为COVID-19肺炎的孕妇和新生儿建立适合风险的护理方法对于预防主要的妊娠并发症至关重要。
这项研究回顾了孕妇COVID-19肺炎的垂直传播(VT)潜力。总结母婴分娩前后的关键相关症状及不良临床结局。还提出了一些实用的疗法和预防性健康解决方案。
孕妇对COVID-19感染有很高的易感性,尤其是在怀孕的第三个三个月。感染COVID-19的22-40岁患者最常见的症状是发热(87.6%),咳嗽(52.3%),呼吸困难(27.6%),疲劳(22.4%),喉咙痛(13.5%),萎靡不振(9.4%),和腹泻(3.4%),分别。病毒感染导致早产和剖宫产增加,没有任何宫内感染和严重的新生儿窒息。尽管VT现象的风险很高,但未报告新生儿感染。最重要的疗法是接受抗病毒和抗生素药物,氧合疗法,心理干预,和具有健康促进作用的食品补充剂。控制COVID-19感染的最佳建议医学策略是每两个月进行一次筛查,并跟踪母亲和胎儿的健康状况,不使用强效的广谱抗生素和皮质类固醇,为分娩室提供紧急剖宫产的负压,分娩后立即隔离新生儿,没有直接母乳喂养。
患有呼吸系统疾病的婴儿可能是一些患有COVID-19的母亲所生的,他们的免疫系统较弱。因此,应通过整合个人健康指南来中断病毒传播周期,以防止不良的母婴结局,有效的医疗护理疗法,医院的预防措施。
The establishment of a risk-appropriate care approach for pregnant women and newborn infants under the COVID-19 pneumonia is vital to prevent the main pregnancy complications.
This study reviewed the vertical transmission (VT) potential of COVID-19 pneumonia in pregnant women. Key-related symptoms and adverse clinical outcomes for mothers and infants before and after childbirth were summarized. Some practical therapies and preventive health solutions were also proposed.
There was a high susceptibility in pregnant women to COVID-19 infection, especially in the third trimester of pregnancy. The most common symptoms in 22-40-year-old patients infected with COVID-19 were fever (87.6%), cough (52.3%), dyspnea (27.6%), fatigue (22.4%), sore throat (13.5%), malaise (9.4%), and diarrhea (3.4%), respectively. The viral infection led to an increase in preterm labor and cesarean delivery without any intrauterine infection and severe neonatal asphyxia. No infection in the newborn infants was reported despite a high risk of the VT phenomenon. The most important therapies were the reception of antiviral and antibiotic drugs, oxygenation therapy, psychological interventions, and food supplements with health-promoting effects. The best proposed medical strategies to control the COVID-19 infection were bi-monthly screening and following-up the mothers\' and fetuses\' health, not using the potent broad-spectrum antibiotics and corticosteroids, providing the delivery room with negative pressure for emergency cesarean section, and the immediate isolation of newborns after childbirth without direct breastfeeding.
Babies with respiratory problems may be born to some mothers with COVID-19, who have weak immune systems. Thus, the virus transmission cycle should be disrupted to prevent adverse maternal and fetal outcomes by integrating individual health guidelines, efficient medical care therapies, and hospital preventive practices.