Pregnancy and COVID- 19 are a worrisome combination
SARS-CoV-2 infection increases the incidence of obstetric problems in pregnant women. Pregnancy increases the likelihood of SARS-CoV-2 viral complications.
This study looked at 2352 pregnant women who tested positive for SARS-CoV-2 during or within 6 weeks of pregnancy to see if SARS-CoV-2 infection increased the risk of obstetric problems. By comparison, 11,752 pregnant women with negative SARS-CoV-2 testing or no COVID-19 test or symptoms were found in a national maternal-fetal database.
Maturity-related hypertensive disorders of pregnancy, postpartum haemorrhage, or sepsis occurred in 13.4% of individuals with COVID-19 vs 9.2% of controls, yielding an adjusted relative risk of 1.41. The COVID-19 cohort had five fatalities, whereas the control group had none.
Patients with moderate or severe SARS-CoV-2 infections had the worst outcomes. COVID-19 also had a minor but significant correlation with preterm delivery and neonatal intensive care unit hospitalisation. This study would help physicians who are pregnant or planning to get pregnant.
The results suggest that COVID-19 immunisation should be encouraged before or throughout pregnancy.
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