Maternal outcomes and risk factors for COVID-19 severity among pregnant women

Abstract Pregnant women may be at higher risk of severe complications associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which may lead to obstetrical complications. We performed a case control study comparing pregnant women with severe coronavirus disease 19 (cases) t...

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Autores principales:	Manon Vouga, Guillaume Favre, Oscar Martinez-Perez, Leo Pomar, Laura Forcen Acebal, Alejandra Abascal-Saiz, Maria Rosa Vila Hernandez, Najeh Hcini, Véronique Lambert, Gabriel Carles, Joanna Sichitiu, Laurent Salomon, Julien Stirnemann, Yves Ville, Begoña Martinez de Tejada, Anna Goncé, Ameth Hawkins-Villarreal, Karen Castillo, Eduard Gratacos Solsona, Lucas Trigo, Brian Cleary, Michael Geary, Helena Bartels, Feras Al-Kharouf, Fergal Malone, Mary Higgins, Niamh Keating, Susan Knowles, Christophe Poncelet, Carolina Carvalho Ribeiro-do-Valle, Fernanda Surita, Amanda Dantas-Silva, Carolina Borrelli, Adriana Gomes Luz, Javiera Fuenzalida, Jorge Carvajal, Manuel Guerra Canales, Olivia Hernandez, Olga Grechukhina, Albert I. Ko, Uma Reddy, Rita Figueiredo, Marina Moucho, Pedro Viana Pinto, Carmen De Luca, Marco De Santis, Diogo Ayres de Campos, Inês Martins, Charles Garabedian, Damien Subtil, Betania Bohrer, Maria Lucia Da Rocha Oppermann, Maria Celeste Osorio Wender, Lavinia Schuler-Faccini, Maria Teresa Vieira Sanseverino, Camila Giugliani, Luciana Friedrich, Mariana Horn Scherer, Nicolas Mottet, Guillaume Ducarme, Helene Pelerin, Chloe Moreau, Bénédicte Breton, Thibaud Quibel, Patrick Rozenberg, Eric Giannoni, Cristina Granado, Cécile Monod, Doris Mueller, Irene Hoesli, Dirk Bassler, Sandra Heldstab, Nicole Ochsenbein Kölble, Loïc Sentilhes, Melissa Charvet, Jan Deprest, Jute Richter, Lennart Van der Veeken, Béatrice Eggel-Hort, Gaetan Plantefeve, Mohamed Derouich, Albaro José Nieto Calvache, Maria Camila Lopez-Giron, Juan Manuel Burgos-Luna, Maria Fernanda Escobar-Vidarte, Kurt Hecher, Ann-Christin Tallarek, Eran Hadar, Karina Krajden Haratz, Uri Amikam, Gustavo Malinger, Ron Maymon, Yariv Yogev, Leonhard Schäffer, Arnaud Toussaint, Marie-Claude Rossier, Renato Augusto Moreira De Sa, Claudia Grawe, Karoline Aebi-Popp, Anda-Petronela Radan, Luigi Raio, Daniel Surbek, Paul Böckenhoff, Brigitte Strizek, Martin Kaufmann, Andrea Bloch, Michel Boulvain, Silke Johann, Sandra Andrea Heldstab, Monya Todesco Bernasconi, Gaston Grant, Anis Feki, Anne-Claude Muller Brochut, Marylene Giral, Lucie Sedille, Andrea Papadia, Romina Capoccia Brugger, Brigitte Weber, Tina Fischer, Christian Kahlert, Karin Nielsen Saines, Mary Cambou, Panagiotis Kanellos, Xiang Chen, Mingzhu Yin, Annina Haessig, Sandrine Ackermann, David Baud, Alice Panchaud
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/dba90e7e6bb242b094e0cf5ac1fe5968
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spelling	oai:doaj.org-article:dba90e7e6bb242b094e0cf5ac1fe59682021-12-02T15:23:07ZMaternal outcomes and risk factors for COVID-19 severity among pregnant women10.1038/s41598-021-92357-y2045-2322https://doaj.org/article/dba90e7e6bb242b094e0cf5ac1fe59682021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-92357-yhttps://doaj.org/toc/2045-2322Abstract Pregnant women may be at higher risk of severe complications associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which may lead to obstetrical complications. We performed a case control study comparing