FEATURES OF PREGNANCY, OBSTETRIC AND PERINATAL OUTCOMES DURING THE MANIFESTATION OF COVID-19 OF VARYING SEVERITY IN THE 1ST TRIMESTER OF GESTATION

The new coronavirus infection COVID-19, according to a number of studies, is associated with an increased risk of gestational complications and poor obstetric and perinatal outcomes. The question of the influence of gestational age at the time of manifestation of COVID-19 on the course of pregnancy...

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Main Authors: Людмила Станиславовна Ищенко, Екатерина Евгеньевна Воропаева, Элла Алексеевна Казачкова, Евгений Леонидович Казачков, Татьяна Николаевна Шамаева, Елена Романовна Вейсенборн, Юлия Сергеевна Ищенко
Format: Article
Language:Russian
Published: The Publishing House Medicine and Enlightenment 2024-11-01
Series:Мать и дитя в Кузбассе
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Online Access:https://mednauki.ru/index.php/MD/article/view/1125
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author Людмила Станиславовна Ищенко
Екатерина Евгеньевна Воропаева
Элла Алексеевна Казачкова
Евгений Леонидович Казачков
Татьяна Николаевна Шамаева
Елена Романовна Вейсенборн
Юлия Сергеевна Ищенко
author_facet Людмила Станиславовна Ищенко
Екатерина Евгеньевна Воропаева
Элла Алексеевна Казачкова
Евгений Леонидович Казачков
Татьяна Николаевна Шамаева
Елена Романовна Вейсенборн
Юлия Сергеевна Ищенко
author_sort Людмила Станиславовна Ищенко
collection DOAJ
description The new coronavirus infection COVID-19, according to a number of studies, is associated with an increased risk of gestational complications and poor obstetric and perinatal outcomes. The question of the influence of gestational age at the time of manifestation of COVID-19 on the course of pregnancy and childbirth, their outcomes for the mother and fetus remains controversial. The aim of the research – to determine the characteristics of the course of pregnancy, obstetric and perinatal outcomes during the manifestation of COVID-19 of varying severity in the first trimester of gestation. Materials and methods. The study included 251 pregnant women. The main group consisted of 161 pregnant women with manifestations of COVID-19 of varying severity in the first trimester of gestation. Patients of the main group were divided into 3 groups based on the severity of COVID-19: group 1 – mild (n = 84), group 2 – moderate (n = 74), group 3 – severe infection (n = 3). The comparison group included 90 pregnant women in the third trimester of gestation without a history of COVID-19. Results. COVID-19 in the first trimester of gestation has a predominantly mild and moderate course. Against the background of manifestation, regardless of the severity of the infection, a high frequency of missed miscarriage is recorded. In moderate cases of COVID-19, both during the period of manifestation and in convalescents, the incidence of diabetes mellitus that first developed during pregnancy increases statistically significantly. Features of the course of labor during the period of convalescence have not been established. Newborns have a statistically significantly lower body weight at birth. Conclusion. The period of manifestation of COVID-19 in the first trimester of pregnancy, even with a mild infection, is associated with a high frequency of spontaneous miscarriage (statistically significantly more often in the form of a missed miscarriage). During the period of convalescence, pregnancy is characterized by favorable obstetric and perinatal outcomes.
