Clinical Edge

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COVID-19 may increase risk of preterm birth and cesarean delivery

Key clinical point: Hospitalized pregnant women with COVID-19 appear to be at increased risk for preterm birth and cesarean delivery.

Major finding: Among 57 hospitalized patients with SARS-CoV-2 infection who underwent vaginal or cesarean delivery, 7 (12%) had spontaneous preterm or respiratory-indicated preterm delivery, compared with 7% who had preterm delivery in 2019. The cesarean delivery rate also was elevated (39% vs. 27% in the same area in 2019).

Study details: A prospective study of 77 women with laboratory-confirmed SARS-CoV-2 infection admitted during pregnancy or the immediate postpartum period in 12 maternity hospitals in northern Italy between Feb. 23 and March 28, 2020.

Disclosures: One author disclosed receiving funds from Lo Li Pharma and Zambongroup. The other authors did not report any potential conflicts of interest.

Citation:

Savasi VM et al. Obstet Gynecol. 2020 May 19. doi: 10.1097/AOG.0000000000003979.