Limited data are available on pregnant women with COVID-19 and their neonates. We aimed to evaluate the epidemiological and clinical characteristics of newborns born to women infected with COVID-19. A multicenter cohort study was conducted among newborns born to mothers with COVID-19 in 34 neonatal intensive care units (NICUs) in Turkey. Pregnant women (
n
= 125) who had a positive RT-PCR test and their newborns were enrolled. Cesarean section, prematurity, and low-birthweight infant rates were 71.2%, 26.4%, and 12.8%, respectively. Eight of 125 mothers (6.4%) were admitted to an intensive care unit for mechanical ventilation, among whom six died (4.8%). Majority of the newborns (86.4%) were followed in isolation rooms in the NICU. Four of 120 newborns (3.3%) had a positive RT-PCR test result. Although samples taken on the first day were negative, one neonate became positive on the second day and the other two on the fifth day. Sample from deep tracheal aspirate was positive on the first day in an intubated case.
Conclusion
: COVID-19 in pregnant women has important impacts on perinatal and neonatal outcomes. Maternal mortality, higher rates of preterm birth and cesarean section, suspected risk of vertical transmission, and low rate of breastfeeding show that family support should be a part of the care in the NICU.
Trial registration
:
ClinicalTrials.gov
identifier: NCT04401540
What is Known:
• The common property of previous reports was the conclusions on maternal outcomes, rather than neonatal outcomes.
• Published data showed similar outcomes between COVID-19 pregnant women and others.
What is New:
• Higher maternal mortality, higher rates of preterm birth and cesarean section, suspected risk of vertical transmission especially in a case with deep tracheal aspiration during the intubation, and the possible role of maternal disease severity on the outcomes are remarkable findings of this study.
• In contrast to recommendation for breastfeeding, parents’ preference to formula and expressed breast milk due to anxiety and lack of information shows that family support should be a part of the care in the NICU.
We investigate experimentally the transition to turbulence of a yield stress shear-thinning fluid in Hagen–Poiseuille flow. By combining direct high-speed imaging of the flow structures with Laser Doppler Velocimetry (LDV), we provide a systematic description of the different flow regimes from laminar to fully turbulent. Each flow regime is characterized by measurements of the radial velocity, velocity fluctuations and turbulence intensity profiles. In addition we estimate the autocorrelation, the probability distribution and the structure functions in an attempt to further characterize transition. For all cases tested, our results indicate that transition occurs only when the Reynolds stresses of the flow equal or exceed the yield stress of the fluid, i.e. the plug is broken before transition commences. Once in transition and when turbulent, the behaviour of the yield stress fluid is somewhat similar to a (simpler) shear-thinning fluid. Finally, we have observed the shape of slugs during transition and found their leading edges to be highly elongated and located off the central axis of the pipe, for the non-Newtonian fluids examined.
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