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Comparison of Maternal, Perinatal, and Neonatal Outcomes of Asymptomatic and Symptomatic Pregnant Women with Coronavirus Disease-2019.
Vural, Tayfun; Bayraktar, Burak; Yildirim Karaca, Suna; Odabas, Ozan; Yilmaz, Nisel; Samlioglu, Pinar; Ozeren, Mehmet.
Afiliación
  • Vural T; University of Health Sciences Turkey, Tepecik Training and Research Hospital, Clinic of Obstetrics and Gynecology, Izmir, Turkey.
  • Bayraktar B; University of Health Sciences Turkey, Tepecik Training and Research Hospital, Clinic of Obstetrics and Gynecology, Izmir, Turkey.
  • Yildirim Karaca S; University of Health Sciences Turkey, Tepecik Training and Research Hospital, Clinic of Obstetrics and Gynecology, Izmir, Turkey.
  • Odabas O; University of Health Sciences Turkey, Tepecik Training and Research Hospital, Clinic of Obstetrics and Gynecology, Izmir, Turkey.
  • Yilmaz N; University of Health Sciences Turkey, Tepecik Training and Research Hospital, Clinic of Clinical Microbiology, Izmir, Turkey.
  • Samlioglu P; University of Health Sciences Turkey, Tepecik Training and Research Hospital, Clinic of Clinical Microbiology, Izmir, Turkey.
  • Ozeren M; University of Health Sciences Turkey, Tepecik Training and Research Hospital, Clinic of Perinatology, Izmir, Turkey.
Medeni Med J ; 37(1): 44-53, 2022 Mar 18.
Article en En | MEDLINE | ID: mdl-35306785
Objective: This study aimed to compare the postpartum outcomes of asymptomatic and symptomatic patients with coronavirus disease-2019 (COVID-19). Methods: This retrospective cohort study included pregnant women with COVID-19. Pregnant women were categorized into two sets as asymptomatic and symptomatic according to their clinics at the time of application. COVID-19 was diagnosed using the real-time reverse transcriptase-polymerase chain reaction on the oropharyngeal and nasopharyngeal swabs. Asymptomatic and symptomatic patients were compared in terms of maternal and perinatal outcomes. Results: Our study population consisted of 20 asymptomatic and 41 symptomatic patients with laboratory-confirmed COVID-19. The rate of primary cesarean section was more than twice in the symptomatic group (51.2%) than that of the asymptomatic group (20%) (p=0.019). Both groups are quite similar in terms of maternal [respiratory support, COVID-19- related treatment, and intensive care unit (ICU) admission], perinatal (preterm delivery, preterm premature rupture of membrane, preeclampsia, and mode of delivery), and neonatal outcomes [birth weight, Apgar scores, neonatal ICU (NICU) admission]. The rate of total cesarean section in the asymptomatic group (75%) was statistically similar to the symptomatic group (83%) (p=0.464). The NICU admission rate was found to be similar in the asymptomatic (54.2%) and symptomatic groups (50%) (p=0.858). However, NICU admissions were more frequent in the symptomatic group due to respiratory distress (p=0.032). The breastfeeding rate is higher in the asymptomatic pregnant group as expected (p=0.015). Additionally, the ferritin level was significantly lower in the asymptomatic group (p=0.006). Conclusions: The rate of primary cesarean section is quite high in symptomatic patients with COVID-19. Additionally, the total cesarean section rate was extremely high in both groups. We expected more adverse outcomes in symptomatic patients; however, we found similar maternal, perinatal, and neonatal outcomes between both groups.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Observational_studies Idioma: En Revista: Medeni Med J Año: 2022 Tipo del documento: Article País de afiliación: Turquía

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Observational_studies Idioma: En Revista: Medeni Med J Año: 2022 Tipo del documento: Article País de afiliación: Turquía
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