پیامدهای مادری و نوزادی زنان باردار با تشخیص کووید-19 در بیمارستان امیرالمومنین از اسفند 1398 لغایت اردیبهشت 1399

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی دکترای تخصصی بهداشت باروری، گروه بهداشت باروری و مامایی، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران.

2 استادیار گروه بهداشت باروری و مامایی، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران.

3 استاد گروه بیماری‌های عفونی و گرمسیری، مرکز توسعه تحقیقات بالینی، دانشکده پزشکی، دانشگاه آزاد اسلامی واحد پزشکی، تهران، ایران.

چکیده

مقدمه: بیماری کووید-19 نوعی بیماری نوظهور عفونی است. در دوران شیوع بیماری‌های عفونی، زنان باردار و جنین آنها جمعیتی پرخطر را تشکیل می‌دهند. مطالعه حاضر با هدف بررسی پیامدهای مادری و نوزادی زنان باردار مبتلا به کووید-19 در بیمارستان امیرالمومنین تهران انجام شد.
روش‌کار: در این مطالعه توصیفی case-series تمامی زنان باردار مراجعه‌کننده جهت زایمان به بیمارستان امیرالمومنین تهران که علائم مشکوک به کووید-19 را داشتند، طی اسفند 1398 لغایت انتهای اردیبهشت 1399 بررسی شدند. افراد تحت نمونه‌برداری قرار گرفته و عوارض مادری و نوزادی مادران تشخیص داده شده با تظاهرات بالینی و یا آزمایشگاهی مورد بررسی قرار گرفت. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 21) و روش‌های آمار توصیفی (میانگین، انحراف معیار، تعداد و درصد) انجام شد.
یافته‌ها: شایع‌ترین علامت بیماری در 7 زن (100% مورد بررسی، تب بود. تنها 2 زن (57/28%) به اکسیژن نازال بعد از زایمان نیاز پیدا کردند و هیچ‌کدام از زنان باردار نیاز به دستگاه‌های تنفسی کمکی پیدا نکرد. تمام بیماران CRP بالا و درگیری ریوی در سی‌تی اسکن ریه داشتند. 5 نوزاد به شیوه طبیعی به‌دنیا آمدند، 1 نوزاد پره‌ترم و 1 نوزاد با وزن کمتر از 2500 گرم متولد شدند، یک نوزاد پسر دچار اسفیکسی شد، 1 مرگ نوزاد پسر 5 ساعت بعد از تولد مشاهده شد و 2 نوزاد بعد از تولد با علائم کووید 19 بستری شدند، اگرچه تست PCR هر دو منفی گزارش شد.
نتیجه‌گیری: با توجه به نتایج مطالعه حاضر، کووید 19 با عوارض مادری و نوزادی همراه است.

کلیدواژه‌ها


عنوان مقاله [English]

Maternal and neonatal outcomes of pregnant women with COVID-19 in Amir-al-momenin hospital during March to May 2020

نویسندگان [English]

  • Mansoureh Moaya 1
  • Shadab Shahali 2
  • Behnam Farhoudi 3
1 PhD student of Reproductive Health, Department of Reproductive Health and Midwifery, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2 Assistant Professor, Department of Reproductive Health and Midwifery, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
3 Professor, Department of Infectious and Tropical Diseases, Social Determinants of Health Research Center, Faculty of Medicine, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran.
چکیده [English]

Introduction: Coronavirus 2019 is an emerging infectious disease. During an outbreak of infectious diseases, pregnant women and their fetuses are at high-risk populations. This study was performed with aim to investigate the maternal and neonatal consequences of pregnant women with COVID-19.
Methods: In this descriptive case-series study, all pregnant women referred to Tehran Amir Al-Momenin Hospital for delivery and were suspicious for COVID 19 were examined during March to May 2020. The subjects were sampled, and the maternal and neonatal complications diagnosed by clinical or laboratory symptoms were evaluated. Data were analyzed by SPSS software (version 21) and descriptive statistical methods (mean, standard deviation, number and percentage).
Results: The most common symptom of COVID19 in 7 women (100%) in this study was fever. Only 2 women (28.57%) needed nasal oxygen after delivery, and none of the pregnant women needed assisted breathing device. All patients had high CRP and pulmonary involvement in CT scans. Five pregnant women delivered their infants by vaginal delivery, one of them was preterm labor and one infant had low birth weight. One male infant had asphyxia, and one male infant was dead 5 hours after birth, and two infants were hospitalized with symptoms of COVID 19, although their PCR tests were reported negative.
Conclusion: According to the results of the present study, COVID 19 is associated with maternal and neonatal complications.

کلیدواژه‌ها [English]

  • Coronavirus disease 2019
  • COVID 19
  • Maternal outcomes
  • pregnancy
  • SARS-CoV-2
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