Fetal Outcome Associated with COVID-19; Correlation between Ultrasound and Birth Measures in COVID-19 Pregnant Women
Notice bibliographique
Résumé
Background: Coronavirus disease 2019 (COVID-19), caused by the virus SARS-CoV-2, was declared a global pandemic in March 2020. Pregnant women might be especially vulnerable to COVID-19 because the physiological changes in their cardiorespiratory and immune systems during pregnancy could alter their response to SARS-CoV-2 infection. Objective: to determine the association between SARS-CoV-2 infection and fetal outcomes, including SGA, FGR, preterm birth, and stillbirth. Methods: This prospective study was conducted at the Ultrasound and Fetal Medicine Unit of Ain Shams University Maternity Hospital, a tertiary care center, from October 2021 to January 2023. The study included 45 pregnant women diagnosed with COVID-19 during the first or second trimester of their current pregnancy. Additionally, a control group of 45 pregnant women who were not infected with COVID-19 was included. Both groups were selected based on predefined inclusion and exclusion criteria. Results: There were no statistically significant differences between the two groups regarding demographic characteristics, including age, body mass index, and parity. The timing of COVID-19 infection was nearly evenly distributed between the first and second trimesters. All cases in the infected group were non-hospitalized. No statistically significant differences were found between the groups regarding the need for induction or mode of delivery. Additionally, there were no significant differences in gestational age, estimated fetal weight, birth weight, or NICU admission rates. Stillbirth, prematurity, intrauterine growth restriction (IUGR), macrosomia, and neonatal mortality did not occur in either group. Conclusion: As evident from the current study, there were no differences between first and second-trimester COVID-19-infected and non-infected pregnant women according to maternal and neonatal outcomes regarding fetal growth complications, APGAR score, preterm Labour, NICU admission, Placental abnormalities, and Liquor abnormalities. Consequently, clinical characteristics of first and second-trimester COVID-19 in pregnant patients and neonates seem to be similar to those in non-pregnant infected adults.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».