Sistematski pregled i metaanaliza podataka o trudnicama s potvrđenim COVID-19: klinička prezentacija, trudnoća i perinatalni ishodi na osnovu težine COVID-19.
Journal of global health
Sažetak istraživanja
Pozadina Utvrdili smo kliničku prezentaciju, faktore rizika i trudnoću i perinatalne ishode kod trudnica s potvrđenim COVID-19 i utvrdili da li se oni razlikuju na osnovu težine COVID-19.
Metode Uključili smo sve opservacijske studije na trudnicama s potvrđenim COVID-19 koje su izvještavale o kliničkoj prezentaciji, faktorima rizika i trudnoći i perinatalnim ishodima. Uključili smo sve studije objavljene između decembra 2019. i februara 2021. u Medline, Embase, bazama podataka WHO COVID-19 i Clinictrials.gov. Metodološki kvalitet kohorte i serije slučajeva procijenjen je korištenjem NHLBI kriterija.
Rezultati Uključeno je 31 016 trudnica iz 62 studije. Žene su u prosjeku imale 30,9 godina, većina (77,7%) je bila u trećem tromjesečju, a 16,4% je imalo teški oblik COVID-19. Gotovo polovina je bila asimptomatska, dok su najčešće prijavljeni simptomi bili kašalj, groznica, umor i anosmija/ageuzija. Oko 7% je primljeno na jedinicu intenzivne nege (ICU), 8% je zahtevalo mehaničku ventilaciju, a 2% žena je umrlo. Skoro 80% žena je rodilo; 48,4% je imalo porođaje carskim rezom. Među novorođenčadima, 23,4% je bilo prijevremeno rođenih (35 godina. Rizik od teškog COVID-19 bio je značajno veći kod žena koje su bile gojazne, pušile, dijabetičare i imale preeklampsiju. Rizik od prijevremenog porođaja bio je skoro 2,4 puta među ženama s teškim oblikom COVID-19.
Zaključci Naš pregled ukazuje na povećani rizik od peritalne trudnoće i peritalne trudnoće kod određenih žena. demografski i zdravstveni profili, međutim, treba ih stalno ažurirati.
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A systematic review and meta-analysis of data on pregnant women with confirmed COVID-19: Clinical presentation, and pregnancy and perinatal outcomes based on COVID-19 severity.
Background We determined the clinical presentation, risk factors, and pregnancy and perinatal outcomes in pregnant women with confirmed COVID-19 and identified if these are different based on COVID-19 severity.
Methods We included all observational studies on pregnant women with confirmed COVID-19 reporting clinical presentation, risk factors, and pregnancy and perinatal outcomes. We included all studies published between Dec/2019-Feb/2021 in Medline, Embase, the WHO COVID-19 databases, and clinicaltrials.gov. The methodological quality of cohort and case-series was assessed using NHLBI criteria.
Results 31 016 pregnant women from 62 studies were included. Women were an average of 30.9 years of age, most (77.7%) were in the third trimester, and 16.4% developed severe COVID-19. Nearly half were asymptomatic, while the most commonly reported symptoms were cough, fever, fatigue, and anosmia/ageusia. About 7% were admitted to the intensive care unit (ICU), 8% required mechanical ventilation, and 2% of the women died. Almost 80% of women delivered; 48.4% had cesarean births. Among newborns, 23.4% were preterm ( 35 years. The risk of severe COVID-19 was significantly higher among women who were obese, had smoked, diabetic, and had pre-eclampsia. The risk of preterm birth was almost 2.4 folds among women with severe COVID-19.
Conclusions Our review suggests a heightened risk of COVID-19 severity and adverse pregnancy and perinatal outcomes among women with certain demographic and health profiles. These findings can inform the formation of current guidelines; however, these should be constantly updated as the global COVID-19 scenario unfolds. Registration PROSPERO: CRD42020182048.
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- DOI
- 10.7189/jogh.11.05018
- PMID
- 34221361
- PMCID
- PMC8248750
- Provjereno
- 2026-07-26
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