Selected article for: "cohort study and distress syndrome"

Author: Antoun, Lina; Taweel, Nashwa El; Ahmed, Irshad; Patni, Shalini; Honest, Honest
Title: Maternal COVID-19 infection, clinical characteristics, pregnancy, and neonatal outcome A prospective cohort study
  • Cord-id: 3i5pvcgu
  • Document date: 2020_7_15
  • ID: 3i5pvcgu
    Snippet: OBJECTIVE: To study the effect of COVID-19 on pregnancy and neonatal outcomes. STUDY DESIGN: Prospective cohort study in a large tertiary maternity unit within a university hospital with an average annual birth of over 10,000 births. We prospectively collected and analysed data for a cohort of 23 pregnant patients including singleton and multiple pregnancies tested positive for COVID-19 between February 2020 and April 2020 inclusive to assess the effect of COVID-19 on pregnancy, and neonatal out
    Document: OBJECTIVE: To study the effect of COVID-19 on pregnancy and neonatal outcomes. STUDY DESIGN: Prospective cohort study in a large tertiary maternity unit within a university hospital with an average annual birth of over 10,000 births. We prospectively collected and analysed data for a cohort of 23 pregnant patients including singleton and multiple pregnancies tested positive for COVID-19 between February 2020 and April 2020 inclusive to assess the effect of COVID-19 on pregnancy, and neonatal outcomes. RESULTS: Twenty-three pregnant patients tested positive for COVID-19, delivering 20 babies including a set of twins, with four ongoing pregnancies at the time of manuscript submission. 16/23 (70%) whom tested positive were patients from Asian (Indian sub-continent) background. The severity of the symptoms ranged from mild in 13/23 (65.2%) of the patients, moderate in 2/23 (8.7%), and severe in 8/23 (34.8%). Four out of total 23 COVID-19 pregnant patients (17.4%) developed severe adult respiratory distress syndrome complications requiring ICU support, one of whom led to maternal death 1/23 (4.3%). 11/23 (48%) of the patients had pre-existing co-morbidities, with morbid obesity 5/23 (21.7%) and diabetes 4/23 (17.4%) being the more commonly represented. Of the 23 pregnant patients 19 were in their third trimester of pregnancy and delivered; 7/19 (36.8%) had preterm birth, 3/19 (15.8%) developed adult respiratory distress syndrome before delivery, and 2/19 (10.5%) had pre-eclampsia. 16/19 (84%) of patients delivered by C-section. Out of the 20 new-borns, 18 were singletons with a set of twin. CONCLUSION: COVID-19 is associated with high prevalence of preterm birth, preeclampsia, and caesarean section compared to non-COVID pregnancies. COVID-19 infection was not found in the newborns and none developed severe neonatal complications.

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