Is COVID-19 Similar in Pregnant and Non-Pregnant Women?

Selim, Mohamed Fouad; Mohamed, Sherif; Abdo, Manal; Abdelhaffez, Azza

doi:10.7759/cureus.8888

Cited by 21 publications

(31 citation statements)

References 22 publications

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“…In their literature review, Selim et al 17 report very small absolute risks of SARS‐CoV‐2 infection in pregnancy. Also, there is no evidence to date that pregnant women are more susceptible to SARS‐CoV‐2 infection than non‐pregnant women 17 . In general, the unique immunologic changes of pregnancy are thought to suppress the virulence of the virus 17 …”

Section: Pregnancy and Susceptibility Towards Sars‐cov‐2 Infection Comentioning

confidence: 99%

“…hypoxia, pneumonia, etc. ), enhanced angiotensin‐converting enzyme 2 (ACE‐2) expression is thought to be linked to severity of symptoms 17 . A recent meta‐analysis reported that less than 20% of pregnant women need admission to the intensive care unit (ICU) 20 …”

Section: Pregnancy and Susceptibility Towards Sars‐cov‐2 Infection Comentioning

confidence: 99%

“…Data on clinical outcomes of pregnant women suffering from COVID‐19 are therefore relatively scarce 22 . Selim et al 17 report that SARS infection (but not SARS‐CoV‐2 infection) has been associated with a higher risk for intrauterine growth retardation, premature births, and spontaneous abortion. This is also reflected in a publication that shows that compared to maternal outcomes in SARS‐CoV and MERS‐CoV infections, the maternal outcomes in SARS‐CoV‐2 are more favorable, with lower morbidity and mortality, with case fatality rates of 18%, 25%, and 0%, respectively 16 .…”

Section: Pregnancy Outcomes In Covid‐19mentioning

confidence: 99%

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COVID‐19 infection in pregnant women: Review of maternal and fetal outcomes

Salem

Katranji

Bakdash

2020

Intl J Gynecology & Obste

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Pregnant women, their fetuses, and newborns are likely to represent a high‐risk population during the current coronavirus disease 2019 (COVID‐19) pandemic caused by severe acute respiratory syndrome coronavirus‐2 (SARS‐CoV‐2). Literature on the outcomes of COVID‐19 infections during pregnancy is slowly building up. The aim of the present review was to gather evidence from relevant articles published in English from January to August 2020 in Medline and Google Scholar. The review revealed that pregnant women who become COVID‐19‐positive are usually either asymptomatic or mild‐to‐moderately symptomatic, similar to non‐pregnant women. Pneumonia is one of the most common outcomes in pregnant women with COVID‐19. However, it cannot be conclusively said that SARS‐CoV‐2 infection increases the risk of maternal, fetal, and neonatal complications. Pregnant women with COVID‐19 with co‐morbidities have increased risks of complications: there are regional variations in the rates of adverse outcomes reported. Though uncommon, the review shows that vertical transmission is possible. Additionally, the third trimester seems to be the most vulnerable period of infection. This aspect needs to be researched further to activate surveillance programs at the end of second trimester. Overall, it is necessary to monitor pregnant women before and after delivery, and their infants, during this pandemic.

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Section: Pregnancy and Susceptibility Towards Sars‐cov‐2 Infection Comentioning

confidence: 99%

Section: Pregnancy and Susceptibility Towards Sars‐cov‐2 Infection Comentioning

confidence: 99%

Section: Pregnancy Outcomes In Covid‐19mentioning

confidence: 99%

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COVID‐19 infection in pregnant women: Review of maternal and fetal outcomes

Salem

Katranji

Bakdash

2020

Intl J Gynecology & Obste

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“…With this modified DT, our results had revealed a high prevalence (60%) of distress among COVID-19 patients. Being a novel global illness, no one is immune [12][13][14], several aspects of this disease are still vague in the eye of the general population, affecting many body organs and systems [15,16], and still has no definitive therapy, COVID-19 represents a real stressful condition and explains the high prevalence of distress among our cohort.…”

