Serveur d'exploration sur le Covid à Stanford

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Reproductive sequelae of parental severe illness before the pandemic: implications for the COVID-19 pandemic.

Identifieur interne : 000318 ( Main/Exploration ); précédent : 000317; suivant : 000319

Reproductive sequelae of parental severe illness before the pandemic: implications for the COVID-19 pandemic.

Auteurs : Alex M. Kasman [États-Unis] ; Hriday P. Bhambhvani [États-Unis] ; Shufeng Li [États-Unis] ; Chiyuan A. Zhang [États-Unis] ; David K. Stevenson [États-Unis] ; Gary M. Shaw [États-Unis] ; Julia F. Simard [États-Unis] ; Michael L. Eisenberg [États-Unis]

Source :

RBID : pubmed:33280730

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To investigate, with pre-COVID-19 data, whether parental exposure to severe systemic infections near the time of conception is associated with pregnancy outcomes.

DESIGN

Retrospective cohort study.

SETTING

Population-based study covering births within the United States from 2009 to 2016.

PARTICIPANTS

The IBM MarketScan Research database covers reimbursed health care claims data on inpatient and outpatient encounters that are privately insured through employment-sponsored health insurance. Our analytic sample included pregnancies to paired fathers and mothers.

INTERVENTIONS(S)

Parental preconception exposure (0-6 months before conception) to severe systemic infection (e.g., sepsis, hypotension, respiratory failure, critical care evaluation).

MAIN OUTCOME MEASURE(S)

Preterm birth (i.e., live birth before 37 weeks) and pregnancy loss.

RESULT(S)

A total of 999,866 pregnancies were recorded with 214,057 pregnancy losses (21.4%) and 51,759 preterm births (5.2%). Mothers receiving intensive care in the preconception period had increased risk of pregnancy loss, as did fathers. Mothers with preconception sepsis had higher risk of preterm birth and pregnancy loss, and paternal sepsis exposure was associated with an increased risk of pregnancy loss. Similar results were noted for hypotension. In addition, a dose response was observed for both mothers and fathers between preconception time in intensive care and the risk of preterm birth and pregnancy loss.

CONCLUSION(S)

In a pre-COVID-19 cohort, parental preconception severe systemic infection was associated with increased odds of preterm birth and pregnancy loss when conception was soon after the illness.


DOI: 10.1016/j.fertnstert.2020.09.153
PubMed: 33280730
PubMed Central: PMC7510413