pregnant women with severe coronavirus disease 19 (cases) to pregnant women with a milder form (controls) enrolled in the COVI-Preg international registry cohort between March 24 and July 26, 2020. Risk factors for severity, obstetrical and immediate neonatal outcomes were assessed. A total of 926 pregnant women with a positive test for SARS-CoV-2 were included, among which 92 (9.9%) presented with severe COVID-19 disease. Risk factors for severe maternal outcomes were pulmonary comorbidities [aOR 4.3, 95% CI 1.9–9.5], hypertensive disorders [aOR 2.7, 95% CI 1.0–7.0] and diabetes [aOR2.2, 95% CI 1.1–4.5]. Pregnant women with severe maternal outcomes were at higher risk of caesarean section [70.7% (n = 53/75)], preterm delivery [62.7% (n = 32/51)] and newborns requiring admission to the neonatal intensive care unit [41.3% (n = 31/75)]. In this study, several risk factors for developing severe complications of SARS-CoV-2 infection among pregnant women were identified including pulmonary comorbidities, hypertensive disorders and diabetes. Obstetrical and neonatal outcomes appear to be influenced by the severity of maternal disease.Manon VougaGuillaume FavreOscar Martinez-PerezLeo PomarLaura Forcen AcebalAlejandra Abascal-SaizMaria Rosa Vila HernandezNajeh HciniVéronique LambertGabriel CarlesJoanna SichitiuLaurent SalomonJulien StirnemannYves VilleBegoña Martinez de TejadaAnna GoncéAmeth Hawkins-VillarrealKaren CastilloEduard Gratacos SolsonaLucas TrigoBrian ClearyMichael GearyHelena BartelsFeras Al-KharoufFergal MaloneMary HigginsNiamh KeatingSusan KnowlesChristophe PonceletCarolina Carvalho Ribeiro-do-ValleFernanda SuritaAmanda Dantas-SilvaCarolina BorrelliAdriana Gomes LuzJaviera FuenzalidaJorge CarvajalManuel Guerra CanalesOlivia HernandezOlga GrechukhinaAlbert I. KoUma ReddyRita FigueiredoMarina MouchoPedro Viana PintoCarmen De LucaMarco De SantisDiogo Ayres de CamposInês MartinsCharles GarabedianDamien SubtilBetania BohrerMaria Lucia Da Rocha OppermannMaria Celeste Osorio WenderLavinia Schuler-FacciniMaria Teresa Vieira SanseverinoCamila GiuglianiLuciana FriedrichMariana Horn SchererNicolas MottetGuillaume DucarmeHelene PelerinChloe MoreauBénédicte BretonThibaud QuibelPatrick RozenbergEric GiannoniCristina GranadoCécile MonodDoris MuellerIrene HoesliDirk BasslerSandra HeldstabNicole Ochsenbein KölbleLoïc SentilhesMelissa CharvetJan DeprestJute RichterLennart Van der VeekenBéatrice Eggel-HortGaetan PlantefeveMohamed DerouichAlbaro José Nieto CalvacheMaria Camila Lopez-GironJuan Manuel Burgos-LunaMaria Fernanda Escobar-VidarteKurt HecherAnn-Christin TallarekEran HadarKarina Krajden HaratzUri AmikamGustavo MalingerRon MaymonYariv YogevLeonhard SchäfferArnaud ToussaintMarie-Claude RossierRenato Augusto Moreira De SaClaudia GraweKaroline Aebi-PoppAnda-Petronela RadanLuigi RaioDaniel SurbekPaul BöckenhoffBrigitte StrizekMartin KaufmannAndrea BlochMichel BoulvainSilke JohannSandra Andrea HeldstabMonya Todesco BernasconiGaston GrantAnis FekiAnne-Claude Muller BrochutMarylene GiralLucie SedilleAndrea PapadiaRomina Capoccia BruggerBrigitte WeberTina FischerChristian KahlertKarin Nielsen SainesMary CambouPanagiotis KanellosXiang ChenMingzhu YinAnnina HaessigSandrine AckermannDavid BaudAlice PanchaudNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Manon Vouga Guillaume Favre Oscar Martinez-Perez Leo Pomar Laura Forcen Acebal Alejandra Abascal-Saiz Maria Rosa Vila Hernandez Najeh Hcini Véronique Lambert Gabriel Carles Joanna Sichitiu