بررسی علائم بالینی و پیامدهای مادری و نوزادی زنان باردار مبتلا به کووید-19 بستری در موج اول و دوم بیماری کرونا ویروس در بیمارستان‌های استان گلستان

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مشاوره در مامایی، مرکز تحقیقات سلامت باروری و مشاوره در مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی گلستان، گرگان، ایران.

2 استادیار گروه مامایی، مرکز تحقیقات سلامت باروری و مشاوره در مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی گلستان، گرگان، ایران.

3 دانشجوی دکتری آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی همدان، همدان، ایران.

4 کارشناس ارشد مامایی، معاونت درمان، دانشگاه علوم پزشکی گلستان، گرگان، ایران.

چکیده

مقدمه: با توجه به پاندمی کرونا ویروس و مطالعات محدود در خصوص پیامد این بیماری در زنان باردار، مطالعه حاضر با هدف تعیین علائم بالینی و پیامدهای کرونا ویروس در زنان باردار مبتلا به کرونا ویروس انجام شد.
روش‌کار: این مطالعه توصیفی در سال 1399 بر روی 100 زن باردار در استان گلستان که به ویروس کووید-19 دچار شده و در بیمارستان‌های استان بستری ‌شده بودند، انجام شد. تمامی زنان باردار در هر سن حاملگی که به‌علت کووید-19 بستری شده بودند، تا 2 ماه بعد از زایمان مورد پیگیری قرار گرفتند. در این مطالعه با استفاده از فرم جمع‌آوری اطلاعات محقق‌ساخته، علائم بالینی و پیامدهای کرونا ویروس بررسی شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 18) انجام شد.
یافته ها: شایع‌ترین علامت بالینی در زنان باردار مبتلا به کووید-19 در روز اول تب و از روز چهارم به بعد اکثر مادران مبتلا بدون علامت شدند. در بین پیامدهای مادری 2 مورد (2%) مرگ مادر در مادران مبتلا مشاهده شد. زایمان زودرس (16%) و اولیگوهیدروآمنیوس (8%) نیز از پیامدهای شایع بود. در اغلب زنان پیامد جنینی مشاهده نشد. در بین پیامدهای نوزادی، بستری نوزادان در بخش مراقبت‌های ویژه (30%) بیشترین فراوانی، زردی نوزادان (24%) و نوزاد نارس (11%) از شایع‌ترین موارد گزارش‌ شده بود. 67% زنان مبتلا به کووید-19 به‌روش سزارین زایمان کرده بودند و وزن هنگام تولد 77% نوزادان متولد شده از مادران مبتلا در محدوده طبیعی بود. 
نتیجه‌گیری: ابتلاء به کووید-19 در زنان باردار باعث افزایش قابل ‌توجه پیامدهای نامطلوب مادری و نوزادی می‌شود؛ بنابراین، باید برای پیشگیری از این بیماری در افراد باردار، برنامه‌ریزی بهتری انجام شود تا زنان باردار کمتری مبتلا شوند.

کلیدواژه‌ها

عنوان مقاله [English]

Clinical signs and maternal and neonatal outcomes of pregnant women with Covid-19 hospitalized in the first and second wave of coronavirus in Golestan province

نویسندگان [English]

  • Roya Esmailpour Estarkhi 1
  • Narjes Sadat Borghei 2
  • Zahra Mehrbakhsh 3
  • Shima Rahimian 4
1 M.Sc. of Midwifery Consultation, Counseling and Reproductive Health Research Centre, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
2 Assistant Professor, Department of Midwifery, Counseling and Reproductive Health Research Centre, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran.
3 PhD Candidate in Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
4 M.Sc. of Midwifery, Treatment Deputy of Golestan University of Medical Sciences, Gorgan, Iran.
چکیده [English]

Introduction: Regarding to the pandemic of coronavirus and the existence of limited studies on the outcome of this disease in pregnant women, the present study was performed aimed to determine the clinical signs and outcomes of pregnant women with coronavirus.
Methods: This descriptive study was performed on 100 pregnant women living in Golestan province who were infected with Covid-19 virus and were admitted to one of the hospitals in the Golestan province in 2020. All pregnant women who were hospitalized due to Covid-19 were followed up for two months after delivery. A researcher-made data collection form was used to evaluate the clinical signs and consequences of coronavirus. Data were analyzed by SPSS software (version 18).
Results: The most common clinical sign in pregnant women was fever on the first day, and most women became asymptomatic from 4th day. Among the maternal consequences, 2 cases (2%) of maternal death was observed in the infected mothers. Preterm delivery (16%) and then oligohydramnios (8%) were more common. Most of the pregnant women did not have fetal complications. Among neonatal outcomes, neonatal hospitalization in the intensive care unit (30%) was the most common, and then neonatal jaundice (24%) and preterm infants (11%) were the most common reported cases. Also, 67% of women with Covid-19 had cesarean section delivery and the birth weight of 77% of infants was in the normal range.
Conclusion: Covid-19 infection in pregnant women significantly increased adverse maternal and neonatal outcomes; therefore, better planning should be done to prevent this disease in pregnant women so that less pregnant women are affected.

کلیدواژه‌ها [English]

  • Pregnancy
  • Outcome
  • Fetal
  • Covid-19
  • Maternal
  • Neonatal

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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 7
مهر 1401
صفحه 59-69

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