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COVID-19 and Women’s Health

Pregnant Women with COVID-19 and ICU Admissions

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BACKGROUND AND PURPOSE:

  • Blitz et al. (AJOG, 2020) assessed whether pregnant women are more likely to be admitted to the ICU than non-pregnant women

METHODS:

  • Retrospective case series (March 2 to April 9, 2020)
  • Setting
    • Large hospital system (New York State)
  • Participants
    • Hospitalized pregnant women: 15 to 49 years of age
    • Confirmed COVID-19 (RT-PCR) on admission, during the hospital stay, or postpartum period
  • Study design
    • Data analyzed
      • Age
      • Pregnancy status
      • Admission to an ICU, as determined by the critical care attending physician
  • Primary outcome
    • Incidence of ICU admission, comparing pregnant vs non-pregnant women with COVID-19

RESULTS:

  • 1,168 patients admitted with COVID-19
    • 64.6% male | 28.4% non-pregnant females | 7.0% pregnant females
  • 2,971 pregnant patients were admitted | Most were admitted for delivery
  • There was no significant difference in ICU admissions between pregnant and non-pregnant women with COVID-19 (p=0.22)
    • Pregnant: 9.8% (8 patients out of 82 diagnosed with COVID-19)
    • Non-pregnant: 15.1% (50 patients out of 332 diagnosed)
    • Outcome result not impacted by patient age

CONCLUSION:

  • COVID-19 infection did not alter the ICU admission rate for pregnant women admitted to hospital
  • The authors state

…our findings are reassuring, and indicate that pregnant women infected with COVID-19 may not experience more severe disease progression than non-pregnant women

Learn More – Primary Sources:

Intensive Care Unit Admissions for Pregnant and Non-Pregnant Women with COVID-19

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Related ObG Topics:

118 Pregnant Women with COVID-19: Treatments and Outcomes
Comparing SARS-CoV-2 Positive Rates Among Pregnant vs Non-Pregnant Patients in New York State
Clinical Characteristics of Pregnant Women with COVID-19 Pneumonia

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