Anaesthetic managment and clinical outcomes of parturients with COVID-19: a multicentre, retrospective, propensity score matched cohort study

Yuan Zhang; Rong Chen; Jie Wang; Yuan Gong; Qin Zhou; Hui-hui Cheng; Zhong-yuan Xia; Xiangdong Chen; Qing-tao Meng; Daqing Ma

Neonatal, Apgar scores ≤ 8 was defined as low Apgar scores in the present study. For patients underwent general anaesthesia, the rate of low Apgar scores of newborns at 1 and 5 minutes was significantly higher in the COVID-19 group than that in the Control group (both p<0.05). However, no significant differences were found in the low Apgar scores rate at 10 minutes between the two groups (all p>0.05). As for cases with intrathecal anaesthesia, there was a significant increase in the rate of low Apgar scores for newborns at 1 minutes but not 5 minutes in the COVID-19 group than that in the Control group. All baby Apgar scored were higher than 8 at 10 minutes. Severe neonatal asphyxia and low birth weight (< 2500 g) were not different between the two groups. A total of 9 cases required admission to the NICU in the Control group, and all of 134 cases newborns of COVID-19 parturients were admitted to the NICU for precaution further care. None newborn was with SARS-CoV-2 infection in the COVID-19 groups ( Table 6) , and no neonatal death was in the both groups in present study.