Laurent Salomon Julien Stirnemann Yves Ville Begoña Martinez de Tejada Anna Goncé Ameth Hawkins-Villarreal Karen Castillo Eduard Gratacos Solsona Lucas Trigo Brian Cleary Michael Geary Helena Bartels Feras Al-Kharouf Fergal Malone Mary Higgins Niamh Keating Susan Knowles Christophe Poncelet Carolina Carvalho Ribeiro-do-Valle Fernanda Surita Amanda Dantas-Silva Carolina Borrelli Adriana Gomes Luz Javiera Fuenzalida Jorge Carvajal Manuel Guerra Canales Olivia Hernandez Olga Grechukhina Albert I. Ko Uma Reddy Rita Figueiredo Marina Moucho Pedro Viana Pinto Carmen De Luca Marco De Santis Diogo Ayres de Campos Inês Martins Charles Garabedian Damien Subtil Betania Bohrer Maria Lucia Da Rocha Oppermann Maria Celeste Osorio Wender Lavinia Schuler-Faccini Maria Teresa Vieira Sanseverino Camila Giugliani Luciana Friedrich Mariana Horn Scherer Nicolas Mottet Guillaume Ducarme Helene Pelerin Chloe Moreau Bénédicte Breton Thibaud Quibel Patrick Rozenberg Eric Giannoni Cristina Granado Cécile Monod Doris Mueller Irene Hoesli Dirk Bassler Sandra Heldstab Nicole Ochsenbein Kölble Loïc Sentilhes Melissa Charvet Jan Deprest Jute Richter Lennart Van der Veeken Béatrice Eggel-Hort Gaetan Plantefeve Mohamed Derouich Albaro José Nieto Calvache Maria Camila Lopez-Giron Juan Manuel Burgos-Luna Maria Fernanda Escobar-Vidarte Kurt Hecher Ann-Christin Tallarek Eran Hadar Karina Krajden Haratz Uri Amikam Gustavo Malinger Ron Maymon Yariv Yogev Leonhard Schäffer Arnaud Toussaint Marie-Claude Rossier Renato Augusto Moreira De Sa Claudia Grawe Karoline Aebi-Popp Anda-Petronela Radan Luigi Raio Daniel Surbek Paul Böckenhoff Brigitte Strizek Martin Kaufmann Andrea Bloch Michel Boulvain Silke Johann Sandra Andrea Heldstab Monya Todesco Bernasconi Gaston Grant Anis Feki Anne-Claude Muller Brochut Marylene Giral Lucie Sedille Andrea Papadia Romina Capoccia Brugger Brigitte Weber Tina Fischer Christian Kahlert Karin Nielsen Saines Mary Cambou Panagiotis Kanellos Xiang Chen Mingzhu Yin Annina Haessig Sandrine Ackermann David Baud Alice Panchaud Maternal outcomes and risk factors for COVID-19 severity among pregnant women
description	Abstract Pregnant women may be at higher risk of severe complications associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which may lead to obstetrical complications. We performed a case control study comparing pregnant women with severe coronavirus disease 19 (cases) to pregnant women with a milder form (controls) enrolled in the COVI-Preg international registry cohort between March 24 and July 26, 2020. Risk factors for severity, obstetrical and immediate neonatal outcomes were assessed. A total of 926 pregnant women with a positive test for SARS-CoV-2 were included, among which 92 (9.9%) presented with severe COVID-19 disease. Risk factors for severe maternal outcomes were pulmonary comorbidities [aOR 4.3, 95% CI 1.9–9.5], hypertensive disorders [aOR 2.7, 95% CI 1.0–7.0] and diabetes [aOR2.2, 95% CI 1.1–4.5]. Pregnant women with severe maternal outcomes were at higher risk of caesarean section [70.7% (n = 53/75)], preterm delivery [62.7% (n = 32/51)] and newborns requiring admission to the neonatal intensive care unit [41.3% (n = 31/75)]. In this study, several risk factors for developing severe complications of SARS-CoV-2 infection among pregnant women were identified including pulmonary comorbidities, hypertensive disorders and diabetes. Obstetrical and neonatal outcomes appear to be influenced by the severity of maternal disease.
