KẾT CỤC THAI KỲ Ở NHỮNG THAI PHỤ VÀO CHUYỂN DẠ NHIỄM SARS-COV-2 TẠI BỆNH VIỆN TỪ DŨ

Abstract

Background: The emergence of the new virus Coronavirus 2(SARS-CoV-2) in december 2019-the COVID-19 pandemic, marked a major pandemic for the whole world. Pregnant women are at increased risk for adverse outcome related to COVID-19. This helps in timely and appropriate assessment, monitoring and intervention. Objective: Describe the characteristics of prenant women infected with SARS-CoV-2 during labor, Analysis of prenancy outcomes with SARS-CoV-2 infection in maternal and fetal labor. Methods: Retrospective case series report of all pregnant women who tested positive for SARS-CoV-2 just before labor at Tu Du hospital, from December 1, 2021 to June 30, 2022. Results: The level of mild/asymptomatic SARS-CoV-2 infection accounted for 96.33%. Common symptoms include: fever (8%), cough (8.67%), sore throat (9%). 59.33% in spontaneous labor, 17.67% induction of labor, During labor monitoring, 47.33% of cases were indicated for cesarean section, 52.67% vaginal delivery. Overall adverse outcome of mother and/or child accounted for 15.6% (95% CL: 11.57 to 19.77). In which, adverse pregnancy outcome in mothers accounted for 4% (95% CL: 1.8 to 6.2) and adverse outcomes in children accounted for 12.33% (95% CL: 8.63 to 16.03). With the rate of postpartum hemorrhage (2%), postpartum infection (2%), preterm birth (9%), low birth weight (5.33%), 1-minute Apgar <7 points (6%). Conclusions: The pregnancy outcome with SARS-CoV-2 infection accounts for 15.6%, during labor monitoring, it is necessary to closely monitor and intervene appropriately on pregnants infected with SARS-CoV-2 to limit adverse outcomes for the fetus.