstetric (MeSH)</term><term>Multi-Institutional Systems (MeSH)</term><term>New York City (MeSH)</term><term>Obesity, Maternal (complications)</term><term>Obstetric Labor, Premature (MeSH)</term><term>Oxygen Inhalation Therapy (MeSH)</term><term>Pregnancy (MeSH)</term><term>Pregnancy Complications, Infectious (diagnosis)</term><term>Pregnancy Complications, Infectious (physiopathology)</term><term>Pregnancy Complications, Infectious (therapy)</term><term>Retrospective Studies (MeSH)</term><term>SARS-CoV-2 (MeSH)</term><term>Telemedicine (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Bacterial Agents</term><term>Azithromycin</term><term>Enzyme Inhibitors</term><term>Hydroxychloroquine</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>New York City</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>COVID-19</term><term>Obesity, Maternal</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>COVID-19</term><term>Carrier State</term><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>COVID-19</term><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>COVID-19</term><term>Pregnancy Complications, Infectious</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Ambulatory Care</term><term>Asymptomatic Diseases</term><term>COVID-19 Nucleic Acid Testing</term><term>Cesarean Section</term><term>Disease Management</term><term>Female</term><term>Fluid Therapy</term><term>Gestational Age</term><term>Hospitalization</term><term>Hospitals, Community</term><term>Hospitals, University</term><term>Humans</term><term>Intensive Care Units</term><term>Labor, Induced</term><term>Labor, Obstetric</term><term>Multi-Institutional Systems</term><term>Obstetric Labor, Premature</term><term>Oxygen Inhalation Therapy</term><term>Pregnancy</term><term>Retrospective Studies</term><term>SARS-CoV-2</term><term>Telemedicine</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Novel coronavirus disease 2019 is rapidly spreading throughout the New York metropolitan area since its first reported case on March 1, 2020. The state is now the epicenter of coronavirus disease 2019 outbreak in the United States, with 84,735 cases reported as of April 2, 2020. We previously presented an early case series with 7 coronavirus disease 2019-positive pregnant patients, 2 of whom were diagnosed with coronavirus disease 2019 after an initial asymptomatic presentation. We now describe a series of 43 test-positive cases of coronavirus disease 2019 presenting to an affiliated pair of New York City hospitals for more than 2 weeks, from March 13, 2020, to March 27, 2020. A total of 14 patients (32.6%) presented without any coronavirus disease 2019-associated viral symptoms and were identified after they developed symptoms during admission or after the implementation of universal testing for all obstetric admissions on March 22. Among them, 10 patients (71.4%) developed symptoms of coronavirus disease 2019 over the course of their delivery admission or early after postpartum discharge. Of the other 29 patients (67.4%) who presented with symptomatic coronavirus disease 2019, 3 women ultimately required antenatal admission for viral symptoms, and another patient re-presented with worsening respiratory status requiring oxygen supplementation 6 days postpartum after a successful labor induction. There were no confirmed cases of coronavirus disease 2019 detected in neonates upon initial testing on the first day of life. Based on coronavirus disease 2019 disease severity characteristics by Wu and McGoogan, 37 women (86%) exhibited mild disease, 4 (9.3%) severe disease, and 2 (4.7%) critical disease; these percentages are similar to those described in nonpregnant adults with coronavirus disease 2019 (about 80% mild, 15% severe, and 5% critical disease).</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32292903</PMID><DateCompleted><Year>2021</Year><Month>01</Month><Day>25</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>25</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2589-9333</ISSN><JournalIssue CitedMedium="Internet"><Volume>2</Volume><Issue>2</Issue><PubDate><Year>2020</Year><Month>05</Month></PubDate></JournalIssue><Title>American journal of obstetrics & gynecology MFM</Title><ISOAbbreviation>Am J Obstet Gynecol MFM</ISOAbbreviation></Journal><ArticleTitle>Coronavirus disease 2019 infection among asymptomatic and symptomatic pregnant women: two weeks of confirmed presentations to an affiliated pair of New York City hospitals.</ArticleTitle><Pagination><MedlinePgn>100118</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ajogmf.2020.100118</ELocationID><Abstract><AbstractText>Novel coronavirus disease 2019 is rapidly spreading throughout the New York metropolitan area since its first reported case on March 1, 2020. The state is now the epicenter of coronavirus disease 2019 outbreak in the United States, with 84,735 cases reported as of April 2, 2020. We previously presented an early case series with 7 coronavirus disease 2019-positive pregnant patients, 2 of whom were diagnosed with coronavirus disease 2019 after an initial asymptomatic presentation. We now describe a series of 43 test-positive cases of coronavirus disease 2019 presenting to an affiliated pair of New York City hospitals for more than 2 weeks, from March 13, 2020, to March 27, 2020. A total of 14 patients (32.6%) presented without any coronavirus disease 2019-associated viral symptoms and were identified after they developed symptoms during admission or after the implementation of universal testing for all obstetric admissions on March 22. Among them, 10 patients (71.4%) developed symptoms of coronavirus disease 2019 over the course of their delivery admission or early after postpartum discharge. Of the other 29 patients (67.4%) who presented with symptomatic coronavirus disease 2019, 3 women ultimately required antenatal admission for viral symptoms, and another patient re-presented with worsening respiratory status requiring oxygen supplementation 6 days postpartum after a successful labor induction. There were no confirmed cases of coronavirus disease 2019 detected in neonates upon initial testing on the first day of life. Based on coronavirus disease 2019 disease severity characteristics by Wu and McGoogan, 37 women (86%) exhibited mild disease, 4 (9.3%) severe disease, and 2 (4.7%) critical disease; these percentages are similar to those described in nonpregnant adults with coronavirus disease 2019 (about 80% mild, 15% severe, and 5% critical disease).