{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:30:22Z","timestamp":1765758622328,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T00:00:00Z","timestamp":1604534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The Stockholm region was the first area in Sweden to be hit by the pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS\u2010CoV\u20102). The national guidelines on the care of women with a positive test for SARS\u2010CoV\u20102 (detection with polymerase chain reaction [PCR]) recommend individualized antenatal care, mode of delivery based on obstetric considerations, and no routine separation of the mother and the newborn. Breastfeeding is encouraged, and although there is no specific recommendation regarding wearing a face mask to prevent viral transmission to the newborn while nursing, instructions are given to keep high hygiene standards. All studies based on cases tested on hospital admission will capture more women with pregnancy complications than in the general population. Our aim was to describe the clinical characteristics of SARS\u2010CoV\u20102\u2010positive women and their neonates, and to report short\u2010term maternal and neonatal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>A retrospective case series with data from medical records including all test\u2010positive women (n\u00a0=\u00a067) who gave birth to 68 neonates from 19 March to 26 April 2020 in Stockholm, Sweden. Means, proportions and percentages were calculated for clinical characteristics and outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age was 32\u00a0years, 40% were nulliparous and 61% were overweight or obese. Further, 15% had diabetes and 21% a hypertensive disease. Seventy percent of the women had a vaginal birth. Preterm delivery occurred in 19% of the women. The preterm deliveries were mostly medically indicated, including two women who were delivered preterm due to severe coronavirus disease 19 (COVID\u201019), corresponding to 15% of the preterm births. Four women (6%) were admitted to the intensive care unit postpartum but there were no maternal deaths. There were two perinatal deaths (one stillbirth and one neonatal death). Three neonates were PCR\u2010positive for SARS\u2010CoV\u20102 after birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this case series of 67 women testing positive for SARS\u2010CoV\u20102 with clinical presentations ranging from asymptomatic to manifest COVID\u201019 disease, few women presented with severe COVID\u201019 illness. The majority had a vaginal birth at term with a healthy neonate that was negative for SARS\u2010CoV\u20102.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14006","type":"journal-article","created":{"date-parts":[[2020,9,27]],"date-time":"2020-09-27T12:11:12Z","timestamp":1601208672000},"page":"1626-1631","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Characteristics and short\u2010term obstetric outcomes in a case series of 67 women test\u2010positive for SARS\u2010CoV\u20102 in Stockholm, Sweden"],"prefix":"10.1111","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0971-132X","authenticated-orcid":false,"given":"Katarina","family":"Remaeus","sequence":"first","affiliation":[{"name":"BB Stockholm Danderyd Hospital Stockholm Sweden"},{"name":"Department of Medicine Solna Clinical Epidemiology division Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8285-3055","authenticated-orcid":false,"given":"Julia","family":"Savchenko","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology S\u00f6dersjukhuset Hospital Stockholm Sweden"},{"name":"Department of Clinical Science and Education S\u00f6dersjukhuset Hospital Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9401-8062","authenticated-orcid":false,"given":"Sophia","family":"Brismar Wendel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Danderyd Hospital Stockholm Sweden"},{"name":"Department of Clinical Sciences Karolinska Institutet Danderyd Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1432-8344","authenticated-orcid":false,"given":"Sebastian","family":"Brusell Gidl\u00f6f","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology S\u00f6dersjukhuset Hospital Stockholm Sweden"},{"name":"Department for Clinical Intervention, Technology and Intervention Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Graner","sequence":"additional","affiliation":[{"name":"BB Stockholm Danderyd Hospital Stockholm Sweden"},{"name":"Department of Medicine Center for Pharmacoepidemiology Karolinska Institutet Karolinska University Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elin","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s Health Karolinska University Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna","family":"Molin","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health S\u00f6dert\u00e4lje Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sissel","family":"Saltvedt","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s Health Karolinska University Hospital Stockholm Sweden"},{"name":"Department of Women\u2019s and Children\u2019s Health Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2502-4116","authenticated-orcid":false,"given":"Tove","family":"Wallstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology S\u00f6dersjukhuset Hospital Stockholm Sweden"},{"name":"Department of Clinical Science and Education S\u00f6dersjukhuset Hospital Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Pettersson","sequence":"additional","affiliation":[{"name":"Department for Clinical Intervention, Technology and Intervention Karolinska Institutet Stockholm Sweden"},{"name":"Department of Women\u2019s Health Karolinska University Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1134-5951"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.02.017"},{"key":"e_1_2_9_4_1","doi-asserted-by":"crossref","unstructured":"SchwartzDA DhaliwalA.Infections in pregnancy with COVID\u201019 and other respiratory RNA virus diseases are rarely if ever transmitted to the fetus: experiences with coronaviruses HPIV hMPV RSV and Influenza. 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