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series Мать и дитя в Кузбассе
spelling doaj-art-23258580f5824702b1cf5cbaa606f0192025-02-03T15:55:08ZrusThe Publishing House Medicine and EnlightenmentМать и дитя в Кузбассе1991-010X2542-09682024-11-012544856979FEATURES OF PREGNANCY, OBSTETRIC AND PERINATAL OUTCOMES DURING THE MANIFESTATION OF COVID-19 OF VARYING SEVERITY IN THE 1ST TRIMESTER OF GESTATIONЛюдмила Станиславовна Ищенко0Екатерина Евгеньевна Воропаева1Элла Алексеевна Казачкова2Евгений Леонидович Казачков3Татьяна Николаевна Шамаева4Елена Романовна Вейсенборн5Юлия Сергеевна Ищенко6ФГБОУ ВО ЮУГМУ Минздрава России, г. ЧелябинскФГБОУ ВО ЮУГМУ Минздрава России, г. ЧелябинскФГБОУ ВО ЮУГМУ Минздрава России, г. ЧелябинскФГБОУ ВО ЮУГМУ Минздрава России, г. ЧелябинскФГБОУ ВО ЮУГМУ Минздрава России, г. ЧелябинскФГБОУ ВО ЮУГМУ Минздрава России, г. ЧелябинскФГБОУ ВО ЮУГМУ Минздрава России, г. ЧелябинскThe new coronavirus infection COVID-19, according to a number of studies, is associated with an increased risk of gestational complications and poor obstetric and perinatal outcomes. The question of the influence of gestational age at the time of manifestation of COVID-19 on the course of pregnancy and childbirth, their outcomes for the mother and fetus remains controversial. The aim of the research – to determine the characteristics of the course of pregnancy, obstetric and perinatal outcomes during the manifestation of COVID-19 of varying severity in the first trimester of gestation. Materials and methods. The study included 251 pregnant women. The main group consisted of 161 pregnant women with manifestations of COVID-19 of varying severity in the first trimester of gestation. Patients of the main group were divided into 3 groups based on the severity of COVID-19: group 1 – mild (n = 84), group 2 – moderate (n = 74), group 3 – severe infection (n = 3). The comparison group included 90 pregnant women in the third trimester of gestation without a history of COVID-19. Results. COVID-19 in the first trimester of gestation has a predominantly mild and moderate course. Against the background of manifestation, regardless of the severity of the infection, a high frequency of missed miscarriage is recorded. In moderate cases of COVID-19, both during the period of manifestation and in convalescents, the incidence of diabetes mellitus that first developed during pregnancy increases statistically significantly. Features of the course of labor during the period of convalescence have not been established. Newborns have a statistically significantly lower body weight at birth. Conclusion. The period of manifestation of COVID-19 in the first trimester of pregnancy, even with a mild infection, is associated with a high frequency of spontaneous miscarriage (statistically significantly more often in the form of a missed miscarriage). During the period of convalescence, pregnancy is characterized by favorable obstetric and perinatal outcomes.https://mednauki.ru/index.php/MD/article/view/1125беременностьпервый триместрновая коронавирусная инфекцияcovid-19степень тяжестиособенности течения беременностиакушерские и перинатальные исходы
spellingShingle Людмила Станиславовна Ищенко
Екатерина Евгеньевна Воропаева
Элла Алексеевна Казачкова
Евгений Леонидович Казачков
Татьяна Николаевна Шамаева
Елена Романовна Вейсенборн
Юлия Сергеевна Ищенко
FEATURES OF PREGNANCY, OBSTETRIC AND PERINATAL OUTCOMES DURING THE MANIFESTATION OF COVID-19 OF VARYING SEVERITY IN THE 1ST TRIMESTER OF GESTATION
Мать и дитя в Кузбассе
беременность
первый триместр
новая коронавирусная инфекция
covid-19
степень тяжести
особенности течения беременности
акушерские и перинатальные исходы
title FEATURES OF PREGNANCY, OBSTETRIC AND PERINATAL OUTCOMES DURING THE MANIFESTATION OF COVID-19 OF VARYING SEVERITY IN THE 1ST TRIMESTER OF GESTATION
title_full FEATURES OF PREGNANCY, OBSTETRIC AND PERINATAL OUTCOMES DURING THE MANIFESTATION OF COVID-19 OF VARYING SEVERITY IN THE 1ST TRIMESTER OF GESTATION
title_fullStr FEATURES OF PREGNANCY, OBSTETRIC AND PERINATAL OUTCOMES DURING THE MANIFESTATION OF COVID-19 OF VARYING SEVERITY IN THE 1ST TRIMESTER OF GESTATION
title_full_unstemmed FEATURES OF PREGNANCY, OBSTETRIC AND PERINATAL OUTCOMES DURING THE MANIFESTATION OF COVID-19 OF VARYING SEVERITY IN THE 1ST TRIMESTER OF GESTATION
title_short FEATURES OF PREGNANCY, OBSTETRIC AND PERINATAL OUTCOMES DURING THE MANIFESTATION OF COVID-19 OF VARYING SEVERITY IN THE 1ST TRIMESTER OF GESTATION
title_sort features of pregnancy obstetric and perinatal outcomes during the manifestation of covid 19 of varying severity in the 1st trimester of gestation
topic беременность
первый триместр
новая коронавирусная инфекция
covid-19
степень тяжести
особенности течения беременности
акушерские и перинатальные исходы
url https://mednauki.ru/index.php/MD/article/view/1125
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