The impact of the coronavirus pandemic on the condition of newborns depending on the mother's COVID status: a retrospective study

Background. A novel coronavirus infection in newborns seems to be an unexplored problem, which encourages pediatric specialists to conduct in-depth research in this direction. The aim  of the study is the  impact of COVID status of mothers on the  condition of newborns. Material and  methods. A retr...

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Main Authors: Diana V. Sutovskaya (Author), Alla V. Burlutskaya (Author), Elena M. Garbuzova (Author), Anastasia A. Makunts (Author), Anna V. Kuzmenko (Author), Ekaterina V. Gabdullina (Author), Polina A. Pyzhyanova (Author), Lubov V. Gorbacheva (Author)
Format: Book
Published: Union of pediatricians of Russia, 2023-07-01T00:00:00Z.
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Summary:Background. A novel coronavirus infection in newborns seems to be an unexplored problem, which encourages pediatric specialists to conduct in-depth research in this direction. The aim  of the study is the  impact of COVID status of mothers on the  condition of newborns. Material and  methods. A retrospective analysis of 554 newborn  histories (form 097/y) born from January 2021 to May 2022 was carried out in the Maternity Hospital in Krasnodar: 226 children from SARS-CoV-2 positive  women  at the time of delivery (group 1), 165 children  from women  who had SARS-CoV-2 during pregnancy (group 2) and  165 children  from women  who did not have  SARS-CoV-2 in history during pregnancy (control group). Results. 42% of newborns from group 1 had  positive results of the PCR (polymerase chain reaction) study,  of which 36% had pneumonia. The frequency of preterm birth was: 29% in the group 1, 21% in the group 2, 13% in the control group. The gestational age 32-34 weeks was more  common in group 1. Children from the group 1 had a more  severe condition when  assessed on the  APGAR scale both  at the  first and  fifth minutes. Congenital pneumonia was more common among  patients of the groups 1 and 2 relative to the control, children from the group 1 more often  needed respiratory support  compared with  the  group 2 and  control  group. Conclusions: The SARS-CoV-2 virus  was  verified  in  42%  of children  born to mothers with a positive PCR at the  time of birth, while every third disease was accompanied by the  development of pneumonia. Coronavirus infection, regardless of the mother's COVID status, is a risk factor for preterm birth, congenital pneumonia, and asphyxia. COVID-positive maternal  and neonatal status is associated with an increased need for respiratory support.
Item Description:1727-5776
2500-3089
10.15690/pf.v20i3.2572