Severe COVID-19 and Its Related Factors in Pregnant Women: A Multi-Center Cross‐Sectional Study

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Khezri Rozhan; Rezaei Fatemeh; Jahanian Sepideh; Ebrahimi Kamran

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Journal: Studies in Medical Sciences Year:2023 | Volume:34 | Issue:7 Page(s): 417-426

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Information Journal Paper

Title

Severe COVID-19 and Its Related Factors in Pregnant Women: A Multi-Center Cross‐Sectional Study

Author(s)

Khezri Rozhan | Rezaei Fatemeh | Jahanian Sepideh | Ebrahimi Kamran | Issue Writer Certificate

Keywords

SevereQ4

HospitalizationQ4

COVID-19Q4

PregnancyQ4

Risk factorsQ4

Abstract

Background & Aims: Pregnant women are at a higher risk of contracting COVID-19 due to their weakened immune systems. There are various related factors for Severe COVID-19 in pregnant women. This study aimed to assess the Severe COVID-19 rate and its associated factors among Iranian pregnant women. Materials & Methods: In this multi-center cross-sectional study from 21 March 2020-21 March 2021, all pregnant women (N=488) with COVID-19 who were admitted to healthcare centers in three counties (Mahabad, Miandoab, Bukan) in Iran were enrolled. Patients were categorized into two groups,hospitalized (Severe COVID-19) and non-hospitalized. Data were collected through medical records using a researcher-made questionnaire. Statistical analysis was performed using multivariate logistic regression. Results: The mean age of pregnant women was 29. 8±6. 37 years and 19. 9% were hospitalized(N=89). The COVID-19 Hospitalization in pregnant women was significantly associated with fever (temperature ≥38 C) [aOR = 3. 59, (95%CI,2. 08-6. 17)], shortness of breath [aOR = 2. 12, (95%CI,1. 24-3. 61)], diagnosis of COVID-19 in the second trimester [aOR = 4. 48, 95%CI,1. 48-13. 58)], residence in the urban area [aOR = 0. 45, (95%CI,0. 24-0. 84)], and diploma and more education level [aOR = 0. 58, (95%CI,0. 33-0. 98)]. Conclusion: Urban residency and higher education level were protective factors. Fever, shortness of breath, and diagnosis of COVID-19 in the second trimester of Pregnancy were related factors for Hospitalization. Early diagnostic and therapeutic interventions for pregnant women with positive COVID-19 tests are essential in disease control. a longitudinal study with appropriate follow-up time to identify factors related to Severe COVID-19 among pregnant women is needed.

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