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Purpose: There is limited information on the clinical characteristics and prognosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection during pregnancy. The clinical features and risk factors for hypoxemia development were investigated in pregnant women with coronavirus disease-2019 (COVID-19).
Materials and Methods: From August 2020 to February 2022, we performed a retrospective cohort study of 410 pregnant women with COVID-19. The clinical characteristics and prognoses were compared between pregnant COVID-19 patients requiring oxygen and those who did not.
Results: Of 410 patients, 100 (24.4%) required oxygen therapy. Among them, fever [163 (52.6%) vs. 81 (81.0%), p〈0.001] and cough [172 (56.4%) vs. 73 (73.0%), p=0.003] were more frequently observed than in non-oxygen group. The proportion of unvaccinated women was higher in oxygen group than in non-oxygen group [264 (85.2%) vs. 98 (98.0%), p=0.003]. During the Omicron wave, patients were more likely to have no oxygen requirement [98 (31.6%) vs. 18 (18.0%), p=0.009]. The risk of hypoxemic respiratory difficulty increased if SARS-CoV-2 infection occurred during the third trimester [adjusted odds ratio (aOR) 5.083, 95% confidence interval (CI): 1.095–23.593, p=0.038] and C-reactive protein (CRP) was elevated (≥1.0 mg/dL) at admission (aOR 5.878, 95% CI: 3.099–11.146, p〈0.001). The risk was higher in unvaccinated patients (aOR 5.376, 95% CI: 1.193-24.390, p=0.028). However, the risk was lower in patients during the Omicron wave (aOR 0.498, 95% CI: 0.258–0.961, p=0.038).
Conclusion: A quarter of SARS-CoV-2-infected women developed hypoxemic respiratory difficulty during pregnancy. SARSCoV-2 infection during the third trimester, CRP elevation at admission, and no vaccination increased the risk of hypoxemia in pregnant women.
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번호 | 참고문헌 | 국회도서관 소장유무 |
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1 | Causes and Mechanisms of Intrauterine Hypoxia and Its Impact on the Fetal Cardiovascular System: A Review | 미소장 |
2 | The influence of pregnancy on systemic immunity | 미소장 |
3 | Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome | 미소장 |
4 | Maternal fever and birth outcome: A prospective study | 미소장 |
5 | Presentation of Seasonal Influenza A in Pregnancy | 미소장 |
6 | 2009 pandemic influenza A (H1N1) in pregnancy: a systematic review of the literature | 미소장 |
7 | Pregnancy and Infection | 미소장 |
8 | Pregnancy and pregnancy-associated hormones alter immune responses and disease pathogenesis | 미소장 |
9 | Pandemic 2009 Influenza A(H1N1) Virus Illness Among Pregnant Women in the United States | 미소장 |
10 | Infants Born to Mothers With Severe Acute Respiratory Syndrome | 미소장 |
11 | Pregnancy-Related Mortality Resulting From Influenza in the United States During the 2009–2010 Pandemic | 미소장 |
12 | Coronavirus Disease 2019 (COVID-19) and pregnancy: what obstetricians need to know | 미소장 |
13 | Pregnancy and Perinatal Outcomes of Women With Coronavirus Disease (COVID-19) Pneumonia: A Preliminary Analysis | 미소장 |
14 | Outcome of coronavirus spectrum infections (SARS, MERS, COVID-19) during pregnancy: a systematic review and meta-analysis | 미소장 |
15 | Maternal death due to COVID-19 | 미소장 |
16 | A minimal common outcome measure set for COVID-19 clinical research | 미소장 |
17 | Pathophysiology, Transmission, Diagnosis, and Treatment of Coronavirus Disease 2019 (COVID-19) | 미소장 |
18 | Are clinical outcomes worse for pregnant women at ≥20 weeks’ gestation infected with coronavirus disease 2019? A multicenter case-control study with propensity score matching | 미소장 |
19 | Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis | 미소장 |
20 | Update: Characteristics of Symptomatic Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status — United States, January 22–October 3, 2020 | 미소장 |
21 | Disease severity, pregnancy outcomes, and maternal deaths among pregnant patients with severe acute respiratory syndrome coronavirus 2 infection in Washington State | 미소장 |
22 | Risk factors for severe and critical Covid-19 in pregnant women in a single center in Brazil | 미소장 |
23 | Disease Severity and Perinatal Outcomes of Pregnant Patients With Coronavirus Disease 2019 (COVID-19) | 미소장 |
24 | Pregnancy and neonatal outcomes of |
미소장 |
25 | Risk Factors for Illness Severity Among Pregnant Women With Confirmed Severe Acute Respiratory Syndrome Coronavirus 2 Infection—Surveillance for Emerging Threats to Mothers and Babies Network, 22 State, Local, and Territorial Health Departments, 29 March 2020–5 March 2021 | 미소장 |
26 | Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis | 미소장 |
27 | Maternal and Neonatal Morbidity and Mortality Among Pregnant Women With and Without COVID-19 Infection | 미소장 |
28 | The incidence, characteristics and outcomes of pregnant women hospitalized with symptomatic and asymptomatic SARS-CoV-2 infection in the UK from March to September 2020: A national cohort study using the UK Obstetric Surveillance System (UKOSS) | 미소장 |
29 | In-Hospital Mortality in a Cohort of Hospitalized Pregnant and Nonpregnant Patients With COVID-19 | 미소장 |
30 | Severe Acute Respiratory Syndrome Coronavirus 2 and Pregnancy Outcomes According to Gestational Age at Time of Infection | 미소장 |
31 | Pregnancy and birth outcomes after SARS-CoV-2 vaccination in pregnancy | 미소장 |
32 | Maternal Outcomes After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Vaccinated Compared With Unvaccinated Pregnant Patients. | 미소장 |
33 | Characteristics and Outcomes of Hospitalized Patients in South Africa During the COVID-19 Omicron Wave Compared With Previous Waves | 미소장 |
34 | Oxygen saturation in pregnant individuals with COVID-19: time for re-appraisal? | 미소장 |
35 | Systematic review and meta-analysis of COVID-19 maternal and neonatal clinical features and pregnancy outcomes up to June 3, 2021 | 미소장 |
36 | Association of SARS-CoV-2 Infection During Pregnancy With Maternal and Perinatal Outcomes | 미소장 |
37 | Maternal Outcomes After Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Infection in Vaccinated Compared With Unvaccinated Pregnant Patients | 미소장 |
38 | SARS-CoV-2 variants and pregnant Women: A cause for Concern? | 미소장 |
39 | Clinical Characteristics of Patients Who Contracted the SARS-CoV-2 Omicron Variant from an Outbreak in a Single Hospital | 미소장 |
40 | Maternal and Neonatal Outcomes in Pregnant Women With Coronavirus Disease 2019 in Korea | 미소장 |
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