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Maternal and Newborn Hospital Outcomes of Perinatal SARS-CoV-2 Infection: A National Registry.
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- Author(s): Hudak, Mark L.; Flannery, Dustin D.; Barnette, Kimberly; Getzlaff, Trace; Gautam, Shiva; Dhudasia, Miren B.; Mukhopadhyay, Sagori; Pfeifer, Madeline R.; Ellington, Sascha R.; Galang, Romeo R.; Snead, Margaret C.; Woodworth, Kate R.; Zapata, Lauren B.; Puopolo, Karen M.
- Source:
Pediatrics. Feb2023, Vol. 151 Issue 2, p1-10. 22p. - Source:
- Additional Information
- Subject Terms: PUBLIC health surveillance; MATERNAL health services; EVALUATION of medical care; COVID-19; COMMUNICABLE diseases; NEONATAL intensive care; PREMATURE infants; COVID-19 vaccines; PREGNANT women; NEONATAL intensive care units; DISEASE incidence; COMPARATIVE studies; HOSPITAL mortality; PREGNANCY complications; PUERPERIUM; DESCRIPTIVE statistics; SYMPTOMS; RESEARCH funding; COVID-19 testing; POLYMERASE chain reaction; COVID-19 pandemic; VERTICAL transmission (Communicable diseases); PERINATAL period; CHILDREN
- Abstract: OBJECTIVES: The American Academy of Pediatrics National Registry for the Surveillance and Epidemiology Of Perinatal coronavirus disease 2019(COVID-19) (NPC-19) was developed to provide information on the Effects of perinatal severe acute respiratory syndrome coronavirus2 (SARS-CoV-2) infection. METHODS: National Registry for the Surveillance and Epidemiology of Perinatal COVID-19 participating centers entered maternal and newborn data for pregnant persons who tested positive for SARS-CoV-2 infection between 14 days before and 10 days after delivery. Incidence of and morbidities associated with maternal and newborn SARS-CoV-2 infection were assessed. RESULTS: From April 6, 2020 to March 19, 2021, 242 centers in the United States centers reported data for 7524 pregnant persons; at the time of delivery, 78.1%of these persons were asymptomatic, 18.2% were symptomatic but not hospitalized specifically for COVID-19, 3.4%were hospitalized for COVID-19 treatment, and 18 (0.2%) died in the hospital of COVID-related complications. Among 7648 newborns, 6486 (84.8%) were tested for SARS-CoV-2, and 144 (2.2%) were positive; the highest rate of newborn infection was observed when mothers first tested positive in the immediate postpartum period (17 of 125, 13.6%). No newborn deaths were attributable to SARS-CoV-2 infection. Overall, 15.6% of newborns were preterm: among tested newborns, 30.1%of polymerase chain reaction positive and 16.2%of polymerase chain reaction-negative were born preterm (P< .001). Need for mechanical ventilation did not differ by newborn SARS-CoV-2 test result, but those with positive tests were more likely to be admitted to a NICU. CONCLUSIONS: Early in the pandemic, SARS-CoV-2 infection was acquired by newborns at variable rates And without apparent short-term effects. During a period that preceded widespread availability of vaccines, we observed higher than expected numbers of preterm births and maternal in-hospital deaths. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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