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      Analysis of vaginal delivery outcomes among pregnant women in Wuhan, China during the COVID‐19 pandemic

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objective

          To study vaginal delivery outcomes and neonatal prognosis and summarize the management of vaginal delivery during the COVID‐19 pandemic.

          Methods

          A retrospective analysis of medical records and comparison of vaginal delivery outcomes between 10 pregnant women with clinical diagnosis of COVID‐19 and 53 pregnant women without COVID‐19 admitted to Zhongnan Hospital of Wuhan University between January 20 and March 2, 2020. Results of laboratory tests, imaging tests, and SARS‐CoV‐2 nucleic acid tests were also analyzed in neonates delivered by pregnant women with clinical diagnosis of COVID‐19.

          Results

          There were no significant differences in gestational age, postpartum hemorrhage, and perineal resection rates between the two groups. There were no significant differences in birth weight of neonates and neonatal asphyxia rates between the two groups. Neonates delivered by pregnant women with clinical diagnosis of COVID‐19 tested negative for SARS‐CoV‐2 infection.

          Conclusions

          Under the premise of full evaluation of vaginal delivery conditions and strict protection measures, pregnant women with ordinary type COVID‐19 can try vaginal delivery without exacerbation of COVID‐19 and without increasing the risk of SARS‐CoV‐2 infection in neonates.

          Abstract

          Pregnant women with ordinary type COVID‐19 could try vaginal delivery without increasing the risk of SARS‐CoV‐2 infection in their neonates.

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          Most cited references15

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          Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China

          Chaolin Huang, Yeming Wang, Xingwang Li … (2020)
          Summary Background A recent cluster of pneumonia cases in Wuhan, China, was caused by a novel betacoronavirus, the 2019 novel coronavirus (2019-nCoV). We report the epidemiological, clinical, laboratory, and radiological characteristics and treatment and clinical outcomes of these patients. Methods All patients with suspected 2019-nCoV were admitted to a designated hospital in Wuhan. We prospectively collected and analysed data on patients with laboratory-confirmed 2019-nCoV infection by real-time RT-PCR and next-generation sequencing. Data were obtained with standardised data collection forms shared by WHO and the International Severe Acute Respiratory and Emerging Infection Consortium from electronic medical records. Researchers also directly communicated with patients or their families to ascertain epidemiological and symptom data. Outcomes were also compared between patients who had been admitted to the intensive care unit (ICU) and those who had not. Findings By Jan 2, 2020, 41 admitted hospital patients had been identified as having laboratory-confirmed 2019-nCoV infection. Most of the infected patients were men (30 [73%] of 41); less than half had underlying diseases (13 [32%]), including diabetes (eight [20%]), hypertension (six [15%]), and cardiovascular disease (six [15%]). Median age was 49·0 years (IQR 41·0–58·0). 27 (66%) of 41 patients had been exposed to Huanan seafood market. One family cluster was found. Common symptoms at onset of illness were fever (40 [98%] of 41 patients), cough (31 [76%]), and myalgia or fatigue (18 [44%]); less common symptoms were sputum production (11 [28%] of 39), headache (three [8%] of 38), haemoptysis (two [5%] of 39), and diarrhoea (one [3%] of 38). Dyspnoea developed in 22 (55%) of 40 patients (median time from illness onset to dyspnoea 8·0 days [IQR 5·0–13·0]). 26 (63%) of 41 patients had lymphopenia. All 41 patients had pneumonia with abnormal findings on chest CT. Complications included acute respiratory distress syndrome (12 [29%]), RNAaemia (six [15%]), acute cardiac injury (five [12%]) and secondary infection (four [10%]). 13 (32%) patients were admitted to an ICU and six (15%) died. Compared with non-ICU patients, ICU patients had higher plasma levels of IL2, IL7, IL10, GSCF, IP10, MCP1, MIP1A, and TNFα. Interpretation The 2019-nCoV infection caused clusters of severe respiratory illness similar to severe acute respiratory syndrome coronavirus and was associated with ICU admission and high mortality. Major gaps in our knowledge of the origin, epidemiology, duration of human transmission, and clinical spectrum of disease need fulfilment by future studies. Funding Ministry of Science and Technology, Chinese Academy of Medical Sciences, National Natural Science Foundation of China, and Beijing Municipal Science and Technology Commission.
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            A Novel Coronavirus from Patients with Pneumonia in China, 2019

