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COVID-19 und Schwangerschaft

COVID-19 und Schwangerschaft

Authors :
Katrina Kraft
Angela Lihs
Vanessa Hepp
CRONOS-Netzwerk
Elsa Hollatz-Galluschki
Tanja Groten
Charlotte Rohlwink
Elisa Méndez-Martorell
Ines Ehrhardt
Babett Ramsauer
Ulrich Pecks
Ute Schäfer-Graf
Bastian Riebe
Helmut Kleinwechter
Peter Oppelt
Michael K. Bohlmann
Mirjiam Kunze
Tanja Rübelmann
Tamina Ravnaq-Möllers
Alexander Hein
Source :
Der Gynäkologe. 54:357-365
Publication Year :
2021
Publisher :
Springer Science and Business Media LLC, 2021.

Abstract

From March 3 to October 13, 2020, 27 cases with diabetes comorbidity have been recorded in the CRONOS registry (Covid-19 Related Obstetric and Neonatal Outcome Study in Germany) among 262 registered women with SARS-CoV‑2 infection during their pregnancy. Of those, 21 presented with gestational diabetes, 5 with type 2 diabetes and 1 with type 1 diabetes. About half of the women were asymptomatic and were diagnosed via general screening at hospital admission. The most common symptoms were nasal congestion, cough, tiredness, malaise and changes in smell and taste. The majority of pregnant women showed a mild to moderate course, three women were admitted to the intensive care unit and none required invasive ventilation. In the type 2 diabetes group, there were two cases with late fetal death (37 and 40 weeks of gestation) and one with a malformation, an association with diabetes being most likely. Pregnant women with diabetes mellitus represent a special subgroup; 1 in 10 women in this small cohort required intensive care monitoring due to COVID-19. In addition, this case series underscores the need for unrestricted access to pregnancy care, especially in times of pandemic, for optimal perinatal outcome.

Details

ISSN :
14330393 and 00175994
Volume :
54
Database :
OpenAIRE
Journal :
Der Gynäkologe
Accession number :
edsair.doi...........82f10b12e279d01daf2b42d59780d0c9
Full Text :
https://doi.org/10.1007/s00129-021-04784-7