Evidence map›Paper›PMID 34474247›Full record

ArticleMidwifery2021

Relationship between coronavirus disease 2019 in pregnancy and maternal and fetal outcomes: Retrospective analytical cohort study.

Zahra Alipour, Parisa Samadi, Narges Eskandari, Maryam Ghaedrahmati, Mostafa Vahedian, Zohre Khalajinia, Ali Mastanijahroodi

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PubMed Full text at PMC Publisher
In one paragraph

Article in Midwifery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Zahra AlipourDepartment of Midwifery, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.
Parisa SamadiDepartment of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: psamadi@sina.tums.ac.ir.
Narges EskandariDepartment of Midwifery, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.
Maryam GhaedrahmatiNarges Social Security Organization, Dorood, Lorestan.
Mostafa VahedianFaculty of Medical Sciences, Qom University of Medical Sciences, Qom, Iran.
Zohre KhalajiniaDepartment of Midwifery, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.
Ali MastanijahroodiDepartment of Midwifery, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.
Iranshahr University · IRIran University of Medical Sciences · IRQom University of Medical Science and Health Services · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCoronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has caused many deaths and complications worldwide. However, limited data are available about COVID-19 during pregnancy. This study aimed to assess the epidemiological and clinical features of COVID-19, and the adverse maternal and fetal outcomes.

designThis retrospective analytical cohort study was conducted on all pregnant women with confirmed COVID-19 at Nekouei-Hedayati-Forghani Hospital in Qom, Iran from 15 March 2020 to 15 November 2020. For the same period, 165 pregnant women who did not have COVID-19 were selected at random and included in this study. All epidemiological and clinical features were collected from the medical records of the participants. A logistic regression model was used to determine associations between COVID-19 in pregnancy and maternal and fetal outcomes.

findingsThe most common symptoms reported by pregnant women with COVID-19 were shortness of breath (60.9%), dry cough (59%) and fever (42.9%). After adjustment for potential confounding factors, COVID-19 in pregnancy was associated with a significantly higher risk of admission to the intensive care unit (ICU) [odds ratio (OR) 6.16, 95% confidence interval (CI) 1.23-31], caesarean section (OR 0.45, 95 CI 0.25-1.03), preterm birth (OR 3.01, 95% CI 1.4-6.54), fetal distress (OR 5.7, 95% CI 2.13-15.59) and admission to the neonatal intensive care unit (NICU) (OR 3.04, 95% CI 1.21-7.70). KEY

conclusionsCOVID-19 is associated with adverse maternal and fetal outcomes, including ICU admission, caesarean section, fetal distress, preterm birth and NICU admission.

Indexed as

COVID-19Premature BirthAdultCesarean SectionCohort StudiesFemaleHumansInfant, NewbornInfectious Disease Transmission, VerticalPandemicsPregnancyPregnancy Complications, InfectiousPregnancy OutcomeRetrospective StudiesSARS-CoV-2Coronavirus pneumoniaEpidemiological characteristicsFetal outcomesMaternal outcomesPregnancyRetrospective study

Identifiers

PMID34474247
PMCPMC8384487
OpenAlexW3195229930

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.