Association between maternal COVID-19 severity and neonatal outcome in a tertiary hospital
10.56964/pidspj2024501007
- Author:
Lyzel M. Tagud
1
;
Mary Crist A. Delos Santos-Jamora
1
Author Information
1. Baguio General Hospital and Medical Center Governor Pack Road, Baguio City
- Publication Type:Journal Article
- Keywords:
Outcome;
Covid-19 confirmed mothers
- MeSH:
COVID-19;
Infant, Newborn
- From:
Pediatric Infectious Disease Society of the Philippines Journal
2024;25(1):64-72
- CountryPhilippines
- Language:English
-
Abstract:
Background:During the COVID-19 outbreak, studies indicated that neonates born to COVID-19-positive
mothers are susceptible to adverse outcomes. However, limited research explored the link between maternal
COVID-19 severity and perinatal outcomes.
Objectives:To determine the characteristics and outcomes of newborns born to COVID-19 positive mothers and
its association with maternal COVID-19 severity.
Methodology:This was a cross-sectional study conducted in a tertiary hospital which involved a retrospective
chart review of mother-newborn dyads who delivered between June 1, 2020, and December 31, 2022.
Results:One hundred forty COVID-19 infected mothers and their respective newborns (143) were included in
the study. Majority of mothers were 18 - 30 yrs. old, multigravida, multiparous, delivered by normal spontaneous
delivery (NSD) and were asymptomatic. Only 3.6 % have severe COVID-19. Neonatal outcome was generally good
in both non-infected and COVID-19 infected newborns. Most were term, with normal birthweights, appropriate
for gestational age (AGA), with good APGAR scores. Hyperbilirubinemia is a common morbidity (15%). There is
a higher prevalence of preterm births, low birthweight, low APGAR score in the 5th minute of life, respiratory
distress syndrome (RDS), neonatal sepsis, neonatal intensive care unit (NICU) admission and mortality among
neonates born to mothers with severe COVID-19, but there is no statistically significant association between
maternal COVID - 19 severity and neonatal outcome except for APGAR score on the 5th minute of life.
Conclusion:Most COVID-19-infected pregnant women were asymptomatic and neonatal outcomes were
generally favorable. Maternal COVID-19 severity did not substantially contribute to adverse neonatal outcomes.
- Full text:20240628082546994638-Maternal-COVID-and-neonatal-outcome.pdf
