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Maternal and neonatal outcomes of pregnant patients with COVID‐19: A prospective cohort study
Author(s) -
AbedzadehKalahroudi Masoumeh,
Sehat Mojtaba,
Vahedpour Zahra,
Talebian Parisa
Publication year - 2021
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.13661
Subject(s) - medicine , fetal distress , obstetrics , apgar score , childbirth , pregnancy , cohort study , relative risk , prospective cohort study , cohort , eclampsia , fetus , confidence interval , genetics , biology
Objective To determine the maternal and neonatal outcomes of pregnant women with COVID‐19 infection. Methods A cohort study was conducted on 56 pregnant women with COVID‐19 and 94 healthy pregnant women during the COVID‐19 epidemic in Iran. Two groups were followed until childbirth. Demographic and obstetric information, clinical symptoms, laboratory and radiographic findings of the patients, and maternal and neonatal outcomes of the two groups were gathered by a checklist. Data were analyzed using SPSS version 16. A P value < 0.05 was considered significant. Results The two groups were similar in terms of maternal age, gravida, parity, and co‐morbidities ( P > 0.05). The rate of cesarean delivery in the exposed group was higher than that in the control group ( P = 0.027; relative risk [RR] =2.23). Pre‐eclampsia was seen in 19.8% of the exposed group and 7.4% of the control group ( P = 0.037; RR = 2.68). The rate of preterm labor in the exposed group was higher than that in the control group ( P = 0.003; RR = 2.70). Fetal distress was seen in 16.1% of the exposed group and 4.3% of the control group ( P = 0.016; RR = 3.84). Conclusion Pregnant women with COVID‐19 had an increased risk of pre‐eclampsia, preterm labor, and cesarean delivery. Their fetal and neonatal outcomes were fetal distress, newborn prematurity, and low Apgar score.