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Perinatal outcomes after admission with COVID-19 in pregnancy: a UK national cohort study

by Kurinczuk, Jennifer J. , Morris, Edward , Ramakrishnan, Rema , Gale, Chris , Quigley, Maria , Knight, Marian , Vousden, Nicola , Bunch, Kathryn , Brocklehurst, Peter , Simpson, Nigel , Engjom, Hilde Marie , O’Brien, Pat

in 631/326/596/4130 / 692/308/174 / 692/308/3187 / 692/699/255/2514 / Cohort analysis / Cohort Studies / COVID-19 / COVID-19 - epidemiology / COVID-19 Vaccines / Female / Humanities and Social Sciences / Humans / Infections / multidisciplinary / Neonates / Pandemics / Population studies / Pregnancy / Pregnancy Complications, Infectious - epidemiology / Pregnancy Complications, Infectious - prevention & control / Pregnancy Outcome - epidemiology / SARS-CoV-2 / Science / Science (multidisciplinary) / Severe acute respiratory syndrome coronavirus 2 / Surveillance / Surveillance systems / Vaccination / Viral diseases

2024

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Perinatal outcomes after admission with COVID-19 in pregnancy: a UK national cohort study

2024

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Perinatal outcomes after admission with COVID-19 in pregnancy: a UK national cohort study

2024

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Journal Article

Perinatal outcomes after admission with COVID-19 in pregnancy: a UK national cohort study

Kurinczuk, Jennifer J.,

Morris, Edward,

Ramakrishnan, Rema,

Gale, Chris,

Quigley, Maria,

Knight, Marian,

Vousden, Nicola,

Bunch, Kathryn,

Brocklehurst, Peter,

Simpson, Nigel,

Engjom, Hilde Marie,

O’Brien, Pat

2024

Overview

There are few population-based studies of sufficient size and follow-up duration to have reliably assessed perinatal outcomes for pregnant women hospitalised with SARS-CoV-2 infection. The United Kingdom Obstetric Surveillance System (UKOSS) covers all 194 consultant-led UK maternity units and included all pregnant women admitted to hospital with an ongoing SARS-CoV-2 infection. Here we show that in this large national cohort comprising two years’ active surveillance over four SARS-CoV-2 variant periods and with near complete follow-up of pregnancy outcomes for 16,627 included women, severe perinatal outcomes were more common in women with moderate to severe COVID-19, during the delta dominant period and among unvaccinated women. We provide strong evidence to recommend continuous surveillance of pregnancy outcomes in future pandemics and to continue to recommend SARS-CoV-2 vaccination in pregnancy to protect both mothers and babies. The impacts of maternal SARS-CoV-2 infection on newborns are not well understood. Here, the authors perform a national cohort study using data on births in the UK from March 2020—March 2022 and find that moderate to severe maternal COVID-19 was associated with adverse perinatal outcomes.

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Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio

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