OBJECTIVES This retrospective study reports the effects of COVID-19 among hospitalized pregnant women infected with COVID-19 and compares them to a control group. METHODS A multi-center retrospective cohort study, in which data of pregnant women with COVID-19, admitted to five different hospitals in Kuwait, were collected. Two groups were included, the first group were women with COVID-19 who were admitted between March 22, 2020 until December 31, December 2020. The second (control) group included pregnant women without COVID-19, who were admitted between March 1, 2019 and March 21, 2020. Data were collected using a standardized data collection survey, entered using Excel Software and analyzed using Analysis of Variance (ANOVA). RESULTS We compared 764 patients, with confirmed COVID-19 with 765 uninfected control subjects. The majority of pregnant women were diagnosed with COVID-19 infection during the third trimester. Tachycardia was the most frequent sign at admission and dry cough and fever were the most common presenting symptoms. ICU admission and respiratory failure were significantly higher in the COVID-19 group. Cesarean section (CS) rate was higher in the COVID-19 group, with obstetric and maternal complications being the most common indications in comparison to fetal indications in the control group. CONCLUSIONS This study was conducted to identify the effects of COVID-19 in pregnancy. Most patients were asymptomatic. The rate of normal vaginal delivery was higher in the control group. The main indications for Cesarean section in the COVID-19 group were obstetrical and maternal complications compared to fetal complications in the control group.  .

中文翻译：

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COVID-19 大流行对科威特孕妇的影响和结果。

目的 这项回顾性研究报告了 COVID-19 对感染 COVID-19 的住院孕妇的影响，并将其与对照组进行比较。方法 一项多中心回顾性队列研究，收集了科威特五家不同医院收治的感染 COVID-19 的孕妇的数据。纳入两组，第一组是在 2020 年 3 月 22 日至 2020 年 12 月 31 日期间入院的患有 COVID-19 的女性。第二组（对照组）包括在 2020 年 3 月 1 日至2019 年和 2020 年 3 月 21 日。使用标准化数据收集调查收集数据，使用 Excel 软件输入并使用方差分析 (ANOVA) 进行分析。结果 我们将 764 名确诊的 COVID-19 患者与 765 名未感染的对照受试者进行了比较。大多数孕妇在妊娠晚期被诊断出患有 COVID-19 感染。心动过速是入院时最常见的体征，干咳和发烧是最常见的症状。COVID-19 组入住 ICU 和呼吸衰竭的比例显着较高。COVID-19 组的剖宫产率 (CS) 较高，与对照组的胎儿适应症相比，产科和孕产妇并发症是最常见的适应症。结论 本研究旨在确定 COVID-19 对妊娠的影响。大多数患者没有症状。对照组的正常阴道分娩率较高。与对照组的胎儿并发症相比，COVID-19 组剖宫产的主要适应症是产科和产妇并发症。。