Neonatal Outcomes in Pregnant Women Infected with COVID-19 in Babol, North of Iran: A Retrospective Study with Short-Term Follow-Up

Rad, Zahra Akbarian; Mojaveri, Mohsen Haghshenas; Bouzari, Zinatossadat; Sadeghi, Farzin; Yahyapour, Yousef; Rad, Mojgan Naeimi; Alizadeh, Somayeh; Ebrahimpour, Soheil; Sepidarkish, Mahdi; Javanian, Mostafa

doi:10.1155/2021/9952701

Cited by 8 publications

(6 citation statements)

References 17 publications

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“…In agreement with the findings of this study, Akbarian-Rad et al (11) reported that all neonates had Apgar scores of 8 or 9 out of 10 in the first and fifth minutes, respectively, and that none of the infants needed to be revived in the delivery room. Newborns weighed ± 697 gram at birth.…”

Section: Discussionsupporting

confidence: 92%

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The Incidence Rate of NICU Admission following Elective Caesarian Section in Pregnant Women Infected with COVID-19 throughout Pregnancy

El-Hawwary¹,

Abo-Shiesha²,

Ali³

2022

The Egyptian Journal of Hospital Medicine

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Background: In March 2020, the WHO proclaimed the new coronavirus (COVID-19) outbreak a worldwide pandemic. The symptoms of COVID-19-infected pregnant individuals appear to be comparable to those of the general population, with chest symptoms including fever and cough being the most often reported in investigations. Obesity, diabetes, and maternal age greater than 40 years old are risk factors for fatality and serious illness. The greatest risk for severe illness, ICU admission, and the requirement for mechanical ventilation is among women in their third trimester. The aim of this study was to assess the incidence rate of Neonatal intensive care unit (NICU) admission after elective caesarian section in pregnant women admitted to Ain Shams University Hospitals with COVID-19 infection during pregnancy. Patients and methods: This retrospective cohort study was conducted at Ain Shams University Maternity Hospital from April 2020 to April 2022 and performed on total 20 pregnant women who admitted with COVID-19 during pregnancy documented by polymerase chain reaction test (PCR). Results: There was no statistical difference regarding NICU admission both groups. Hemoglobin and total leucocytic count were lower in mothers of neonates that needed NICU admission (P>0.05). Maternal complications (postpartum hemorrhage, surgical site infection, sepsis) were nearly similar among COVID-19 group and control group (P>0.05). Conclusion:No appreciable differences between pregnant women with COVID-19 infection and those who were not, in terms of APGAR score, NICU hospitalization, wound infection, postpartum hemorrhage, and sepsis. The clinical features of COVID-19 in pregnant patients and newborns appear to be the same as those in infected individuals who are not pregnant.

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Section: Discussionsupporting

confidence: 92%

“…In the same line, Akbarian-Rad et al (11) conducted a retrospective cohort research with eight neonates delivered to COVID-19-positive pregnant women who were more than 37 weeks along in the pregnancy to evaluate short-term outcomes and symptoms among neonates of COVID-19 positive moms.…”

Section: Discussionmentioning

confidence: 99%

The Incidence Rate of NICU Admission following Elective Caesarian Section in Pregnant Women Infected with COVID-19 throughout Pregnancy

El-Hawwary¹,

Abo-Shiesha²,

Ali³

2022

The Egyptian Journal of Hospital Medicine

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“…This is in accordance with other studies in the Middle East as well as in other worldwide countries such as the United States ( Hirshberg et al, 2020 ) and China ( Chen H et al, 2020 ). In Iranian pregnant women, the most common reported symptoms of COVID-19 were fever, cough, and dyspnea ( Kazemi Aski et al, 2020 , 2021 ; Motlagh et al, 2020 ; Pirjani et al, 2020 ; Sattari et al, 2020 ; Akbarian-Rad et al, 2021 ; Alipour et al, 2021 ; Samadi et al, 2021 ; Vaezi et al, 2021 ; Vizheh et al, 2021 ; Abedzadeh-Kalahroudi et al, 2021b ). Lymphopenia and elevated C-reactive protein levels ( Pirjani et al, 2020 ; Akbarian-Rad et al, 2021 ; Vaezi et al, 2021 ; Abedzadeh-Kalahroudi et al, 2021a , b ), in addition to Elevated lactate dehydrogenase (LDH; Kazemi Aski et al, 2020 ; Abedzadeh-Kalahroudi et al, 2021a ), were the most common laboratory findings observed.…”

Section: Pregnant Women and Neonatesmentioning

confidence: 99%

“…In Iranian pregnant women, the most common reported symptoms of COVID-19 were fever, cough, and dyspnea (Kazemi Aski et al, 2020Motlagh et al, 2020;Pirjani et al, 2020;Sattari et al, 2020;Akbarian-Rad et al, 2021;Alipour et al, 2021;Samadi et al, 2021;Vaezi et al, 2021;Vizheh et al, 2021;Abedzadeh-Kalahroudi et al, 2021b). Lymphopenia and elevated C-reactive protein levels (Pirjani et al, 2020;Akbarian-Rad et al, 2021;Vaezi et al, 2021;Abedzadeh-Kalahroudi et al, 2021a,b), in addition to Elevated lactate dehydrogenase (LDH; Kazemi Aski et al, 2020; Abedzadeh-Kalahroudi et al, 2021a), were the most common laboratory findings observed. The SARS-CoV-2 infection in this population presented mainly as a mild-tomoderate disease (Kazemi Aski et al, 2020;Vizheh et al, 2021).…”

