Shalaleh Aghaei; Roghaye Mohammadirad; Azita Fathnezhad-Kazemi
Abstract
Introduction: There is scarce information about the effects of SARS‐CoV‐2 infection in pregnant women. The present study aimed to evaluate pregnancy’s clinical characteristics and outcomes in women with COVID-19 and their babies.Case Presentation: We conducted a case series study, from April ...
Read More
Introduction: There is scarce information about the effects of SARS‐CoV‐2 infection in pregnant women. The present study aimed to evaluate pregnancy’s clinical characteristics and outcomes in women with COVID-19 and their babies.Case Presentation: We conducted a case series study, from April 15 to May 30, 2021, including 24 cases with COVID-19 infection and their babies with a 30-day follow-up after delivery. The patients’ mean (SD) age of was 31.50 (5.69) years, and all the deliveries were in the third trimester. Fever and myalgia were the most prevalent clinical symptoms in women. Positive RTPCR test results [in 20 pateints (83.33%)], and CT scan findings [in four patients (16.67%)] confirmed the diagnosis. Moreover, 66.66% of pregnant women with COVID-19 underwent Cesarean section. Performing a Cesarean section was mostly due to obstetric indications or the mother’s request. None of the babies were positive PCR. Out of eight preterm infants, seven were admitted to the intensive care unit (NICU) for reasons other than COVID-19.Conclusion: The most common obstetric outcomes were high rates of premature delivery and Cesarean section. Additionally, the most prevalent neonatal consequences were prematurity and low birth weight. There was; however, no evidence of intrauterine vertical transmission.
Maryam Yazdani; Elnaz Amirshahi; Aria Shakeri; Reza Amirshahi; Leila Malekmakan
Abstract
Background: The increased maternal age is associated with many prenatal and perinatal complications including stillbirth, preterm birth and cesarean delivery.
Objectives: This study was carried out to investigate the prenatal and maternal outcomes among mothers older and younger than 35 in Fars province, ...
Read More
Background: The increased maternal age is associated with many prenatal and perinatal complications including stillbirth, preterm birth and cesarean delivery.
Objectives: This study was carried out to investigate the prenatal and maternal outcomes among mothers older and younger than 35 in Fars province, Iran.
Patients and Methods: This study included 1962 singleton deliveries. The prenatal and neonatal outcomes were recorded retrospectively and compared between mothers aged older and younger than 35 years. A designed questionnaire was used for data collection of parity, gravida (gravidity and parity are two terms that refer to the number of times a female has been pregnant and carried the pregnancies to a viable gestational age), outcomes of the pregnancy, labor, and neonatal outcome. Data were analyzed using SPSS, version 15, and the P < 0.05 was considered significant.
Results: The mean age of 978 mothers < 35 years-old and 984 of those aged ≥ 35 years was 31.6 ± 6.8 years. Mothers aged ≥ 35 years experienced higher risk of preeclampsia (P < 0.001), gestational diabetes mellitus (P < 0.001), placental abruption (P = 0.003), cesarean delivery (P < 0.001), low Apgar at 1 minute (P = 0.001) and low Apgar at 5 minutes (P = 0.001) compared to those aged less than 35 years.
Conclusions: Women should be alerted by the higher risks for prenatal and maternal morbidity associated with delayed pregnancy. Health care providers should be aware of the impact of delayed childbearing on the health care resources.
