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Original Article



A cross-sectional evaluation of maternal and perinatal outcomes in pregnancies complicated with COVID-19

Mesut Önal, Yunus Katırcı, Gülen Kübra Nakışlı, Ayşe Zehra Özdemir.




Abstract
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Background and Aim
Pregnancy is considered a vulnerable period for women regarding increased risk of respiratory tract infections, altered immunity, and metabolic changes in their bodies. COVID-19 pandemic possesses a significant risk on pregnants, but the data on the disease course is insufficient. Therefore, this study aimed to evaluate the maternal and perinatal outcomes in pregnant women diagnosed with COVID-19.
Methods
This is a cross-sectional study that evaluated the hospital records of pregnant women admitted to the Obstetrics and Gynecology Department of 19 Mayıs University Hospital between 01/04/2020 to 30/12/2021. Outcome measures were gestational week at birth, basal gestational and labor characteristics, delivery complications, and perinatal and maternal COVID-19 outcomes.
Results
Analyses of the data of 98 patients revealed that median age of the mothers was 30 years; 26.5% were primigravid, 43.9% were nulliparous, and 29.6% were primiparous. Three had twin pregnancies, 52% of the births were preterm, 88% were cephalic presentation, and 95.9% were cesarean deliveries.The most common delivery complications were acute fetal distress (51%), preterm premature rupture of membranes (50%), and neonatal asphyxia (49%). Gestational characteristics were similar between treatment groups for COVID-19, but patients admitted to intensive care unit and applied mechanical ventilation (11.2%) had significantly more preterm births, and perinatal complications including acute fetal distress (p=0.030), PPROM (p

Key words: Pregnancy;Perinatal outcomes;COVID-19






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