Section: Characteristicmentioning

confidence: 99%

Utility of a modified distress thermometer in screening COVID-19 patients for psychological distress: A prospective Egyptian study

et al. 2021

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Background: The National Comprehensive Cancer Network (NCCN) has adopted the distress thermometer (DT) as one of the best-known distress-screening instruments. We have adopted a modified version of the NCCN distress thermometer.We questioned if this modified DT (m-DT) could be utilized for measuring the prevalence of psychological distress among COVID-19 patients.Methods: The prospective study included 2 phases; modification of the original DT and its associated problem list (PL), and evaluation of this m-DT in measuring the prevalence of psychological distress among COVID-19 patients. Egyptian adult subjects with suspected or confirmed cases of COVID-19 at 2 University Hospitals were enrolled. Binary logistic regression tests were carried out to explore the association between the m-DT cut-off scores of 4 and the clinical variables.Results: One hundred sixty-nine (60.4%) patients experienced significant distress (m-DT cut off score ≥4). Logistic regression showed that occupation, presence of special habits, length of quarantine time, worry, cough, shortness of breath, and fever, were independent factors associated with significant distress in COVID-19 patients.Conclusion: With the modified distress thermometer (m-DT), 60% of Egyptian COVID-19 patients experienced significant distress. This distress was significantly related to age, marital status, occupation, presence or absence of special habits, and length of the quarantine time. With m-DT, the current study had identified worry, being a health-care worker, shortness of breath, fever, length of quarantine time, presence of special habits, and cough as independent factors associated with significant distress in COVID-19 patients. Further studies are warranted.

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“…The COVID-19 pandemic has generated concerns about its impact on pregnancy and child health outcomes. Whilst some studies have suggested that there is no difference in the risk of COVID-19 among pregnant women and the general population [15,16], others have shown that pregnancy increases the risk of contracting COVID-19 [17,18]. The risk of COVID-19 increases in pregnancy due to the weakened immune system associated with pregnancy [17].…”

Section: Introductionmentioning

confidence: 99%

Adherence to COVID‐19 preventive measures and associated factors among pregnant women in Ghana

Apanga

Kumbeni

2021

Tropical Med Int Health

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Objective To assess adherence to COVID‐19 preventive measures and its associated factors among pregnant women in Ghana. Methods This was a cross‐sectional study conducted in the Nabdam district, Ghana. Data were collected from 527 pregnant women randomly selected from antenatal care clinics from 16 healthcare facilities. Descriptive statistics were used to assess the prevalence of adherence to COVID‐19 preventive measures. Multivariable logistic regression was used to estimate the factors associated with COVID‐19 preventive measures, whilst adjusting for potential confounders. Results The prevalence of wearing a face mask 18.0% (95% CI: 14.73%, 21.32%); of handwashing/hand sanitising 31.7% (95% CI: 27.70%, 35.67%), and of social distancing, 22.0% (95% CI: 18.46%, 25.56%). Multivariable logistic regression analysis revealed that knowledge of COVID‐19 symptoms [Adjusted odds ratios (aOR): 2.86, 95% CI: 1.03, 7.89] and knowledge of COVID‐19 transmission via contaminated surfaces/objects (aOR: 4.60, 95% CI: 1.23, 17.18) were associated with wearing a face mask. Pregnant women who knew that avoiding the touching of eyes, nose and mouth can prevent COVID‐19 (aOR: 2.71, 95% CI: 1.01, 7.28), and knowledge of the virus being transmitted via contaminated objects/surfaces (aOR: 4.08, 95% CI: 1.42, 11.76), were associated with handwashing/hand sanitising. Knowledge of COVID‐19 transmission via contaminated surfaces/objects (aOR: 15.27, 95% CI: 1.87, 124.43) was also associated with social distancing. Conclusion The findings of our study suggest that knowledge of COVID‐19 symptoms, transmission and preventive measures may play an important role in the practice of preventive measures against COVID‐19 among pregnant women.

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Is COVID-19 Similar in Pregnant and Non-Pregnant Women?

Cited by 21 publications

References 22 publications

COVID‐19 infection in pregnant women: Review of maternal and fetal outcomes

COVID‐19 infection in pregnant women: Review of maternal and fetal outcomes

Utility of a modified distress thermometer in screening COVID-19 patients for psychological distress: A prospective Egyptian study

Adherence to COVID‐19 preventive measures and associated factors among pregnant women in Ghana

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