Pregnancy Outcomes in Women With COVID-19: A Case-Control Study in Iran

Background & aim: Little is known about the effects of COVID-19 on pregnancy outcomes. The present study was performed to investigate maternal and perinatal outcomes in pregnant women affected by COVID-19.Methods: This case-control study was conducted on 264 pregnant women, including 132 infecte...

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Main Authors: Fatemeh Alibakhshi, Mozhgan Javadnoori, Saeed Ghanbari
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2023-04-01
Series:Journal of Midwifery & Reproductive Health
Subjects:
Online Access:https://jmrh.mums.ac.ir/article_21720_fb95c23a4ee2a7eb7186ca4aa86f4549.pdf
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author Fatemeh Alibakhshi
Mozhgan Javadnoori
Saeed Ghanbari
author_facet Fatemeh Alibakhshi
Mozhgan Javadnoori
Saeed Ghanbari
author_sort Fatemeh Alibakhshi
collection DOAJ
description Background & aim: Little is known about the effects of COVID-19 on pregnancy outcomes. The present study was performed to investigate maternal and perinatal outcomes in pregnant women affected by COVID-19.Methods: This case-control study was conducted on 264 pregnant women, including 132 infected (case group) and 132 uninfected pregnant women with COVID-19 (control group), using a retrospective record review design and matched sampling in three hospitals in Hamadan Province, Iran.Pregnant women with a positive COVID-19 test were identified through the registration system for COVID-19 in the health centers. The two groups were matched in terms of gestational age and maternal age. Data were collected from February 2020 to October 2021 using a questionnaire consisting of demographic and obstetric data, maternal and perinatal outcomes, and information about COVID-19 detection and treatment. Data were analyzed by SPSS software (version 22).Results: A high percentage of the case group lived in urban areas (p=0.026). In the case group, newborn hospitalization and death were significantly higher (p=0.032). No differences were observed between the two groups in other maternal or perinatal outcomes. Although there was one maternal death, two HELLP syndromes, and two cases of pregnancy cholestasis in the case group, however, they were not statistically significant.Conclusion: Although most maternal and perinatal outcomes were not statistically significant in COVID-19 pregnancies, some important outcomes, especially maternal death, occurred only in the case group. More evidence is needed to confirm whether COVID-19 can negatively affect pregnancy outcomes.
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spelling doaj.art-b307ce691cb24deabaa5d95be842d7512023-04-16T09:04:09ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922023-04-011123664367110.22038/jmrh.2022.63589.184421720Pregnancy Outcomes in Women With COVID-19: A Case-Control Study in IranFatemeh Alibakhshi0Mozhgan Javadnoori1Saeed Ghanbari2MSc Student of Midwifery, Department of Midwifery, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssociate Professor, Reproductive Health Promotion Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssistant Professor, Department of Biostatistics and Epidemiology, School of health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranBackground & aim: Little is known about the effects of COVID-19 on pregnancy outcomes. The present study was performed to investigate maternal and perinatal outcomes in pregnant women affected by COVID-19.Methods: This case-control study was conducted on 264 pregnant women, including 132 infected (case group) and 132 uninfected pregnant women with COVID-19 (control group), using a retrospective record review design and matched sampling in three hospitals in Hamadan Province, Iran.Pregnant women with a positive COVID-19 test were identified through the registration system for COVID-19 in the health centers. The two groups were matched in terms of gestational age and maternal age. Data were collected from February 2020 to October 2021 using a questionnaire consisting of demographic and obstetric data, maternal and perinatal outcomes, and information about COVID-19 detection and treatment. Data were analyzed by SPSS software (version 22).Results: A high percentage of the case group lived in urban areas (p=0.026). In the case group, newborn hospitalization and death were significantly higher (p=0.032). No differences were observed between the two groups in other maternal or perinatal outcomes. Although there was one maternal death, two HELLP syndromes, and two cases of pregnancy cholestasis in the case group, however, they were not statistically significant.Conclusion: Although most maternal and perinatal outcomes were not statistically significant in COVID-19 pregnancies, some important outcomes, especially maternal death, occurred only in the case group. More evidence is needed to confirm whether COVID-19 can negatively affect pregnancy outcomes.https://jmrh.mums.ac.ir/article_21720_fb95c23a4ee2a7eb7186ca4aa86f4549.pdfcovid-19pregnancy outcomesiran
spellingShingle Fatemeh Alibakhshi
Mozhgan Javadnoori
Saeed Ghanbari
Pregnancy Outcomes in Women With COVID-19: A Case-Control Study in Iran
Journal of Midwifery & Reproductive Health
covid-19
pregnancy outcomes
iran
title Pregnancy Outcomes in Women With COVID-19: A Case-Control Study in Iran
title_full Pregnancy Outcomes in Women With COVID-19: A Case-Control Study in Iran
title_fullStr Pregnancy Outcomes in Women With COVID-19: A Case-Control Study in Iran
title_full_unstemmed Pregnancy Outcomes in Women With COVID-19: A Case-Control Study in Iran
title_short Pregnancy Outcomes in Women With COVID-19: A Case-Control Study in Iran
title_sort pregnancy outcomes in women with covid 19 a case control study in iran
topic covid-19
pregnancy outcomes
iran
url https://jmrh.mums.ac.ir/article_21720_fb95c23a4ee2a7eb7186ca4aa86f4549.pdf
work_keys_str_mv AT fatemehalibakhshi pregnancyoutcomesinwomenwithcovid19acasecontrolstudyiniran
AT mozhganjavadnoori pregnancyoutcomesinwomenwithcovid19acasecontrolstudyiniran
AT saeedghanbari pregnancyoutcomesinwomenwithcovid19acasecontrolstudyiniran