Adverse Birth Outcomes Among Pregnant Women With and Without COVID-19: A Comparative Study From Bangladesh

Binte Masud Sumaya; Zebeen Faiza; Alam Dil Ware; Hossian Mosharap; Zaman Sanjana; Begum Rowshan Ara; Nabi Mohammad Hayatun; Hawlader Mohammad Delwer Hossain

doi:10.3961/jpmph.21.432

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자료유형: 학술저널

저자정보: Binte Masud Sumaya (Obstetrical and Gynaecological Society of Bangladesh (OGSB) Dhaka Bangladesh) Zebeen Faiza (Obstetrical and Gynaecological Society of Bangladesh (OGSB) Dhaka Bangladesh) Alam Dil Ware (Obstetrical and Gynaecological Society of Bangladesh (OGSB) Dhaka Bangladesh) Hossian Mosharap (Public Health Professional Development Society (PPDS) Dhaka Bangladesh) Zaman Sanjana (Department of Public Health Daffodil International University Dhaka Bangladesh) Begum Rowshan Ara (Obstetrical and Gynaecological Society of Bangladesh (OGSB) Dhaka Bangladesh) Nabi Mohammad Hayatun (Department of Public Health North South University Dhaka Bangladesh) Hawlader Mohammad Delwer Hossain (Department of Public Health North South University Dhaka Bangladesh)

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제54권 제6호

발행연도: 2021.11

수록면: 422 - 430 (9page)

DOI: 10.3961/jpmph.21.432

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Objectives: Pregnant women are especially vulnerable to respiratory infections such as coronavirus disease 2019 (COVID-19), but insufficient research has investigated pregnancy and its outcomes in women with COVID-19. This cross-sectional study compared birth outcomes related to COVID-19 between Bangladeshi pregnant women with and without COVID-19.Methods: The study was conducted at 3 tertiary referral hospitals in Dhaka, Bangladesh, from March to August 2020. Pregnant women admitted for delivery at these hospitals with laboratory results (reverse-transcription polymerase chain reaction) were analyzed. Using convenience sampling, we included 70 COVID-19-positive and 140 COVID-19-negative pregnant women. Trained and experienced midwives conducted the interviews. Data were analyzed using the t-test, the chi-square test, and univariate and multivariable linear and logistic regression.Results: Pregnant women with COVID-19 were more likely to give birth to a preterm baby (adjusted odds ratio [aOR], 2.15; 95% confidence interval [CI], 1.06 to 4.37) and undergo a cesarean section (aOR, 3.27; 95% CI, 1.51 to 7.07). There were no significant differences in birth weight, premature rupture of membranes, and the Apgar score at 1 minute or 5 minutes post-delivery between women with and without COVID-19. All the newborn babies who were born to COVID-19-positive women were COVID-19-negative.Conclusions: Our study suggests that pregnant women with COVID-19 were more likely to give birth to a preterm baby and undergo a cesarean section. For this reason, physicians should be particularly cautious to minimize adverse birth outcomes among pregnant women with COVID-19 and their newborn babies.

#COVID-19 #Communicable diseases #Cesarean section #Preterm birth #Pregnancy outcome #Bangladesh

참고문헌 (39)

참고문헌 신청

Qiao J / 2020 / What are the risks of COVID-19 infection in pregnant women? / Lancet 395(10226):760~762

Sun M / 2020 / Evidence of mother-to-newborn infection with COVID-19 / Br J Anaesth 125(2):e245~e247

Ainul S / Trends in maternal health services in Bangladesh before, during and after COVID-19 lockdowns: evidence from national routine service data

Mor G / 2010 / The immune system in pregnancy : a unique complexity / Am J Reprod Immunol 63(6):425~433

Liu H / 2020 / Why are pregnant women susceptible to COVID-19? An immunological viewpoint / J Reprod Immunol 139:103122

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