بررسی تأثیر نتیجه مثبت تست PCR کووید در مادر باردار بدون علامت بر وزن و آپگار نوزاد پس از تولد

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد آموزش جامعه‌نگر، دانشکده بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

2 استادیار گروه مامایی و بهداشت باروری، مرکز تحقیقات علوم باروری و سلامت جنسی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

3 مربی گروه مامایی و بهداشت باروری، مرکز تحقیقات علوم باروری و سلامت جنسی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

چکیده

مقدمه: با توجه به نبودِ اطلاعات درباره تأثیر بیماری کووید-19 بر بارداری و افزایش عوارض جانبی آن برای مادران باردار و جنین ایشان، بررسی تأثیر این بیماری بر بارداری و نوزاد اهمیت دارد، لذا مطالعه حاضر با هدف بررسی تأثیر نتایج مثبت تست PCR مادران باردار بر وزن و آپگار نوزادان انجام شد.
روش‌کار: در این مطالعه تحلیلی (کوهورت گذشته‌نگر) نمونه­ گیری به‌روش سرشماری از طریق بررسی پرونده­های 98 مادر با استفاده از سامانه سیب، که تحت پوشش مراکز خدمات بهداشتی و درمانی واقع در استان اصفهان بودند و بین فروردین 1399 تا شهریور سال 1400 زایمان کرده بودند، انجام شد. نتایج به‌دست آمده از مقایسه دو گروه مادران بر اساس نتیجه تست PCR، با استفاده از نرم‌افزار آماری SPSS (نسخه 18) و آزمون تی مستقل مورد تجزیه و تحلیل قرار گرفت. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ها: از بین پرونده­ های مورد بررسی، 50 مورد (51%) تست PCR مثبت و 48 مورد (49%) تست PCR منفی داشتند. 99% از نوزادان متولد شده در این بررسی دارای نمره آپگار بیشتر یا مساوی 7 بودند. بر اساس نتایج آزمون تی مستقل، بین نمره آپگار دقیقه 1 (714/0=p) و دقیقه 5 (580/0=p) نوزادان مادران دو گروه PCR+ و - PCRاختلاف آماری معناداری مشاهده نشد. همچنین بر اساس نتایج آزمون تی مستقل، بین وزن نوزادان در مادران دو گروه اختلاف آماری معناداری مشاهده نشد (112/0=p).
نتیجه­ گیری: نتیجه مثبت تست PCR ارتباط معناداری با وزن و نمره آپگار دقیقه 1 و 5 نوزاد ندارد. تحقیقات در مورد اثرات عفونت COVID-19 در دوران بارداری همچنان در حال تکمیل و به‌روزرسانی است. تحقیقات بیشتر با تعداد نمونه­ های بالاتر می­ تواند عوارض احتمالی این بیماری را بهتر نشان دهد.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of a positive result of Covid PCR test in an asymptomatic pregnant mother on the weight and Apgar score of infants after birth

نویسندگان [English]

  • Fatemeh Khalighi 1
  • Fariba Fahami 2
  • Masoume Pirhadi 3
1 M.Sc. Student of Social education, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
2 Assistant Professor, Department of Midwifery and Reproductive Health, Reproductive Sciences and Sexual Health Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
3 Instructor, Department of Midwifery and Reproductive Health, Reproductive Sciences and Sexual Health Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
چکیده [English]

Introduction: The lack of information about the impact of Covid-19 on pregnancy and the increased side-effects of the disease for pregnant mothers and fetuses showed the importance of investigating its impact on pregnancy and neonate. The present study was performed with aim to investigate the impact of positive test result of PCR on the weight and Apgar scores of infants.
Methods: In this analytical study (retrospective cohort), sampling was conducted by examining the files of 98 pregnant women who gave birth between April 2020 and September 2021 using the apple system which were covered by health care centers located in Isfahan province. The information obtained from the comparison of two groups of mothers based on the results of the PCR test was analyzed by SPSS software (version 18) and Independent t-test. P<0.05 was considered statistically significant.
Results: Among the examined files, 50 cases (51%) had a positive PCR test and 48 cases (49%) had a negative PCR test. 99% of the infants had an Apgar score of ≥7. According to the results of Independent t-test, no significant difference was found between the Apgar score at minute 1 (p=0.714) and minute 5 (p=0.580) of the infants of PCR+ and PCR- mothers. Also, According to the results of Independent t-test, no significant difference was found between the weight of newborns in mothers of two groups (p=0.112).
Conclusion: The positive PCR test result has no significant relationship with the weight and the Apgar-score of the 1st and 5th minute of the newborn. Research on the effects of COVID-19 infection during pregnancy continues to be completed and updated. Further research with more samples can better show the possible complications of this disease.

کلیدواژه‌ها [English]

  • APGAR score
  • Birth weight
  • COVID-19
  • PCR test
  • Pregnant women

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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 11
بهمن 1401
صفحه 56-61

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