Analysis
2020
Racine
Analysis
2020
Exploration
Accueil
Racine
Racine

Serveur d'exploration SRAS

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Clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19 in Wuhan, China: a retrospective, single-centre, descriptive study

Identifieur interne : 000827 ( 2020/Analysis ); précédent : 000826; suivant : 000828

Clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19 in Wuhan, China: a retrospective, single-centre, descriptive study

Auteurs : Nan Yu [République populaire de Chine] ; Wei Li [République populaire de Chine] ; Qingling Kang [République populaire de Chine] ; Zhi Xiong [République populaire de Chine] ; Shaoshuai Wang [République populaire de Chine] ; Xingguang Lin [République populaire de Chine] ; Yanyan Liu [République populaire de Chine] ; Juan Xiao [République populaire de Chine] ; Haiyi Liu [République populaire de Chine] ; Dongrui Deng [République populaire de Chine] ; Suhua Chen [République populaire de Chine] ; Wanjiang Zeng [République populaire de Chine] ; Ling Feng [République populaire de Chine] ; Jianli Wu [République populaire de Chine]

Source :

RBID : PMC:7158904

Abstract

SummaryBackground

In December, 2019, coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in Wuhan, China. The number of affected pregnant women is increasing, but scarce information is available about the clinical features of COVID-19 in pregnancy. This study aimed to clarify the clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19.

Methods

In this retrospective, single-centre study, we included all pregnant women with COVID-19 who were admitted to Tongji Hospital in Wuhan, China. Clinical features, treatments, and maternal and fetal outcomes were assessed.

Findings

Seven patients, admitted to Tongji Hospital from Jan 1, to Feb 8, 2020, were included in our study. The mean age of the patients was 32 years (range 29–34 years) and the mean gestational age was 39 weeks plus 1 day (range 37 weeks to 41 weeks plus 2 days). Clinical manifestations were fever (six [86%] patients), cough (one [14%] patient), shortness of breath (one [14%] patient), and diarrhoea (one [14%] patient). All the patients had caesarean section within 3 days of clinical presentation with an average gestational age of 39 weeks plus 2 days. The final date of follow-up was Feb 12, 2020. The outcomes of the pregnant women and neonates were good. Three neonates were tested for SARS-CoV-2 and one neonate was infected with SARS-CoV-2 36 h after birth.

Interpretation

The maternal, fetal, and neonatal outcomes of patients who were infected in late pregnancy appeared very good, and these outcomes were achieved with intensive, active management that might be the best practice in the absence of more robust data. The clinical characteristics of these patients with COVID-19 during pregnancy were similar to those of non-pregnant adults with COVID-19 that have been reported in the literature.

Funding

National Natural Science Foundation of China, Hubei Provincial Natural Science Foundation of China.


Url:
DOI: 10.1016/S1473-3099(20)30176-6
PubMed: 32220284
PubMed Central: 7158904


Affiliations:

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PMC:7158904

Le document en format XML

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<sec>
<title>Background</title>
<p>In December, 2019, coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) emerged in Wuhan, China. The number of affected pregnant women is increasing, but scarce information is available about the clinical features of COVID-19 in pregnancy. This study aimed to clarify the clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19.</p>
</sec>
<sec>
<title>Methods</title>
<p>In this retrospective, single-centre study, we included all pregnant women with COVID-19 who were admitted to Tongji Hospital in Wuhan, China. Clinical features, treatments, and maternal and fetal outcomes were assessed.</p>
</sec>
<sec>
<title>Findings</title>
<p>Seven patients, admitted to Tongji Hospital from Jan 1, to Feb 8, 2020, were included in our study. The mean age of the patients was 32 years (range 29–34 years) and the mean gestational age was 39 weeks plus 1 day (range 37 weeks to 41 weeks plus 2 days). Clinical manifestations were fever (six [86%] patients), cough (one [14%] patient), shortness of breath (one [14%] patient), and diarrhoea (one [14%] patient). All the patients had caesarean section within 3 days of clinical presentation with an average gestational age of 39 weeks plus 2 days. The final date of follow-up was Feb 12, 2020. The outcomes of the pregnant women and neonates were good. Three neonates were tested for SARS-CoV-2 and one neonate was infected with SARS-CoV-2 36 h after birth.</p>
</sec>
<sec>
<title>Interpretation</title>
<p>The maternal, fetal, and neonatal outcomes of patients who were infected in late pregnancy appeared very good, and these outcomes were achieved with intensive, active management that might be the best practice in the absence of more robust data. The clinical characteristics of these patients with COVID-19 during pregnancy were similar to those of non-pregnant adults with COVID-19 that have been reported in the literature.</p>
</sec>
<sec>
<title>Funding</title>
<p>National Natural Science Foundation of China, Hubei Provincial Natural Science Foundation of China.</p>
</sec>
</div>
</front>
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<li>République populaire de Chine</li>
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<name sortKey="Chen, Suhua" sort="Chen, Suhua" uniqKey="Chen S" first="Suhua" last="Chen">Suhua Chen</name>
<name sortKey="Deng, Dongrui" sort="Deng, Dongrui" uniqKey="Deng D" first="Dongrui" last="Deng">Dongrui Deng</name>
<name sortKey="Feng, Ling" sort="Feng, Ling" uniqKey="Feng L" first="Ling" last="Feng">Ling Feng</name>
<name sortKey="Kang, Qingling" sort="Kang, Qingling" uniqKey="Kang Q" first="Qingling" last="Kang">Qingling Kang</name>
<name sortKey="Li, Wei" sort="Li, Wei" uniqKey="Li W" first="Wei" last="Li">Wei Li</name>
<name sortKey="Lin, Xingguang" sort="Lin, Xingguang" uniqKey="Lin X" first="Xingguang" last="Lin">Xingguang Lin</name>
<name sortKey="Liu, Haiyi" sort="Liu, Haiyi" uniqKey="Liu H" first="Haiyi" last="Liu">Haiyi Liu</name>
<name sortKey="Liu, Yanyan" sort="Liu, Yanyan" uniqKey="Liu Y" first="Yanyan" last="Liu">Yanyan Liu</name>
<name sortKey="Wang, Shaoshuai" sort="Wang, Shaoshuai" uniqKey="Wang S" first="Shaoshuai" last="Wang">Shaoshuai Wang</name>
<name sortKey="Wu, Jianli" sort="Wu, Jianli" uniqKey="Wu J" first="Jianli" last="Wu">Jianli Wu</name>
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<name sortKey="Zeng, Wanjiang" sort="Zeng, Wanjiang" uniqKey="Zeng W" first="Wanjiang" last="Zeng">Wanjiang Zeng</name>
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