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Maternal and Neonatal Outcomes in Pregnant Women With Coronavirus Disease 2019 in Korea

Maternal and Neonatal Outcomes in Pregnant Women With Coronavirus Disease 2019 in Korea

Authors :
Youseung Chung
Eun Jin Kim
Hee-Sung Kim
Kyung-Hwa Park
Ji Hyeon Baek
Jungok Kim
Ji Yeon Lee
Chang-Seop Lee
Seungjin Lim
Shin-Woo Kim
Eu Suk Kim
Hye Jin Shi
Shin Hee Hong
Jae-Bum Jun
Kyung-Wook Hong
Jae-Phil Choi
Jinyeong Kim
Kyung Sook Yang
Young Kyung Yoon
Source :
Journal of Korean medical science. 37(41)
Publication Year :
2022

Abstract

This study aimed to describe the maternal, obstetrical, and neonatal outcomes in pregnant women with coronavirus disease 2019 (COVID-19) and identify the predictors associated with the severity of COVID-19.This multicenter observational study included consecutive pregnant women admitted because of COVID-19 confirmed using reverse transcriptase-polymerase chain reaction (RT-PCR) test at 15 hospitals in the Republic of Korea between January 2020 and December 2021.A total of 257 women with COVID-19 and 62 newborns were included in this study. Most of the patients developed this disease during the third trimester. Nine patients (7.4%) developed pregnancy-related complications. All pregnant women received inpatient treatment, of whom 9 (3.5%) required intensive care, but none of them died. The gestational age at COVID-19 diagnosis (odds ratio [OR], 1.096, 95% confidence interval [CI], 1.04-1.15) and parity (OR, 1.703, 95% CI, 1.13-2.57) were identified as significant risk factors of severe diseases. Among women who delivered, 78.5% underwent cesarean section. Preterm birth (38.5%), premature rupture of membranes (7.7%), and miscarriage (4.6%) occurred, but there was no stillbirth or neonatal death. The RT-PCR test of newborns' amniotic fluid and umbilical cord blood samples was negative for severe acute respiratory syndrome coronavirus 2.At the time of COVID-19 diagnosis, gestational age and parity of pregnant women were the risk factors of disease severity. Vertical transmission of COVID-19 was not observed, and maternal severity did not significantly affect the neonatal prognosis.

Details

ISSN :
15986357
Volume :
37
Issue :
41
Database :
OpenAIRE
Journal :
Journal of Korean medical science
Accession number :
edsair.doi.dedup.....76681597f3ef4b1907785d51a619467a