            Na Zhu, Dingyu Zhang, Wenling Wang … (2020)
            Summary In December 2019, a cluster of patients with pneumonia of unknown cause was linked to a seafood wholesale market in Wuhan, China. A previously unknown betacoronavirus was discovered through the use of unbiased sequencing in samples from patients with pneumonia. Human airway epithelial cells were used to isolate a novel coronavirus, named 2019-nCoV, which formed a clade within the subgenus sarbecovirus, Orthocoronavirinae subfamily. Different from both MERS-CoV and SARS-CoV, 2019-nCoV is the seventh member of the family of coronaviruses that infect humans. Enhanced surveillance and further investigation are ongoing. (Funded by the National Key Research and Development Program of China and the National Major Project for Control and Prevention of Infectious Disease in China.)
            Article 0 comments Cited 12692 times – based on 0 reviews     Review now
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              Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China

              Dawei Wang, Bo Hu, Fangfang Zhu … (2020)
              In December 2019, novel coronavirus (2019-nCoV)-infected pneumonia (NCIP) occurred in Wuhan, China. The number of cases has increased rapidly but information on the clinical characteristics of affected patients is limited.
              Article 0 comments Cited 10770 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Jiafu Li: lijiafu1961@aliyun.com
                Journal
                Journal ID (nlm-ta): Int J Gynaecol Obstet
                Journal ID (iso-abbrev): Int J Gynaecol Obstet
                Journal ID (doi): 10.1002/(ISSN)1879-3479
                Journal ID (publisher-id): IJGO
                Title: International Journal of Gynaecology and Obstetrics
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Print): 0020-7292
                ISSN (Electronic): 1879-3479
                Publication date (Electronic): 19 May 2020
                Publication date (Print): July 2020
                Publication date PMC-release: 19 May 2020
                Volume: 150
                Issue: 1 , SPECIAL SECTION: FROM THE FIGO PRETERM BIRTH WORKING GROUP ( doiID: 10.1002/ijgo.v150.1 )
                Pages: 53-57
                Affiliations
                [ 1 ] Department of Gynecology and Obstetrics Zhongnan Hospital of Wuhan University Wuhan Hubei China
                Author notes
                [*] [* ] Correspondence

                Jiafu Li, No.169 Donghu Road, Wuchang District, Wuhan, Hubei, China.

                Email: lijiafu1961@ 123456aliyun.com

                [ * ]

                These authors contributed equally.

                Article
                Publisher ID: IJGO13188
                DOI: 10.1002/ijgo.13188
                PMC ID: 9087609
                PubMed ID: 32350871
                SO-VID: c151c1ed-0e2e-431d-8c3e-87355bd2bfe5
                Copyright © © 2020 International Federation of Gynecology and Obstetrics
                License:

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                Date revision received : 20 April 2020
                Date received : 14 April 2020
                Date accepted : 29 April 2020
                Page count
                Figures: 0, Tables: 4, Pages: 5, Words: 3784
                Funding
                Funded by: Hubei Science and Technology Department
                Categories
                Subject: Clinical Article
                Subject: Clinical Articles
                Subject: Obstetrics
                Custom metadata
                source-schema-version-number 2.0
                cover-date July 2020
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.5 mode:remove_FC converted:10.05.2022

                ScienceOpen disciplines: Obstetrics & Gynecology
                Keywords: china,covid‐19,management,neonatal outcome,pregnancy,vaginal delivery
                Data availability:
                ScienceOpen disciplines: Obstetrics & Gynecology
                Keywords: china, covid‐19, management, neonatal outcome, pregnancy, vaginal delivery

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