format	article
author	Manon Vouga Guillaume Favre Oscar Martinez-Perez Leo Pomar Laura Forcen Acebal Alejandra Abascal-Saiz Maria Rosa Vila Hernandez Najeh Hcini Véronique Lambert Gabriel Carles Joanna Sichitiu Laurent Salomon Julien Stirnemann Yves Ville Begoña Martinez de Tejada Anna Goncé Ameth Hawkins-Villarreal Karen Castillo Eduard Gratacos Solsona Lucas Trigo Brian Cleary Michael Geary Helena Bartels Feras Al-Kharouf Fergal Malone Mary Higgins Niamh Keating Susan Knowles Christophe Poncelet Carolina Carvalho Ribeiro-do-Valle Fernanda Surita Amanda Dantas-Silva Carolina Borrelli Adriana Gomes Luz Javiera Fuenzalida Jorge Carvajal Manuel Guerra Canales Olivia Hernandez Olga Grechukhina Albert I. Ko Uma Reddy Rita Figueiredo Marina Moucho Pedro Viana Pinto Carmen De Luca Marco De Santis Diogo Ayres de Campos Inês Martins Charles Garabedian Damien Subtil Betania Bohrer Maria Lucia Da Rocha Oppermann Maria Celeste Osorio Wender Lavinia Schuler-Faccini Maria Teresa Vieira Sanseverino Camila Giugliani Luciana Friedrich Mariana Horn Scherer Nicolas Mottet Guillaume Ducarme Helene Pelerin Chloe Moreau Bénédicte Breton Thibaud Quibel Patrick Rozenberg Eric Giannoni Cristina Granado Cécile Monod Doris Mueller Irene Hoesli Dirk Bassler Sandra Heldstab Nicole Ochsenbein Kölble Loïc Sentilhes Melissa Charvet Jan Deprest Jute Richter Lennart Van der Veeken Béatrice Eggel-Hort Gaetan Plantefeve Mohamed Derouich Albaro José Nieto Calvache Maria Camila Lopez-Giron Juan Manuel Burgos-Luna Maria Fernanda Escobar-Vidarte Kurt Hecher Ann-Christin Tallarek Eran Hadar Karina Krajden Haratz Uri Amikam Gustavo Malinger Ron Maymon Yariv Yogev Leonhard Schäffer Arnaud Toussaint Marie-Claude Rossier Renato Augusto Moreira De Sa Claudia Grawe Karoline Aebi-Popp Anda-Petronela Radan Luigi Raio Daniel Surbek Paul Böckenhoff Brigitte Strizek Martin Kaufmann Andrea Bloch Michel Boulvain Silke Johann Sandra Andrea Heldstab Monya Todesco Bernasconi Gaston Grant Anis Feki Anne-Claude Muller Brochut Marylene Giral Lucie Sedille Andrea Papadia Romina Capoccia Brugger Brigitte Weber Tina Fischer Christian Kahlert Karin Nielsen Saines Mary Cambou Panagiotis Kanellos Xiang Chen Mingzhu Yin Annina Haessig Sandrine Ackermann David Baud Alice Panchaud
author_facet	Manon Vouga Guillaume Favre Oscar Martinez-Perez Leo Pomar Laura Forcen Acebal Alejandra Abascal-Saiz Maria Rosa Vila Hernandez Najeh Hcini Véronique Lambert Gabriel Carles Joanna Sichitiu Laurent Salomon Julien Stirnemann Yves Ville Begoña Martinez de Tejada Anna Goncé Ameth Hawkins-Villarreal Karen Castillo Eduard Gratacos Solsona Lucas Trigo Brian Cleary Michael Geary Helena Bartels Feras Al-Kharouf