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Analysis of vaginal delivery outcomes among pregnant women in Wuhan, China during the COVID‐19 pandemic
Author(s) -
Liao Jing,
He Xiaoyan,
Gong Qing,
Yang Lingyun,
Zhou Chunhua,
Li Jiafu
Publication year - 2020
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.13188
Subject(s) - medicine , vaginal delivery , obstetrics , pregnancy , asphyxia , gestational age , medical record , pandemic , retrospective cohort study , exacerbation , covid-19 , pediatrics , surgery , disease , genetics , infectious disease (medical specialty) , biology
Objective To study vaginal delivery outcomes and neonatal prognosis and summarize the management of vaginal delivery during the COVID‐19 pandemic. Methods A retrospective analysis of medical records and comparison of vaginal delivery outcomes between 10 pregnant women with clinical diagnosis of COVID‐19 and 53 pregnant women without COVID‐19 admitted to Zhongnan Hospital of Wuhan University between January 20 and March 2, 2020. Results of laboratory tests, imaging tests, and SARS‐CoV‐2 nucleic acid tests were also analyzed in neonates delivered by pregnant women with clinical diagnosis of COVID‐19. Results There were no significant differences in gestational age, postpartum hemorrhage, and perineal resection rates between the two groups. There were no significant differences in birth weight of neonates and neonatal asphyxia rates between the two groups. Neonates delivered by pregnant women with clinical diagnosis of COVID‐19 tested negative for SARS‐CoV‐2 infection. Conclusions Under the premise of full evaluation of vaginal delivery conditions and strict protection measures, pregnant women with ordinary type COVID‐19 can try vaginal delivery without exacerbation of COVID‐19 and without increasing the risk of SARS‐CoV‐2 infection in neonates.