Dynamics of the epidemic process and the course of the COVID-19 in pregnant women of the Far Eastern and Siberian Federal Districts

The objective of the study was to evaluate an epidemiological characteristic and the course of COVID-19 in pregnant women from the Far East and Siberian Federal Districts of Russia. Materials and methods. The analysis of operational information on the incidence of COVID-19 and the its features in...

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Main Authors: Tatiana E. Belokrinitskaya, Natalya V. Artymuk, Oleg S. Filippov, Efim M. Shifman
Format: Article
Language:Russian
Published: IP Berlin A.V. 2020-11-01
Series:Гинекология
Subjects:
Online Access:https://gynecology.orscience.ru/2079-5831/article/viewFile/44851/pdf
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author Tatiana E. Belokrinitskaya
Natalya V. Artymuk
Oleg S. Filippov
Efim M. Shifman
author_facet Tatiana E. Belokrinitskaya
Natalya V. Artymuk
Oleg S. Filippov
Efim M. Shifman
author_sort Tatiana E. Belokrinitskaya
collection DOAJ
description The objective of the study was to evaluate an epidemiological characteristic and the course of COVID-19 in pregnant women from the Far East and Siberian Federal Districts of Russia. Materials and methods. The analysis of operational information on the incidence of COVID-19 and the its features in pregnant women and after childbirth provided by the chief obstetrician-gynecologists of the Far Eastern Federal District and Siberian Federal District on May 25, 2020 and August 25, 2020 is carried out. Mathematical analysis included descriptive statistics methods, analysis of contingency tables, where the 2 value, the achieved significance level (p) Results. On August 25, 2020, 2010 cases of COVID-19 in pregnant women were detected in two subjects, including 134 active cases. In the population, the proportion of pregnant women among cases of COVID-19 was 1.45%. Pneumonia in pregnant women was registered in 44.8% of cases, severe course of the disease - in 3.7%, hospitalization in RAW - in 1.9% of cases, mechanical ventilation - 0. In the population, pneumonia was registered in 24.4% of cases, hospitalized in RAW - 2.1%, on mechanical ventilation - 0.77%. The incidence in pregnant women was 1464.7 per 100000 (in the population - 591.8 per 100 000). 23 (1.76%) COVID-19 (+) newborns were identified, despite preventive measures and separation of mother and child immediately after childbirth, which does not exclude vertical transmission of the disease. Maternal mortality was 2 cases (0.1%) vs population mortality 1.49%. Perinatal mortality was 7 cases (0.35%). There were 5 (0.25%) stillbirths. Early neonatal mortality was 2 (0.1%) cases. Conclusion. The incidence of COVID-19 in pregnant women in the Far East and Siberia is higher than in the general population with a higher incidence of pneumonia, but a milder course: less need for ICU, mechanical ventilation and mortality. 23 cases of SARSCoV-2-positive newborns, despite the separation of mother and child, do not exclude the possibility of vertical transmission of infection. Keywords: COVID-19, pregnancy, epidemiology, incidence, pneumonia, mortality
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spelling doaj.art-cb6eebca39f7495aaa6d0de312e7f0432022-12-21T20:18:04ZrusIP Berlin A.V.Гинекология2079-56962079-58312020-11-0122561110.26442/20795696.2020.5.20043946256Dynamics of the epidemic process and the course of the COVID-19 in pregnant women of the Far Eastern and Siberian Federal DistrictsTatiana E. Belokrinitskaya0Natalya V. Artymuk1Oleg S. Filippov2Efim M. Shifman3Chita State Medical AcademyKemerovo State Medical UniversityYevdokimov Moscow State University of Medicine and Dentistry; Department of Medical Care for Children and Obstetrics ServiceVladimirsky Moscow Regional Research Clinical InstituteThe objective of the study was to evaluate an epidemiological characteristic and the course of COVID-19 in pregnant women from the Far East and Siberian Federal Districts of Russia. Materials and methods. The analysis of operational information on the incidence of COVID-19 and the its features in pregnant women and after childbirth provided by the chief obstetrician-gynecologists of the Far Eastern Federal District and Siberian Federal District on May 25, 2020 and August 25, 2020 is carried out. Mathematical analysis included descriptive statistics methods, analysis of contingency tables, where the 2 value, the achieved significance level (p) Results. On August 25, 2020, 2010 cases of COVID-19 in pregnant women were detected in two subjects, including 134 active cases. In the population, the proportion of pregnant women among cases of COVID-19 was 1.45%. Pneumonia in pregnant women was registered in 44.8% of cases, severe course of the disease - in 3.7%, hospitalization in RAW - in 1.9% of cases, mechanical ventilation - 0. In the population, pneumonia was registered in 24.4% of cases, hospitalized in RAW - 2.1%, on mechanical ventilation - 0.77%. The incidence in pregnant women was 1464.7 per 100000 (in the population - 591.8 per 100 000). 23 (1.76%) COVID-19 (+) newborns were identified, despite preventive measures and separation of mother and child immediately after childbirth, which does not exclude vertical transmission of the disease. Maternal mortality was 2 cases (0.1%) vs population mortality 1.49%. Perinatal mortality was 7 cases (0.35%). There were 5 (0.25%) stillbirths. Early neonatal mortality was 2 (0.1%) cases. Conclusion. The incidence of COVID-19 in pregnant women in the Far East and Siberia is higher than in the general population with a higher incidence of pneumonia, but a milder course: less need for ICU, mechanical ventilation and mortality. 23 cases of SARSCoV-2-positive newborns, despite the separation of mother and child, do not exclude the possibility of vertical transmission of infection. Keywords: COVID-19, pregnancy, epidemiology, incidence, pneumonia, mortalityhttps://gynecology.orscience.ru/2079-5831/article/viewFile/44851/pdfcovid-19pregnancyepidemiologyincidencepneumoniamortalityprevention
spellingShingle Tatiana E. Belokrinitskaya
Natalya V. Artymuk
Oleg S. Filippov
Efim M. Shifman
Dynamics of the epidemic process and the course of the COVID-19 in pregnant women of the Far Eastern and Siberian Federal Districts
Гинекология
covid-19
pregnancy
epidemiology
incidence
pneumonia
mortality
prevention
title Dynamics of the epidemic process and the course of the COVID-19 in pregnant women of the Far Eastern and Siberian Federal Districts
title_full Dynamics of the epidemic process and the course of the COVID-19 in pregnant women of the Far Eastern and Siberian Federal Districts
title_fullStr Dynamics of the epidemic process and the course of the COVID-19 in pregnant women of the Far Eastern and Siberian Federal Districts
title_full_unstemmed Dynamics of the epidemic process and the course of the COVID-19 in pregnant women of the Far Eastern and Siberian Federal Districts
title_short Dynamics of the epidemic process and the course of the COVID-19 in pregnant women of the Far Eastern and Siberian Federal Districts
title_sort dynamics of the epidemic process and the course of the covid 19 in pregnant women of the far eastern and siberian federal districts
topic covid-19
pregnancy
epidemiology
incidence
pneumonia
mortality
prevention
url https://gynecology.orscience.ru/2079-5831/article/viewFile/44851/pdf
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