Infectious Disease

The examine reveals comparable unfavorable being pregnant outcomes in girls with, with out COVID-19

December 08, 2020

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COVID-19 infection during pregnancy may not lead to undesirable pregnancy outcomes, according to a study published in JAMA Network Open.

“Other studies have reported significantly increased premature births in pregnant women with COVID-19, but we did not find that premature births or other poor outcomes were increased in women diagnosed while pregnant.” Emily H. Adhikari, MD, The assistant professor of obstetrics and gynecology at the University of Texas Southwestern Medical Center and the medical director of perinatal infectious diseases at Parkland Memorial Hospital in Dallas told Healio Primary Care.

COVID-19 infection during pregnancy may not lead to undesirable pregnancy outcomes, according to a study published in JAMA Network Open. Source: Adobe Stock.

She added that previous studies had focused on women hospitalized for childbirth or severe COVID-19, but not on women who were isolated at home and did not need hospitalization.

In addition, other studies have shown hospitalization rates for COVID-19 were higher among pregnant women, but Adhikari said her research found that hospitalization rates for COVID-19 were similar among pregnant women and the general population.

Adhikari and colleagues conducted an observational cohort study that assessed the results of women who were tested for COVID-19 while pregnant and delivered in a Dallas health system from March 18 to August 22.

Adhikari identified a total of 3,374 women who were tested for COVID-19 and given birth, of which 252 tested positive and 3,122 tested negative for the novel coronavirus.

The researchers found that there were no significant differences in age, BMI, parity, or diabetes in women with and without COVID-19 infection, and that infections were more common in Hispanic women.

They did not identify any significant differences in premature birth, preeclampsia with severe features and caesarean section if fetal indicated in women with (21%) and without (23%) COVID-19 infection (RR = 0.94; 95% CI, 0.73- ). 1.21).

Despite previous studies indicating that women with COVID-19 exhibited placental abnormalities during pregnancy, Adhikari and colleagues did not identify any pathological differences in the placenta due to the severity of the disease.

Of the women who tested positive for COVID-19, 95% were initially asymptomatic or had mild symptoms, 3% developed severe or critical illness, and 6% were hospitalized.

Adhikari and colleagues found that 3% of the infants tested developed early COVID-19 infection in newborns and that these infants were usually born to women with mild symptoms or asymptomatic COVID-19.

“In examining all pregnant women with COVID-19 infection while they were pregnant – including those who were hospitalized and not hospitalized – we found that COVID-19 is not associated with adverse pregnancy outcomes, and that pregnancy is Risk of serious or critical illness does not seem to increase for the majority of women, ”Adhikari said. “However, for the 5% of COVID-19 positive pregnant women who get very sick – and it’s hard to predict who that will be – the risks to both mother and child are significant.”

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