Clinical Findings, Laboratory Assessment, and Outcomes of 44 Infants Born to Mothers with Confirmed or Suspected COVID-19: A Multicenter Cohort Study

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MOSAYEBI ZIBA; ESMAEILNIA TAHEREH; GHORBAN SABAGH VAFA; Naddaf Amir; SAGHEB SETAREH; SHARIAT MAMAK; Farsi Zohreh; Moienafshar Atousa; ZARKESH MOHAMMAD REZA; Lamsehchi Ameneh

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Journal: Iranian Journal of Pediatrics Year:2021 | Volume:31 | Issue:4 Page(s): 0-0

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Title

Clinical Findings, Laboratory Assessment, and Outcomes of 44 Infants Born to Mothers with Confirmed or Suspected COVID-19: A Multicenter Cohort Study

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Keywords

SARS

CoV

COVID

Newborn

Abstract

Background: Coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread worldwide, causing a significant public health disaster. Objectives: The present study aimed to evaluate the clinical features and laboratory data of neonates born to mothers with CoVID-19. Methods: A retrospective multicenter cohort study was conducted from March 20 to September 5, 2020, on all neonates born to mothers with positive real-time reverse transcriptase-polymerase chain reaction for SARS-CoV-2 or clinically suspected CoVID-19. Neonates enrolled in this study were from five different hospitals affiliated with the Tehran University of Medical Sciences. All the Newborns were tested for SARS-CoV-2 using nasopharyngeal swabs during the first 24-48 hours of life, and a second-time swabbing was performed as indicated at subsequent visits. All categorical data were manifested as frequency (%), and continuous data were shown as mean, SD. Results: Forty-four neonates born to 39 infected mothers were evaluated during the study period. Nineteen women had complications during pregnancy, including hypertensive disorders, gestational diabetes, preterm labor, etc. Besides, 54. 5% of the neonates were born preterm. The mean gestational age and birth weight were 35. 11 ,4. 01 weeks and 2, 567 ,898 g, respectively. Fifteen (34. 1%) neonates were symptomatic at birth, and during the observation, more neonates became symptomatic. Finally, 27/44 (61. 3%) neonates became symptomatic, and 17/44 remained asymptomatic. The most common clinical manifestations were respiratory distress (77. 7%), followed by fever or hypothermia (18. 5%), gastrointestinal problems (14. 8%), and neurologic findings (3. 7%). Also, the most common clinical feature of eight neonates with positive RT-PCR was respiratory distress, followed by neurologic symptoms, temperature instability, and gastrointestinal disorder, in sequence. Few abnormalities were seen in laboratory findings. Chest Xrays were abnormal in 22. 2% of the neonates. Conclusions: The SARS-CoV-2 infection during pregnancy may cause severe maternal and neonatal morbidities. Neonates with positive SARS-CoV-2 may demonstrate a spectrum of clinical features. The most common feature of neonates born to mothers with CoVID-19 was respiratory distress.

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APA: Copy

MOSAYEBI, ZIBA, ESMAEILNIA, TAHEREH, GHORBAN SABAGH, VAFA, Naddaf, Amir, SAGHEB, SETAREH, SHARIAT, MAMAK, Farsi, Zohreh, Moienafshar, Atousa, ZARKESH, MOHAMMAD REZA, & Lamsehchi, Ameneh. (2021). Clinical Findings, Laboratory Assessment, and Outcomes of 44 Infants Born to Mothers with Confirmed or Suspected COVID-19: A Multicenter Cohort Study. IRANIAN JOURNAL OF PEDIATRICS, 31(4), 0-0. SID. https://sid.ir/paper/982631/en

Vancouver: Copy

MOSAYEBI ZIBA, ESMAEILNIA TAHEREH, GHORBAN SABAGH VAFA, Naddaf Amir, SAGHEB SETAREH, SHARIAT MAMAK, Farsi Zohreh, Moienafshar Atousa, ZARKESH MOHAMMAD REZA, Lamsehchi Ameneh. Clinical Findings, Laboratory Assessment, and Outcomes of 44 Infants Born to Mothers with Confirmed or Suspected COVID-19: A Multicenter Cohort Study. IRANIAN JOURNAL OF PEDIATRICS[Internet]. 2021;31(4):0-0. Available from: https://sid.ir/paper/982631/en

IEEE: Copy

ZIBA MOSAYEBI, TAHEREH ESMAEILNIA, VAFA GHORBAN SABAGH, Amir Naddaf, SETAREH SAGHEB, MAMAK SHARIAT, Zohreh Farsi, Atousa Moienafshar, MOHAMMAD REZA ZARKESH, and Ameneh Lamsehchi, “Clinical Findings, Laboratory Assessment, and Outcomes of 44 Infants Born to Mothers with Confirmed or Suspected COVID-19: A Multicenter Cohort Study,” IRANIAN JOURNAL OF PEDIATRICS, vol. 31, no. 4, pp. 0–0, 2021, [Online]. Available: https://sid.ir/paper/982631/en

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