[Analysis of the pregnancy outcomes in pregnant women with COVID-19 in Hubei Province].
Identifieur interne : 000128 ( Main/Exploration ); précédent : 000127; suivant : 000129[Analysis of the pregnancy outcomes in pregnant women with COVID-19 in Hubei Province].
Auteurs : L. Zhang [République populaire de Chine] ; Y. Jiang [République populaire de Chine] ; M. Wei [République populaire de Chine] ; B H Cheng [République populaire de Chine] ; X C Zhou [République populaire de Chine] ; J. Li [République populaire de Chine] ; J H Tian [République populaire de Chine] ; L. Dong [République populaire de Chine] ; R H Hu [République populaire de Chine]Source :
- Zhonghua fu chan ke za zhi [ 0529-567X ] ; 2020.
Abstract
Objective: To study the effect of COVID-19 on pregnancy outcomes and neonatal prognosis in Hubei Province. Methods: A retrospective comparison of the pregnancy outcomes was done between 16 women with COVID-19 and 45 women without COVID-19. Also, the results of laboratory tests, imaging examinations, and the 2019-nCoV nucleic acid test were performed in 10 cases of neonatal deliverd from women with COVID-19. Results: (1) Of the 16 pregnant women with COVID-19, 15 cases were ordinary type and 1 case was severe type. No one has progressed to critical pneumonia. The delivery method of the two groups was cesarean section, and the gestational age were (38.7±1.4) and (37.9±1.6) weeks, there was no significant difference between the two groups (P> 0.05). Also, there wee no significant differences in the intraoperative blood loss and birth weight of the newborn between the two groups (all P>0.05). (2) Ten cases of neonates delivered from pregnant women with COVID-19 were collected. The 2019-nCoV nucleic acid test were all negative. There were no significant differences in fetal distress, meconium-stained amniotic fluid, preterm birth, and neonatal asphyxia between the two groups (all P>0.05). (3) In the treatment of uterine contraction fatigue, carbetocin or carboprost tromethamine was used more in cesarean section for pregnant women with COVID-19 (1.3±0.6), compared with Non-COVID-19 group (0.5±0.7), the difference was statistically significant (P=0.001). Conclusions: If there is an indication for obstetric surgery or critical illness of COVID-19 in pregnant women, timely termination of pregnancy will not increase the risk of premature birth and asphyxia of the newborn, but it is beneficial to the treatment and rehabilitation of maternal pneumonia. Preventive use of long-acting uterotonic agents could reduce the incidence of postpartum hemorrhage during surgery. 2019-nCoV infection has not been found in neonates deliverd from pregnant women with COVID-19.
DOI: 10.3760/cma.j.cn112141-20200218-00111
PubMed: 32145714
Affiliations:
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Zhang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Jiang, Y" sort="Jiang, Y" uniqKey="Jiang Y" first="Y" last="Jiang">Y. Jiang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Wei, M" sort="Wei, M" uniqKey="Wei M" first="M" last="Wei">M. Wei</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Cheng, B H" sort="Cheng, B H" uniqKey="Cheng B" first="B H" last="Cheng">B H Cheng</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Zhou, X C" sort="Zhou, X C" uniqKey="Zhou X" first="X C" last="Zhou">X C Zhou</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neonatology, Renmin Hospital of Wuhan University, Wuhan 430060, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Neonatology, Renmin Hospital of Wuhan University, Wuhan 430060</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Li, J" sort="Li, J" uniqKey="Li J" first="J" last="Li">J. Li</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Tian, J H" sort="Tian, J H" uniqKey="Tian J" first="J H" last="Tian">J H Tian</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Dong, L" sort="Dong, L" uniqKey="Dong L" first="L" last="Dong">L. Dong</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics, Renmin