Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Impact of Covid-19 Infection on Neonatal Birth Outcomes Publisher Pubmed



Vizheh M1, 2 ; Allahdadian M3 ; Muhidin S2 ; Valiani M4 ; Bagheri K5 ; Borandegi F6 ; Ghasimi G7
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Reproductive Health and Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, 1419733171, Iran
  2. 2. Department of Management, Macquarie Business School, Macquarie University, 2109, NSW, Australia
  3. 3. Department of Midwifery, Nursing and Midwifery Faculty, Falavarjan Branch, Islamic Azad University, Isfahan, 155/84515, Iran
  4. 4. Nursing and Midwifery Care Research Center, Midwifery and Reproductive Health Department, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, 81746-73461, Iran
  5. 5. Alzahra Hospital, Research Committee, Midwifery and Reproductive Health Department, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, 81746-73461, Iran
  6. 6. Amin Hospital, Research Committee, Isfahan University of Medical Sciences, Isfahan, 81746-73461, Iran
  7. 7. Esabne Maryam Hospital, Research Committee, Isfahan University of Medical Sciences, Isfahan, 81746-73461, Iran

Source: Journal of Tropical Pediatrics Published:2021


Abstract

Introduction: There is limited data on newborns born to mothers with COVID-19 infection. This multicenter cohort study aimed to investigate the clinical characteristics and outcomes of neonates born to mothers with and without COVID-19 infection to fill a gap in the literature review. Methods: The medical records of all neonates in Isfahan, Iran, between October 2020 and March 2021, were retrospectively reviewed. Results: Among the 600 neonates in this study, 255 (42.5%) were in the infected group and 345 (57.5%) were assigned to the control group as they were born to non-infected mothers. In the infected group, sepsis, fever and pneumothorax were detected in 3 (1.2%), 3 (1.2%) and 4 (1.6%) neonates, respectively, compared with no case in the control group. In the infected group, neonatal respiratory distress (NRDS) (32, 12.5%) was significantly higher than the control group (27, 10.6%). Asphyxia in the infected group was 22(6.4%), compared with 19 (5.5%), in the control group. Preterm labor (PTL) (55, 21.65%), premature rupture of membranes (PROMs) (24, 9.4%) and intra-uterine growth retardation (IUGR) (15, 5.9%) were significantly higher in women with COVID-19 (45, 13.0%, 4, 1.2% and 7, 2.0%, respectively). Low birth weight (LBW) accounted for 42 (16.5%) neonates in the infected group and 25 (7.2%) in the control group (p < 0.05). Of the 255 neonates born to infected mothers, 38 (14.9%) were admitted to the Neonatal Intensive Care Unit (NICU), compared with 31 out of 345 (9.0%) in the control group (p < 0.05). RT-PCR test results were positive in two newborns (0.8%), one of whom died of necrotizing enterocolitis. Conclusion: As a result of maternal COVID-19 infections, neonates experienced higher rates of sepsis, fever, pneumothorax, asphyxia and NRDS in addition to PTL, PROMs, IUGR, and LBW. © 2021 The Author(s) [2021]. Published by Oxford University Press. All rights reserved.
Other Related Docs
12. Sars-Cov-2: An Imperative Maternal-Fetal Concern, Iranian Journal of Microbiology (2021)
17. Maternal Death Due to Covid-19, American Journal of Obstetrics and Gynecology (2020)
21. Transmission Modes of Covid-19: A Systematic Review, Infectious Disorders - Drug Targets (2021)
22. Covid-19 in Neonates: A Review, Iranian Journal of Pediatrics (2021)
24. A Review on Coronavirus Disease 2019 (Covid-19) in Pediatric Patients, Archives of Pediatric Infectious Diseases (2020)
27. Covid-19 Infection in Iranian Pregnant Women: A Case Series of 25 Patients, Journal of Obstetrics# Gynecology and Cancer Research (2022)
36. Needs and Concerns of Sexual and Reproductive Health of Pregnant Women in the Covid-19 Pandemic, Journal of Obstetrics# Gynecology and Cancer Research (2023)
37. Do We Expect Important Complications of Covid-19 Infection During Pregnancy?, Journal of Maternal-Fetal and Neonatal Medicine (2020)
41. Care of Newborns Born to Mothers With Covid-19 Infection; a Review of Existing Evidence, Journal of Maternal-Fetal and Neonatal Medicine (2022)