Fergal Malone Mary Higgins Niamh Keating Susan Knowles Christophe Poncelet Carolina Carvalho Ribeiro-do-Valle Fernanda Surita Amanda Dantas-Silva Carolina Borrelli Adriana Gomes Luz Javiera Fuenzalida Jorge Carvajal Manuel Guerra Canales Olivia Hernandez Olga Grechukhina Albert I. Ko Uma Reddy Rita Figueiredo Marina Moucho Pedro Viana Pinto Carmen De Luca Marco De Santis Diogo Ayres de Campos Inês Martins Charles Garabedian Damien Subtil Betania Bohrer Maria Lucia Da Rocha Oppermann Maria Celeste Osorio Wender Lavinia Schuler-Faccini Maria Teresa Vieira Sanseverino Camila Giugliani Luciana Friedrich Mariana Horn Scherer Nicolas Mottet Guillaume Ducarme Helene Pelerin Chloe Moreau Bénédicte Breton Thibaud Quibel Patrick Rozenberg Eric Giannoni Cristina Granado Cécile Monod Doris Mueller Irene Hoesli Dirk Bassler Sandra Heldstab Nicole Ochsenbein Kölble Loïc Sentilhes Melissa Charvet Jan Deprest Jute Richter Lennart Van der Veeken Béatrice Eggel-Hort Gaetan Plantefeve Mohamed Derouich Albaro José Nieto Calvache Maria Camila Lopez-Giron Juan Manuel Burgos-Luna Maria Fernanda Escobar-Vidarte Kurt Hecher Ann-Christin Tallarek Eran Hadar Karina Krajden Haratz Uri Amikam Gustavo Malinger Ron Maymon Yariv Yogev Leonhard Schäffer Arnaud Toussaint Marie-Claude Rossier Renato Augusto Moreira De Sa Claudia Grawe Karoline Aebi-Popp Anda-Petronela Radan Luigi Raio Daniel Surbek Paul Böckenhoff Brigitte Strizek Martin Kaufmann Andrea Bloch Michel Boulvain Silke Johann Sandra Andrea Heldstab Monya Todesco Bernasconi Gaston Grant Anis Feki Anne-Claude Muller Brochut Marylene Giral Lucie Sedille Andrea Papadia Romina Capoccia Brugger Brigitte Weber Tina Fischer Christian Kahlert Karin Nielsen Saines Mary Cambou Panagiotis Kanellos Xiang Chen Mingzhu Yin Annina Haessig Sandrine Ackermann David Baud Alice Panchaud
author_sort	Manon Vouga
title	Maternal outcomes and risk factors for COVID-19 severity among pregnant women
title_short	Maternal outcomes and risk factors for COVID-19 severity among pregnant women
title_full	Maternal outcomes and risk factors for COVID-19 severity among pregnant women
title_fullStr	Maternal outcomes and risk factors for COVID-19 severity among pregnant women
title_full_unstemmed	Maternal outcomes and risk factors for COVID-19 severity among pregnant women
title_sort	maternal outcomes and risk factors for covid-19 severity among pregnant women
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/dba90e7e6bb242b094e0cf5ac1fe5968
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Maternal outcomes and risk factors for COVID-19 severity among pregnant women

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