Perinatal outcomes in pregnant women with COVID-19 in Siberia and the Russian Far East

Артымук, Н. В.; Belokrinitskaya, T. E.; Филиппов, О.С.; Фролова, Н. И.; Surina, M.N.

doi:10.1080/14767058.2021.1881954

Cited by 7 publications

(2 citation statements)

References 12 publications

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“…It is well known that pregnancy alters the immune system and its response to viral infection, and infection with coronavirus, in theory, could lead to more severe symptoms, especially in the third trimester [ 8 ]. One study found that the incidence of SARS-CoV-2 infection in pregnant women was 3.02 times greater than that in the general population [ 9 ], and Peng-hui Wang et al [ 10 ] pointed out that pregnant women with COVID-19 are more prone to develop severe conditions with a high mortality rate. Previous studies have shown that pregnant women infected with Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV) or Middle East Respiratory Syndrome Coronavirus had a higher risk of developing adverse complications.…”

Section: Introductionmentioning

confidence: 99%

The association between pregnancy and COVID-19: A systematic review and meta-analysis

Wang

Sun

et al. 2022

The American Journal of Emergency Medicine

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Section: Introductionmentioning

confidence: 99%

The association between pregnancy and COVID-19: A systematic review and meta-analysis

Wang

Sun

et al. 2022

The American Journal of Emergency Medicine

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“…The high population density in China leads to the rapid transmission of the virus. During this period, pregnant women, as a special group, may be more prone to emotional disorders than the general public [3,4], which undoubtedly intensi es the special pressure of pregnancy. Therefore, the real psychological experience of pregnant women needs to attract more attention.…”

Section: Introductionmentioning

confidence: 99%

Real maternal experiences during the Covid-19 pandemic:A meta‐synthesis of qualitative research evidence

Zhang,

Peng,

Hong

2023

Preprint

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Aim To systematically evaluate the real psychological experiences of pregnant women during the Covid-19 pandemic to provide a basis for the development of evidence-based management measures for this population. Design Systematic review. Methods Qualitative studies on maternal psychological experience during Covid-19 were retrieved from Web of Science, Pubmed, Embase, Cochrane Library, CINAHL, CNKI, Wanfang Database, VIP database, SinoMed database and Proquest database. The search period is from the establishment of the database to January 7, 2023. The quality of literature was evaluated using the quality evaluation criteria of Evidence-Based Health Care Center of Joanna Briggs Institute in Australia, and the results were pooled and integrated using Nvivo11 software. Results A total of 15 studies were included, 65 topics were extracted, and 13 sub-themes were summarized to form 4 themes: changes and challenges of life style; Emotional experience; Seeking understanding and social support; Epidemic current advice and establish confidence. Conclusion Families, medical institutions, the government and society should pay more attention to the psychological changes and real feelings of pregnant women during the pandemic, and provide effective guidance and help to relieve the pressure of pregnancy and improve the outcome of pregnancy.

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Timing and severity of COVID-19 during pregnancy and risk of preterm birth in the International Registry of Coronavirus Exposure in Pregnancy

Smith

Dollinger

VanderWeele

et al. 2022

BMC Pregnancy Childbirth

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Background Studies of preterm delivery after COVID-19 are often subject to selection bias and do not distinguish between early vs. late infection in pregnancy, nor between spontaneous vs. medically indicated preterm delivery. This study aimed to estimate the risk of preterm birth (overall, spontaneous, and indicated) after COVID-19 during pregnancy, while considering different levels of disease severity and timing. Methods Pregnant and recently pregnant people who were tested for or clinically diagnosed with COVID-19 during pregnancy enrolled in an international internet-based cohort study between June 2020 and July 2021. We used several analytic approaches to minimize confounding and immortal time bias, including multivariable regression, time-to-delivery models, and a case-time-control design. Results Among 14,264 eligible participants from 70 countries who did not report a pregnancy loss before 20 gestational weeks, 5893 had completed their pregnancies and reported delivery information; others were censored at time of their last follow-up. Participants with symptomatic COVID-19 before 20 weeks’ gestation had no increased risk of preterm delivery compared to those testing negative, with adjusted risks of 10.0% (95% CI 7.8, 12.0) vs. 9.8% (9.1, 10.5). Mild COVID-19 later in pregnancy was not clearly associated with preterm delivery. In contrast, severe COVID-19 after 20 weeks’ gestation led to an increase in preterm delivery compared to milder disease. For example, the risk ratio for preterm delivery comparing severe to mild/moderate COVID-19 at 35 weeks was 2.8 (2.0, 4.0); corresponding risk ratios for indicated and spontaneous preterm delivery were 3.7 (2.0, 7.0) and 2.3 (1.2, 3.9), respectively. Conclusions Severe COVID-19 late in pregnancy sharply increased the risk of preterm delivery compared to no COVID-19. This elevated risk was primarily due to an increase in medically indicated preterm deliveries, included preterm cesarean sections, although an increase in spontaneous preterm delivery was also observed. In contrast, mild or moderate COVID-19 conferred minimal risk, as did severe disease early in pregnancy.

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Perinatal outcomes in pregnant women with COVID-19 in Siberia and the Russian Far East

Cited by 7 publications

References 12 publications

The association between pregnancy and COVID-19: A systematic review and meta-analysis

The association between pregnancy and COVID-19: A systematic review and meta-analysis

Real maternal experiences during the Covid-19 pandemic:A meta‐synthesis of qualitative research evidence

Timing and severity of COVID-19 during pregnancy and risk of preterm birth in the International Registry of Coronavirus Exposure in Pregnancy

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