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Abortion, Spontaneous (epidemiology)</term>
<term>Adult (MeSH)</term>
<term>COVID-19 (epidemiology)</term>
<term>Cohort Studies (MeSH)</term>
<term>Critical Care (MeSH)</term>
<term>Critical Illness (epidemiology)</term>
<term>Fathers (MeSH)</term>
<term>Female (MeSH)</term>
<term>Fertilization (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mothers (MeSH)</term>
<term>Parents (MeSH)</term>
<term>Preconception Care (MeSH)</term>
<term>Pregnancy (MeSH)</term>
<term>Pregnancy Outcome (MeSH)</term>
<term>Premature Birth (epidemiology)</term>
<term>Respiratory Tract Infections (epidemiology)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Sepsis (epidemiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adulte (MeSH)</term>
<term>Avortement spontané (épidémiologie)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Fécondation (MeSH)</term>
<term>Grossesse (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections de l'appareil respiratoire (épidémiologie)</term>
<term>Issue de la grossesse (MeSH)</term>
<term>Maladie grave (épidémiologie)</term>
<term>Mâle (MeSH)</term>
<term>Mères (MeSH)</term>
<term>Naissance prématurée (épidémiologie)</term>
<term>Parents (MeSH)</term>
<term>Prise en charge préconceptionnelle (MeSH)</term>
<term>Pères (MeSH)</term>
<term>Sepsie (épidémiologie)</term>
<term>Soins de réanimation (MeSH)</term>
<term>Études de cohortes (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Abortion, Spontaneous</term>
<term>COVID-19</term>
<term>Critical Illness</term>
<term>Premature Birth</term>
<term>Respiratory Tract Infections</term>
<term>Sepsis</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Avortement spontané</term>
<term>Infections de l'appareil respiratoire</term>
<term>Maladie grave</term>
<term>Naissance prématurée</term>
<term>Sepsie</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Cohort Studies</term>
<term>Critical Care</term>
<term>Fathers</term>
<term>Female</term>
<term>Fertilization</term>
<term>Humans</term>
<term>Male</term>
<term>Mothers</term>
<term>Parents</term>
<term>Preconception Care</term>
<term>Pregnancy</term>
<term>Pregnancy Outcome</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>SARS-CoV-2</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Fécondation</term>
<term>Grossesse</term>
<term>Humains</term>
<term>Issue de la grossesse</term>
<term>Mâle</term>
<term>Mères</term>
<term>Parents</term>
<term>Prise en charge préconceptionnelle</term>
<term>Pères</term>
<term>Soins de réanimation</term>
<term>Études de cohortes</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To investigate, with pre-COVID-19 data, whether parental exposure to severe systemic infections near the time of conception is associated with pregnancy outcomes.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>Retrospective cohort study.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>Population-based study covering births within the United States from 2009 to 2016.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PARTICIPANTS</b>
</p>
<p>The IBM MarketScan Research database covers reimbursed health care claims data on inpatient and outpatient encounters that are privately insured through employment-sponsored health insurance. Our analytic sample included pregnancies to paired fathers and mothers.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>INTERVENTIONS(S)</b>
</p>
<p>Parental preconception exposure (0-6 months before conception) to severe systemic infection (e.g., sepsis, hypotension, respiratory failure, critical care evaluation).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MAIN OUTCOME MEASURE(S)</b>
</p>
<p>Preterm birth (i.e., live birth before 37 weeks) and pregnancy loss.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULT(S)</b>
</p>
<p>A total of 999,866 pregnancies were recorded with 214,057 pregnancy losses (21.4%) and 51,759 preterm births (5.2%). Mothers receiving intensive care in the preconception period had increased risk of pregnancy loss, as did fathers. Mothers with preconception sepsis had higher risk of preterm birth and pregnancy loss, and paternal sepsis exposure was associated with an increased risk of pregnancy loss. Similar results were noted for hypotension. In addition, a dose response was observed for both mothers and fathers between preconception time in intensive care and the risk of preterm birth and pregnancy loss.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION(S)</b>
</p>
<p>In a pre-COVID-19 cohort, parental preconception severe systemic infection was associated with increased odds of preterm birth and pregnancy loss when conception was soon after the illness.</p>
</div>
</front>
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<AbstractText Label="OBJECTIVE">To investigate, with pre-COVID-19 data, whether parental exposure to severe systemic infections near the time of conception is associated with pregnancy outcomes.</AbstractText>
<AbstractText Label="DESIGN">Retrospective cohort study.</AbstractText>
<AbstractText Label="SETTING">Population-based study covering births within the United States from 2009 to 2016.</AbstractText>
<AbstractText Label="PARTICIPANTS">The IBM MarketScan Research database covers reimbursed health care claims data on inpatient and outpatient encounters that are privately insured through employment-sponsored health insurance. Our analytic sample included pregnancies to paired fathers and mothers.</AbstractText>
<AbstractText Label="INTERVENTIONS(S)">Parental preconception exposure (0-6 months before conception) to severe systemic infection (e.g., sepsis, hypotension, respiratory failure, critical care evaluation).</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURE(S)">Preterm birth (i.e., live birth before 37 weeks) and pregnancy loss.</AbstractText>
<AbstractText Label="RESULT(S)">A total of 999,866 pregnancies were recorded with 214,057 pregnancy losses (21.4%) and 51,759 preterm births (5.2%). Mothers receiving intensive care in the preconception period had increased risk of pregnancy loss, as did fathers. Mothers with preconception sepsis had higher risk of preterm birth and pregnancy loss, and paternal sepsis exposure was associated with an increased risk of pregnancy loss. Similar results were noted for hypotension. In addition, a dose response was observed for both mothers and fathers between preconception time in intensive care and the risk of preterm birth and pregnancy loss.</AbstractText>
<AbstractText Label="CONCLUSION(S)">In a pre-COVID-19 cohort, parental preconception severe systemic infection was associated with increased odds of preterm birth and pregnancy loss when conception was soon after the illness.</AbstractText>
<CopyrightInformation>Copyright © 2020. Published by Elsevier Inc.</CopyrightInformation>
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<LastName>Kasman</LastName>
<ForeName>Alex M</ForeName>
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</AffiliationInfo>
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<Affiliation>Department of Urology, Stanford University School of Medicine, Stanford, California.</Affiliation>
</AffiliationInfo>
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<Affiliation>Department of Urology, Stanford University School of Medicine, Stanford, California.</Affiliation>
</AffiliationInfo>
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<Initials>DK</Initials>
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<Affiliation>Department of Pediatrics, Stanford University School of Medicine, Stanford, California.</Affiliation>
</AffiliationInfo>
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<Affiliation>Department of Pediatrics, Stanford University School of Medicine, Stanford, California.</Affiliation>
</AffiliationInfo>
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<ForeName>Julia F</ForeName>
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<Affiliation>Department of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California.</Affiliation>
</AffiliationInfo>
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<Affiliation>Department of Urology, Stanford University School of Medicine, Stanford, California; Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California. Electronic address: eisenberg@stanford.edu.</Affiliation>
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<Country>United States</Country>
<MedlineTA>Fertil Steril</MedlineTA>
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<MeshHeading>
<DescriptorName UI="D000022" MajorTopicYN="N">Abortion, Spontaneous</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
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<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
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