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COVID-19 Deliveries: Maternal Features and Neonatal Outcomes
Author(s) -
Sharon Zlochiver,
Blair L. Tilkens,
Ana Cristina Perez Moreno,
Fátima Aziz,
M. Fuad Jan
Publication year - 2021
Publication title -
journal of patient-centered research and reviews
Language(s) - English
Resource type - Journals
eISSN - 2330-0698
pISSN - 2330-068X
DOI - 10.17294/2330-0698.1848
Subject(s) - medicine , interquartile range , covid-19 , gestational age , pregnancy , neonatal intensive care unit , pediatrics , obstetrics , pandemic , apgar score , demographics , disease , demography , sociology , biology , infectious disease (medical specialty) , genetics
Integrated, data-driven criteria are necessary to evaluate delivery outcomes in pregnancies affected by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the ongoing COVID-19 pandemic. This study analyzed maternal demographics, clinical characteristics, treatments, and delivery outcomes of 85 ethnically diverse, adult pregnant women who tested positive for SARS-CoV-2 at the time of delivery. Median maternal and gestational ages were 27 years (interquartile range [IQR]: 23-31) and 39 weeks (IQR: 37.3-40.0), respectively. Of the 85 SARS-CoV-2-positive participants, 67 (79%) had no COVID-19 symptoms at the time of routine COVID-19 admission testing, 14 (16%) reported mild COVID-19 symptoms, and 4 (5%) presented severe COVID-19 symptoms that required hospitalization. Patients in the severe COVID-19 group had significantly longer hospitalizations than those with nonsevere COVID-19 (7 [IQR: 4.5-9.5] vs 2 [IQR: 2-3] days; P<0.01). Neonatal outcomes included 100% live births with a median 1-minute Apgar score of 8 and 15% preterm births. No neonatal deaths or vertical transmissions were reported, and all neonatal intensive care unit admissions were related to prematurity. Overall, maternal symptom prevalence and peripartum complication rates were low, suggesting a generally good prognosis for pregnant women with SARS-CoV-2 infections at the time of delivery.

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