</AbstractText><CopyrightInformation>© 2020 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Breslin</LastName><ForeName>Noelle</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baptiste</LastName><ForeName>Caitlin</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gyamfi-Bannerman</LastName><ForeName>Cynthia</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Miller</LastName><ForeName>Russell</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martinez</LastName><ForeName>Rebecca</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Division of Obstetric Anesthesia, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bernstein</LastName><ForeName>Kyra</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of Obstetric Anesthesia, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ring</LastName><ForeName>Laurence</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Division of Obstetric Anesthesia, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Landau</LastName><ForeName>Ruth</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Division of Obstetric Anesthesia, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Purisch</LastName><ForeName>Stephanie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Friedman</LastName><ForeName>Alexander M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fuchs</LastName><ForeName>Karin</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sutton</LastName><ForeName>Desmond</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Andrikopoulou</LastName><ForeName>Maria</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rupley</LastName><ForeName>Devon</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sheen</LastName><ForeName>Jean-Ju</ForeName><Initials>JJ</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aubey</LastName><ForeName>Janice</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zork</LastName><ForeName>Noelia</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moroz</LastName><ForeName>Leslie</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mourad</LastName><ForeName>Mirella</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wapner</LastName><ForeName>Ronald</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Simpson</LastName><ForeName>Lynn L</ForeName><Initials>LL</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>D'Alton</LastName><ForeName>Mary E</ForeName><Initials>ME</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goffman</LastName><ForeName>Dena</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Columbia University Medical Center, New York-Presbyterian Hospital, New York, New York.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>04</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Obstet Gynecol MFM</MedlineTA><NlmUniqueID>101746609</NlmUniqueID><ISSNLinking>2589-9333</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000900">Anti-Bacterial Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D004791">Enzyme Inhibitors</NameOfSubstance></Chemical><Chemical><RegistryNumber>4QWG6N8QKH</RegistryNumber><NameOfSubstance UI="D006886">Hydroxychloroquine</NameOfSubstance></Chemical><Chemical><RegistryNumber>83905-01-5</RegistryNumber><NameOfSubstance UI="D017963">Azithromycin</NameOfSubstance></Chemical></ChemicalList><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Am J Obstet Gynecol MFM. 2020 Aug;2(3):100160</RefSource><PMID Version="1">32838265</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Am J Obstet Gynecol MFM. 2020 Aug;2(3):100162</RefSource><PMID Version="1">32838266</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000553" MajorTopicYN="Y">Ambulatory Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000900" MajorTopicYN="N">Anti-Bacterial Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058070" MajorTopicYN="N">Asymptomatic Diseases</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017963" MajorTopicYN="N">Azithromycin</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000087123" MajorTopicYN="N">COVID-19 Nucleic Acid Testing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002353" MajorTopicYN="N">Carrier State</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002585" MajorTopicYN="Y">Cesarean Section</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019468" MajorTopicYN="N">Disease Management</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004791" MajorTopicYN="N">Enzyme Inhibitors</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005440" MajorTopicYN="N">Fluid Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005865" MajorTopicYN="N">Gestational Age</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006760" MajorTopicYN="Y">Hospitalization</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006764" MajorTopicYN="N">Hospitals, Community</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006785" MajorTopicYN="N">Hospitals, University</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006886" MajorTopicYN="N">Hydroxychloroquine</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007362" MajorTopicYN="N">Intensive Care Units</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007751" MajorTopicYN="Y">Labor, Induced</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007743" MajorTopicYN="N">Labor, Obstetric</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009096" MajorTopicYN="N">Multi-Institutional Systems</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009519" MajorTopicYN="N" Type="Geographic">New York City</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000079262" MajorTopicYN="N">Obesity, Maternal</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007752" MajorTopicYN="N">Obstetric Labor, Premature</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010102" MajorTopicYN="N">Oxygen Inhalation Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011247" MajorTopicYN="N">Pregnancy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011251" MajorTopicYN="N">Pregnancy Complications, Infectious</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017216" MajorTopicYN="N">Telemedicine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword><Keyword MajorTopicYN="Y">novel coronavirus</Keyword><Keyword MajorTopicYN="Y">pregnancy</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>4</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>4</Month><Day>16</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>4</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32292903</ArticleId><ArticleId IdType="doi">10.1016/j.ajogmf.2020.100118</ArticleId><ArticleId IdType="pii">S2589-9333(20)30048-3</ArticleId><ArticleId IdType="pii">100118</ArticleId><ArticleId IdType="pmc">PMC7144599</ArticleId></ArticleIdList><pmc-dir>pmcsd</pmc-dir>
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