Outcomes of Late-Preterm and Term Infants Born to SARS-CoV-2-Positive Mothers

Choi, Youn Young; Joo, Sung-Hong

doi:10.3346/jkms.2022.37.e147

Cited by 2 publications

(4 citation statements)

References 16 publications

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“…In the early period of the pandemic, specifically between January, 2020 and February, 2021, the prevalence of COVID-19 in pregnant women was lower (0.02%) than in nonpregnant women in reproductive age (0.14%) [17,18]. Furthermore, the disease severity in pregnant women was not significantly higher than in the general population [17,[19][20][21].…”

Section: Discussionmentioning

confidence: 92%

“…Since the first case of coronavirus disease (COVID- 19) was identified in December, 2019, many investigations have been conducted to determine whether this new infectious disease is related to maternal and fetal complications in pregnant women [1][2][3][4]. Maternal adaptation to pregnancy involves diverse anatomical and physiological changes, and in particular, immunological tolerance may increase maternal vulnerability to infectious diseases [5,6].…”

Section: Introductionmentioning

confidence: 99%

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Impact of Coronavirus Disease 2019 in Cesarean Delivery and Neonates: A Case-Control Study

Yang¹,

Park²,

Baek³

et al. 2023

Clin. Exp. Obstet. Gynecol.

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Background:The aim of this study was to compare the maternal, surgical, and neonatal outcomes in pregnant women with coronavirus disease 2019 (COVID-19) who underwent cesarean delivery at term and provide evidence for the management of parturient with COVID-19. Methods: This case-control study was conducted retrospectively and evaluated 67 cases of cesarean delivery between February 1 and May 31 performed at the Gyeongsang National University Changwon Hospital, Korea. Case group included women who had positive reverse transcriptase-polymerase chain reaction (RT-PCR) test within 7 days before delivery. Control group was selected based on mode of delivery and gestational age among women with negative RT-PCR result. Results: A total of 34 women with COVID-19 and 33 COVID-19-negative women and their neonate were included in this study. Preoperative C-reactive protein was higher in case group (6.4 mg/L vs 1.8 mg/L, p < 0.001), but preoperative and postoperative day 1 and 3 hemoglobin levels did not differ between groups. Postoperative complications were similar in both groups. Control group had higher 1-and 5-minute APGAR scores than case group (p = 0.006 and p = 0.005) and showed better results of cord blood analyses in cord blood pH and base deficit (p = 0.001 and p = 0.002). Neonatal admission to intensive care unit did not differ between groups and there was no vertical transmission of COVID-19. Conclusions: Pregnant women with coronavirus disease 2019 at term who underwent urgent cesarean delivery showed comparable surgical and neonatal outcomes except higher preroperative C-reactive protein levels compared to COVID-19-negative women.

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Impact of Coronavirus Disease 2019 in Cesarean Delivery and Neonates: A Case-Control Study

Yang¹,

Park²,

Baek³

et al. 2023

Clin. Exp. Obstet. Gynecol.

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“…A few studies have reported adverse neonatal outcomes of COVID-19 infected mothers; however, these associations are still unclear [ 7 , 8 , 12 ]. Currently, limited data with small sample sizes are available regarding the risk of perinatal infection and neonatal outcomes of infants born to COVID-19 infected mothers in Korea [ 1 , 13 , 14 ]. A recent Korean National Mother-Child Cohort study on neonatal outcomes discovered a possible association of COVID-19 mothers with increased NICU admission [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…7,8,12) Currently, limited data with small sample sizes are available regarding the risk of perinatal infection and neonatal outcomes of infants born to COVID-19 infected mothers in Korea. 1,13,14) A recent Korean National Mother-Child Cohort study on neonatal outcomes discovered a possible association of COVID-19 mothers with increased NICU admission. 15) However, this association is not clear since the isolation policy may have affected admission.…”

Section: Introductionmentioning

confidence: 99%

Association between maternal coronavirus disease 2019 and transient tachypnea of the newborn: a single-center study

Lee,

Jin,

Yoo

et al. 2023

Clin Exp Pediatr

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Background: Limited clinical reports have investigated the effects of maternal coronavirus disease 2019 (COVID-19) on fetuses and neonates.Purpose: This retrospective study aimed to assess the impact of maternal COVID-19 on neonates during the perinatal period, including neonatal clinical outcomes, versus the outcomes of neonates of mothers without COVID-19.Methods: Neonates born to COVID-19-infected mothers at the National Health Insurance Service Ilsan Hospital between February 2021 and March 2022 were included. Those with gestational age (GA) ≥35+0 weeks who were born within 2 weeks of the maternal infection were matched 1:2 with a control group based on GA. The main outcomes were respiratory diseases, including transient tachypnea of the newborn (TTN), respiratory distress syndrome, meconium aspiration syndrome, the need for respiratory support, and length of hospital stay. Uni- and multivariate logistic regression analyses were performed and adjusted for relevant covariates, including maternal age, obstetric complications (hypertension and gestational diabetes), delivery mode, birth weight, sex, and small-for-gestational-age status.Results: The case group comprised 103 neonates (mean GA, 38.5±1.3 weeks; mean birth weight, 3,121±397 g), while the control group included 206 neonates (mean GA, 38.4±1.2 weeks; mean birth weight, 3088±428 g). In the case and control groups, the proportion of cesarean sections was 91% and 40%, respectively, while the proportion of male infants was 56% and 47%, respectively. After adjusting for covariates, the case group had a higher risk of TTN (adjusted odd ratio [AOR], 3.69; 95% confidence interval [CI], 1.69–8.07), noninvasive respiratory ventilator use (AOR, 2.28; 95% CI, 1.05–4.97), and oxygen support (AOR, 4.83; 95% CI, 1.46–15.95).Conclusion: Newborns born to COVID-19-infected mothers are at increased risk of TTN and may require respiratory support. Close monitoring of respiratory symptoms is crucial in neonates.

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Outcomes of Late-Preterm and Term Infants Born to SARS-CoV-2-Positive Mothers

Cited by 2 publications

References 16 publications

Impact of Coronavirus Disease 2019 in Cesarean Delivery and Neonates: A Case-Control Study

Impact of Coronavirus Disease 2019 in Cesarean Delivery and Neonates: A Case-Control Study

Association between maternal coronavirus disease 2019 and transient tachypnea of the newborn: a single-center study

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