About: Vaginal delivery in SARS‐CoV‐2‐infected pregnant women in Northern Italy: a retrospective analysis

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About: Vaginal delivery in SARS‐CoV‐2‐infected pregnant women in Northern Italy: a retrospective analysis Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Vaginal delivery in SARS‐CoV‐2‐infected pregnant women in Northern Italy: a retrospective analysis
Creator	Zuccotti, G Barresi, S Bianchi, S Cetin, I Ciriello, E Facchinetti, F Ferrazzi, E Frigerio, L Gervasi, M Iurlaro, E Kustermann, A Mangili, G Mosca, F Parazzini, F Patan, L Prefumo, F Savasi, V Spazzini, D Spinillo, A Trojano, G Vergani, P Vignali, M Villa, A
source	Medline; PMC
abstract	OBJECTIVE: To report mode of delivery and immediate neonatal outcome in women infected with COVID‐19. DESIGN: Retrospective study. SETTING: Twelve hospitals in northern Italy. PARTICIPANTS: Pregnant women with COVID‐19‐confirmed infection who delivered. EXPOSURE: COVID 19 infection in pregnancy. METHODS: SARS‐CoV‐2‐infected women who were admitted and delivered from 1 to 20 March 2020 were eligible. Data were collected from the clinical records using a standardised questionnaire on maternal general characteristics, any medical or obstetric co‐morbidity, course of pregnancy, clinical signs and symptoms, treatment of COVID 19 infection, mode of delivery, neonatal data and breastfeeding. MAIN OUTCOME AND MEASURES: Data on mode of delivery and neonatal outcome. RESULTS: In all, 42 women with COVID‐19 delivered at the participating centres; 24 (57.1%, 95% CI 41.0–72.3) delivered vaginally. An elective caesarean section was performed in 18/42 (42.9%, 95% CI 27.7–59.0) cases: in eight cases the indication was unrelated to COVID‐19 infection. Pneumonia was diagnosed in 19/42 (45.2%, 95% CI 29.8–61.3) cases: of these, 7/19 (36.8%, 95% CI 16.3–61.6) required oxygen support and 4/19 (21.1%, 95% CI 6.1–45.6) were admitted to a critical care unit. Two women with COVID‐19 breastfed without a mask because infection was diagnosed in the postpartum period: their newborns tested positive for SARS‐Cov‐2 infection. In one case, a newborn had a positive test after a vaginal operative delivery. CONCLUSIONS: Although postpartum infection cannot be excluded with 100% certainty, these findings suggest that vaginal delivery is associated with a low risk of intrapartum SARS‐Cov‐2 transmission to the newborn. TWEETABLE ABSTRACT: This study suggests that vaginal delivery may be associated with a low risk of intrapartum SARS‐Cov‐2 transmission to the newborn.
has issue date	2020-05-28(xsd:dateTime)
bibo:doi	10.1111/1471-0528.16278
bibo:pmid	32339382
has license	no-cc
sha1sum (hex)	d07f21462150e88f3330acb0191f2aee9409b9f9
schema:url	https://doi.org/10.1111/1471-0528.16278
resource representing a document's title	Vaginal delivery in SARS‐CoV‐2‐infected pregnant women in Northern Italy: a retrospective analysis
has PubMed Central identifier	PMC7267664
has PubMed identifier	32339382
schema:publication	BJOG
resource representing a document's body	covid:d07f21462150e88f3330acb0191f2aee9409b9f9#body_text
is schema:about of	named entity 'SARS-CoV-2' named entity 'data' named entity 'maternal' named entity 'neonatal' named entity 'SARS-CoV-2' named entity 'retrospective' named entity 'ADMITTED' named entity 'MODE OF DELIVERY' named entity 'INFECTION' named entity 'METHODS' named entity 'COLLECTED' named entity 'NEONATAL' named entity 'SARS-COV-2' named entity 'BREASTFEEDING' named entity 'CHARACTERISTICS' named entity 'MATERNAL' named entity 'MEDICAL' named entity 'QUESTIONNAIRE' named entity 'co-morbidity' named entity 'COVID' named entity 'infection' named entity 'breastfeeding' named entity 'breastfeeding' named entity 'pregnancy' named entity 'neonatal' named entity 'Northern Italy' named entity 'pregnant women' named entity 'SARS-CoV-2' named entity 'infection' named entity 'obstetric' named entity 'COVID' named entity 'Regione Lombardia' named entity 'Pneumonia' named entity 'Lombardy' named entity 'COVID' named entity 'nasopharyngeal swab' named entity 'weeks of gestation' named entity 'national guidelines' named entity 'COVID' named entity 'positive test' named entity 'coronaviruses' named entity 'caesarean section' named entity 'infection' named entity 'COVID' named entity 'COVID-19' named entity 'COVID' named entity 'dyspnoea' named entity 'co-morbidity' named entity 'positive test' named entity 'positive test' named entity 'study protocol' named entity 'pneumonia' named entity 'heterogeneity' named entity 'early pregnancy loss' named entity 'Modena' named entity 'infection' named entity 'vaginal delivery' named entity 'fetal' named entity 'postpartum period'

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