武汉市硚口区新型冠状病毒肺炎孕妇确诊及疑似病例管理及随访资料分析

目的:分析探讨武汉市硚口区妊娠合并新型冠状病毒肺炎确诊及疑似患者的流行病学特征、临床特点及母儿结局。方法:选取2020年1月—2020年3月武汉市硚口区常住居民区内的11例妊娠合并新冠肺炎患者及8例疑似患者的临床资料,分析其流行病学特点、临床发病经过、母儿结局以及新生儿的临床特点。结局随访至3月26日。结果:11例确诊患者足月分娩6例,早产1例,引产1例,流产2例,待产1例。临床表现中有发热6例、咳嗽及呼吸急促3例和腹泻1例,无症状感染者1例,传播途径主要为呼吸道传播。6例患者剖宫产和1例患者阴道分娩,孕妇和新生儿的预后良好。妊娠合并新冠肺炎疑似患者中有1例孕6w疑似患者进行了药物流产,余7例孕妇均为足月剖宫产,孕妇和新生儿的预后良好。结论:产妇为新型冠状病毒肺炎的易感人群,本区研究结果发现妊娠合并新冠肺炎患者积极评估并及时诊治者母婴结局良好,远期结局及对子代的影响仍需进一步研究。

Management and Follow-up Data Analysis of Confirmed and Suspected Cases of Pregnant Women with COVID 19 Pneumonia in Qiaokou District,Wuhan

OBJECTIVE To analyze the epidemiological characteristics,clinical characteristics,and maternal and fetal outcomes of pregnant women with COVID-19 pneumonia diagnosed and suspected in Qiaokou District,Wuhan City.METHODS Retrospective analysis of epidemiological,radiological features,treatment and maternal and fetal outcomes of 11 pregnant women with COVID-19 pneumonia and 8 suspected pregnant women with COVID-19 pneumonia occurred in in Qiaokou District,Wuhan City during Jan.1 to Mar,2020.The results were followed up to Mar 26,2020.RESULTS 7 live births were recorded in 11 pregnant women diagnosed with COVID-19 pneumonia.No neonatal asphyxia was observed in newborn babies.Among these 11 pregnant women with COVID-19 infection,onset of clinical symptoms occurred before delivery in 6 cases,on the day of delivery in 2 cases.In most cases,fever and a cough were the first symptoms experienced,and 1 patient also had diarrhea.One patient was asymptomatic.Of the newborns born to these mothers,6 were full-term infants and 1 was born premature.Pregnant women and newborns had a good prognosis.One of the suspected pregnant women with COVID-19 underwent drug abortion at 6 w gestation,and the remaining 7 pregnant women were delivered by cesarean section at term,with good prognosis for pregnant women and newborns.CONCLUSION The results of this district study found good maternal and fetal outcomes in pregnant women with COVID-19 who were actively assessed and diagnosed and treated in a timely manner,and the maternal and fetal outcomes could be satisfactory.