Hospital of Wuhan University, Wuhan 430060</wicri:regionArea><placeName><settlement type="city">Wuhan</settlement><region type="région">Hubei</region></placeName></affiliation></author><author><name sortKey="Hu, R H" sort="Hu, R H" uniqKey="Hu R" first="R H" last="Hu">R H Hu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics, The Central Hospital of Qianjiang City, Qianjiang 433199, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Obstetrics, The Central Hospital of Qianjiang City, Qianjiang 433199</wicri:regionArea><wicri:noRegion>Qianjiang 433199</wicri:noRegion></affiliation></author></analytic><series><title level="j">Zhonghua fu chan ke za zhi</title><idno type="ISSN">0529-567X</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><b>Objective:</b> To study the effect of COVID-19 on pregnancy outcomes and neonatal prognosis in Hubei Province. <b>Methods:</b> A retrospective comparison of the pregnancy outcomes was done between 16 women with COVID-19 and 45 women without COVID-19. Also, the results of laboratory tests, imaging examinations, and the 2019-nCoV nucleic acid test were performed in 10 cases of neonatal deliverd from women with COVID-19. <b>Results:</b> (1) Of the 16 pregnant women with COVID-19, 15 cases were ordinary type and 1 case was severe type. No one has progressed to critical pneumonia. The delivery method of the two groups was cesarean section, and the gestational age were (38.7±1.4) and (37.9±1.6) weeks, there was no significant difference between the two groups (<i>P</i>> 0.05). Also, there wee no significant differences in the intraoperative blood loss and birth weight of the newborn between the two groups (all <i>P</i>>0.05). (2) Ten cases of neonates delivered from pregnant women with COVID-19 were collected. The 2019-nCoV nucleic acid test were all negative. There were no significant differences in fetal distress, meconium-stained amniotic fluid, preterm birth, and neonatal asphyxia between the two groups (all <i>P</i>>0.05). (3) In the treatment of uterine contraction fatigue, carbetocin or carboprost tromethamine was used more in cesarean section for pregnant women with COVID-19 (1.3±0.6), compared with Non-COVID-19 group (0.5±0.7), the difference was statistically significant (<i>P</i>=0.001). <b>Conclusions:</b> If there is an indication for obstetric surgery or critical illness of COVID-19 in pregnant women, timely termination of pregnancy will not increase the risk of premature birth and asphyxia of the newborn, but it is beneficial to the treatment and rehabilitation of maternal pneumonia. Preventive use of long-acting uterotonic agents could reduce the incidence of postpartum hemorrhage during surgery. 2019-nCoV infection has not been found in neonates deliverd from pregnant women with COVID-19.</div></front></TEI><affiliations><list><country><li>République populaire de Chine</li></country><region><li>Hubei</li></region><settlement><li>Wuhan</li></settlement></list><tree><country name="République populaire de Chine"><region name="Hubei"><name sortKey="Zhang, L" sort="Zhang, L" uniqKey="Zhang L" first="L" last="Zhang">L. Zhang</name></region><name sortKey="Cheng, B H" sort="Cheng, B H" uniqKey="Cheng B" first="B H" last="Cheng">B H Cheng</name><name sortKey="Dong, L" sort="Dong, L" uniqKey="Dong L" first="L" last="Dong">L. Dong</name><name sortKey="Hu, R H" sort="Hu, R H" uniqKey="Hu R" first="R H" last="Hu">R H Hu</name><name sortKey="Jiang, Y" sort="Jiang, Y" uniqKey="Jiang Y" first="Y" last="Jiang">Y. Jiang</name><name sortKey="Li, J" sort="Li, J" uniqKey="Li J" first="J" last="Li">J. Li</name><name sortKey="Tian, J H" sort="Tian, J H" uniqKey="Tian J" first="J H" last="Tian">J H Tian</name><name sortKey="Wei, M" sort="Wei, M" uniqKey="Wei M" first="M" last="Wei">M. Wei</name><name sortKey="Zhou, X C" sort="Zhou, X C" uniqKey="Zhou X" first="X C" last="Zhou">X C Zhou</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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