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The Impact of Coronavirus Disease 2019 on Maternal and Fetal Wellbeing in New Mexico

Coronavirus disease 2019 (COVID-19) has been shown to affect the vasculature, including placental changes. Insults to the placenta, especially in the first and second trimester, can affect placental functionality with a resultant impact on fetal growth and wellbeing. Thus, we explored the relationsh...

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Autores principales: Emery, Tiffany, Baillie, Kati, Myers, Orrin, Ko, Hellen, Maxwell, Jessie R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9689040/
https://www.ncbi.nlm.nih.gov/pubmed/36428914
http://dx.doi.org/10.3390/diagnostics12112856
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author Emery, Tiffany
Baillie, Kati
Myers, Orrin
Ko, Hellen
Maxwell, Jessie R.
author_facet Emery, Tiffany
Baillie, Kati
Myers, Orrin
Ko, Hellen
Maxwell, Jessie R.
author_sort Emery, Tiffany
collection PubMed
description Coronavirus disease 2019 (COVID-19) has been shown to affect the vasculature, including placental changes. Insults to the placenta, especially in the first and second trimester, can affect placental functionality with a resultant impact on fetal growth and wellbeing. Thus, we explored the relationship between antenatally acquired maternal COVID-19 infection and neonatal birth characteristics. A retrospective chart review was completed using the University of New Mexico electronic medical record system. ICD-10 codes were used to identify individuals that had a positive pregnancy test and positive COVID-19 screening test between 1 March 2020 to 24 March 2021. Chi-square and nonparametric Wilcoxon analyses were used, with p < 0.05 considered significant. A total of 487 dyad charts was analyzed, with 76 (16%) individuals identified as being COVID-19-positive (CovPos) during pregnancy. CovPos mothers were significantly more likely to deliver via a cesarean section compared to CovNeg mothers (33% vs. 20%, p < 0.01). There was a significant difference in gestational age at delivery, with infants born to CovPos individuals born at an earlier gestational age than those born to CovNeg individuals (37.6 vs. 38.5 weeks; p < 0.01). Our findings showed differences in maternal and infant characteristics following COVID-19 infection during pregnancy. Additional investigations are required to further delineate these relationships with a focus on potential long-term impacts on the neonate.
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spelling pubmed-96890402022-11-25 The Impact of Coronavirus Disease 2019 on Maternal and Fetal Wellbeing in New Mexico Emery, Tiffany Baillie, Kati Myers, Orrin Ko, Hellen Maxwell, Jessie R. Diagnostics (Basel) Article Coronavirus disease 2019 (COVID-19) has been shown to affect the vasculature, including placental changes. Insults to the placenta, especially in the first and second trimester, can affect placental functionality with a resultant impact on fetal growth and wellbeing. Thus, we explored the relationship between antenatally acquired maternal COVID-19 infection and neonatal birth characteristics. A retrospective chart review was completed using the University of New Mexico electronic medical record system. ICD-10 codes were used to identify individuals that had a positive pregnancy test and positive COVID-19 screening test between 1 March 2020 to 24 March 2021. Chi-square and nonparametric Wilcoxon analyses were used, with p < 0.05 considered significant. A total of 487 dyad charts was analyzed, with 76 (16%) individuals identified as being COVID-19-positive (CovPos) during pregnancy. CovPos mothers were significantly more likely to deliver via a cesarean section compared to CovNeg mothers (33% vs. 20%, p < 0.01). There was a significant difference in gestational age at delivery, with infants born to CovPos individuals born at an earlier gestational age than those born to CovNeg individuals (37.6 vs. 38.5 weeks; p < 0.01). Our findings showed differences in maternal and infant characteristics following COVID-19 infection during pregnancy. Additional investigations are required to further delineate these relationships with a focus on potential long-term impacts on the neonate. MDPI 2022-11-18 /pmc/articles/PMC9689040/ /pubmed/36428914 http://dx.doi.org/10.3390/diagnostics12112856 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Emery, Tiffany
Baillie, Kati
Myers, Orrin
Ko, Hellen
Maxwell, Jessie R.
The Impact of Coronavirus Disease 2019 on Maternal and Fetal Wellbeing in New Mexico
title The Impact of Coronavirus Disease 2019 on Maternal and Fetal Wellbeing in New Mexico
title_full The Impact of Coronavirus Disease 2019 on Maternal and Fetal Wellbeing in New Mexico
title_fullStr The Impact of Coronavirus Disease 2019 on Maternal and Fetal Wellbeing in New Mexico
title_full_unstemmed The Impact of Coronavirus Disease 2019 on Maternal and Fetal Wellbeing in New Mexico
title_short The Impact of Coronavirus Disease 2019 on Maternal and Fetal Wellbeing in New Mexico
title_sort impact of coronavirus disease 2019 on maternal and fetal wellbeing in new mexico
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9689040/
https://www.ncbi.nlm.nih.gov/pubmed/36428914
http://dx.doi.org/10.3390/diagnostics12112856
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