Ensiyeh Jenabi1, Saeid Bashirian2, Salman Khazaei3, Seyedeh Zahra Masoumi4, Samereh Ghelichkhani5, Firoozeh Goodarzi5, Mohammad Mirzaei6. 1. Autism Spectrum Disorders Research Center, Hamadan University of Medical Sciences, Hamadan, Iran. 2. Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran. 3. Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran. 4. Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran. 5. Deputy of Treatment, Hamadan University of Medical Sciences, Hamadan, Iran. 6. Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract
BACKGROUND: The purpose of this study was to investigate pregnancy outcomes among symptomatic and asymptomatic women infected with coronavirus disease 2019 (COVID-19) in the west of Iran. MATERIALS AND METHODS: In this case-control study, 45 pregnant women infected with symptomatic COVID-19 were compared with 45 pregnant women infected with asymptomatic COVID-19. The cases included women were referred for delivery to hospitals of Hamadan Province and infected with COVID-19-related symptoms. The diagnosis of COVID-19 was based on the results of real-time reverse-transcriptase polymerase-chain-reaction (rRT-PCR) detection. The control group included asymptomatic women who were referred for delivery to hospitals in Hamadan Province infected with COVID-19. Data were collected by a checklist. For the data analysis, the Stata version 12 was used (StataCorp, College Station, TX). RESULTS: The odds of cesarean delivery in symptomatic women was more the fourfold higher (OR = 4.12, 95% CI (1.7, 10.05), p = .002). Moreover, the odds of LBW was significantly higher in symptomatic women (OR = 2.1, 95% CI (1.2, 6.29), p = .035). CONCLUSIONS: Our findings showed that cesarean delivery and LBW were significantly higher in symptomatic women compared with asymptomatic women. In areas with high COVID-19 pandemics, the performance of the PCR test is recommended for all pregnant women upon admission for delivery.
BACKGROUND: The purpose of this study was to investigate pregnancy outcomes among symptomatic and asymptomatic women infected with coronavirus disease 2019 (COVID-19) in the west of Iran. MATERIALS AND METHODS: In this case-control study, 45 pregnant women infected with symptomatic COVID-19 were compared with 45 pregnant women infected with asymptomatic COVID-19. The cases included women were referred for delivery to hospitals of Hamadan Province and infected with COVID-19-related symptoms. The diagnosis of COVID-19 was based on the results of real-time reverse-transcriptase polymerase-chain-reaction (rRT-PCR) detection. The control group included asymptomatic women who were referred for delivery to hospitals in Hamadan Province infected with COVID-19. Data were collected by a checklist. For the data analysis, the Stata version 12 was used (StataCorp, College Station, TX). RESULTS: The odds of cesarean delivery in symptomatic women was more the fourfold higher (OR = 4.12, 95% CI (1.7, 10.05), p = .002). Moreover, the odds of LBW was significantly higher in symptomatic women (OR = 2.1, 95% CI (1.2, 6.29), p = .035). CONCLUSIONS: Our findings showed that cesarean delivery and LBW were significantly higher in symptomatic women compared with asymptomatic women. In areas with high COVID-19 pandemics, the performance of the PCR test is recommended for all pregnant women upon admission for delivery.
Authors: Durray Shahwar A Khan; La-Raib Hamid; Anna Ali; Rehana A Salam; Nadeem Zuberi; Zohra S Lassi; Jai K Das Journal: BMC Pregnancy Childbirth Date: 2021-12-01 Impact factor: 3.007