Section: Pregnant Women and Neonatesmentioning

confidence: 99%

“…Interestingly, in one study, infected pregnant women, in their second and third trimesters without pre-existing medical conditions, were compared to their infected familial and household members, and found that the maternal outcomes were more severe (Hantoushzadeh et al, 2020). As for neonates born to infected mothers, in most of the studies, no vertical transmission was observed (Akbarian-Rad et al, 2021;Vaezi et al, 2021;Abedzadeh-Kalahroudi et al, 2021b). Scattered reports however reported the transmission of the SARS-CoV-2 virus from the infected mother to her newborn (Kamali Aghdam et al, 2020;Rashidian et al, 2020;Sattari et al, 2020;Zamaniyan et al, 2020;Abolhasan et al, 2021;Rabiei et al, 2021;Abedzadeh-Kalahroudi et al, 2021a).…”

Section: Pregnant Women and Neonatesmentioning

confidence: 99%

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Prognosis of COVID-19 in the middle eastern population, knowns and unknowns

Dandachi

Aljabr

2022

Front. Microbiol.

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Since its emergence in China in 2019, the SARS-CoV-2 virus has affected all countries worldwide. The virus is easily transmitted from one person to another via infected aerosols or contaminated surfaces. Unlike its counterparts, the prognosis of COVID-19 ranges from asymptomatic to critical disease or death. Several factors play a role in determining the severity of the disease in infected patients. Among others, is the pre-existence of an underlying medical condition such as diabetes, cancer, and others. Furthermore, although children are less prone to the severe form of the COVID-19 disease, they require attention due to the report of many atypical presentations of the infection, post-asymptomatic exposure. In the Middle East, little is known about the prognosis of the SARS-CoV-2 infection in high-risk categories, notably patients with diabetes, cancer, and pregnant women. The aim of this review is to summarize the current knowledge about this group of population in the middle eastern region as well as to highlight the gap in the literature. We have found that the majority of the papers were from the Gulf countries. Although, few studies were conducted; high-risk patients appear to have an increased risk of morbidity and mortality from COVID-19 compared to their counterparts. Higher levels of inflammatory markers, C-reactive protein, erythrocyte sedimentation rate, D-dimer, and ferritin levels were also observed. Children are often asymptomatic or present with atypical presentations. More studies should be conducted to determine the clinical biomarkers of COVID-19 in high-risk categories to help in patient risk stratification and management in the middle eastern population.

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Retracted: Prenatal and neonatal complications of COVID‐19: A systematic review

Pashaei

SeyedAlinaghi

Qaderi

et al. 2022

Health Science Reports

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Background and Aims The outbreak of coronavirus disease 2019 (COVID‐19) over the past year has affected public health worldwide. During pregnancy, the maternal immune system and inflammatory responses are widely suppressed. Pregnancy‐related immune system suppression could make the mother vulnerable to infectious diseases like SARS‐COV‐2. However, current data suggest little to no possibility of COVID‐19 transmission in pregnant women to the fetus during pregnancy or childbirth. This systematic review focused on the possible complications of COVID‐19 infection in the fetus and newborn babies including the possibility and evidence of vertical transmission by reviewing articles published during the first year of the COVID‐19 pandemic. Methods We conducted a systematic search using keywords on PubMed, Embase, and Scopus databases. The studies followed a title/abstract and a full‐text screening process, and the eligible articles were included in the study. Results In total, 238 published papers were identified using a systematic search strategy (44 articles met the inclusion criteria and were included in the final review). In all studies, a total of 2375 women with signs and symptoms of COVID‐19, who were in the second and third trimester of pregnancy, were assessed mild to moderate pneumonia was one of the most common symptoms. Seventy‐three percent of the women did not present any comorbidity, 19% had a fever, 17% had to cough as the most frequent clinical signs and symptoms, 7.5% had pulmonary changes with chest scans, 8% had increased C reactive protein, and 9.4% had decreased lymphocytes (lymphocytopenia). A total of 2716 newborns and fetal were assessed; the delivery method of 1725 of them was reported, 913 (53%) through C‐section delivery, and 812 through normal vaginal delivery (47%). Of total newborns, 13 died (five died along with the mother), and 1965 were tested for SARS‐CoV‐2:118 tested positive. In a study, vertical transmission in seven cases was reported in total of 145 cases assessed. Conclusion It appeared that most pregnant COVID patients were mildly ill, and there is currently no convincing evidence to support the vertical transmission of COVID‐19 disease. Therefore, neonates do not represent any additional risk for adverse outcomes neither during the prenatal period nor after birth.

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Neonatal Outcomes in Pregnant Women Infected with COVID-19 in Babol, North of Iran: A Retrospective Study with Short-Term Follow-Up

Cited by 8 publications

References 17 publications

The Incidence Rate of NICU Admission following Elective Caesarian Section in Pregnant Women Infected with COVID-19 throughout Pregnancy

The Incidence Rate of NICU Admission following Elective Caesarian Section in Pregnant Women Infected with COVID-19 throughout Pregnancy

Prognosis of COVID-19 in the middle eastern population, knowns and unknowns

Retracted: Prenatal and neonatal complications of COVID‐19: A systematic review

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