SARS-CoV-2 Infection in Seven Childbearing Women at the Moment of Delivery, a Romanian Experience.

SARS-CoV-2 Infection in Seven Childbearing Women at the Moment of Delivery, a Romanian Experience.
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DOI:
10.7759/cureus.12811
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发表时间:
2021-01-20
期刊:
Cureus
影响因子:
--
通讯作者:
Manolescu LS
Manolescu LS
中科院分区:
其他
文献类型:
--
作者:
Radu MC;Boeru C;Marin M;Manolescu LS

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据世界卫生组织称,COVID-19 大流行于 2020 年 3 月 11 日正式开始爆发。罗马尼亚于 2 月 26 日记录了第一例 COVID-19 病例。普洛耶什蒂妇产科医院是罗马尼亚最大的单一专科医院之一,被指定收治感染 COVID-19 的孕妇。我们回顾性分析了 2020 年 7 月 1 日至 11 月 30 日期间分娩的 7 名感染 SARS-CoV-2 的孕妇。中位妊娠年龄为 39 周。其中三名育龄妇女在入院时出现胎膜破裂,四名妇女通过剖腹产分娩。感染SARS-CoV-2的女性进化良好,未发生病毒垂直传播,采取了预防母婴传播的措施。所有新生儿的 Apgar 评分均为 9 分,他们的 SARS-CoV-2 检测均呈阴性。没有孕产妇死亡。一名新生儿早产,但没有出现低出生体重或低阿普加评分的情况。采用剖腹产作为分娩方法并不影响垂直传播。没有证据表明是否有必要预测出生时间。我们认为,建议根据产科医生的经验和孕产妇感染的严重程度对每个病例​​进行个体化处理。
COVID-19 pandemic outbreak had officially started on 11 March 2020 according to the World Health Organization. In Romania the first case of COVID-19 was documented on 26th of February. Ploiesti Obstetrics and Gynecology Hospital is one of the biggest mono-specialty units from Romania that was designated to deal with COVID-19 infected pregnant women. We retrospectively analyzed seven pregnant women infected with SARS-CoV-2 who gave birth during the 1st July and 30thNovember 2020. The median age of pregnancy was 39 weeks. Three of the childbearing women presented rupture membranes at hospital admission and four gave birth by cesarean section (C-section). The women infected with SARS-CoV-2 had a good evolution, vertical transmission of the virus did not occur, measures to prevent mother-to-child transmission were applied. Apgar score was 9 for all new-born babies and they all tested negative for SARS-CoV-2. There were no maternal deaths. One new born baby was preterm but didn’t present low birth weight or low Apgar score. Applying cesarean section as a method of birth did not influence vertical transmission. There is no evidence if it is necessary to anticipate the time of birth. We believe it is recommended to individualize each case according to the experience of the obstetrician and the severity of the maternal infection.
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