{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T15:28:33Z","timestamp":1758814113894},"reference-count":28,"publisher":"Walter de Gruyter GmbH","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,28]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"j_jpm-2021-0313_abs_001\"><jats:title>Objectives<\/jats:title><jats:p>To compare perinatal outcomes in women with vs. without severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.<\/jats:p><\/jats:sec><jats:sec id=\"j_jpm-2021-0313_abs_002\"><jats:title>Methods<\/jats:title><jats:p>Perinatal outcomes in SARS-CoV-2 positive pregnant women who delivered at our institution between October 27th 2020 and January 31st 2021 were compared to\u00a0SARS-CoV-2 negative pregnancies (contemporary controls) and historical 2019 controls matched by maternal age, pre-pregnancy body mass index and parity. Testing was performed based on symptoms or close contact at any time during pregnancy and as part of universal screening at hospital admission. Multivariable log-linear regression models were used adjusting for potential confounders (p\u00a0&lt;\u00a00.05 statistically significant).<\/jats:p><\/jats:sec><jats:sec id=\"j_jpm-2021-0313_abs_003\"><jats:title>Results<\/jats:title><jats:p>One thousand three hundred seventeen women delivered at our institution during the study period. 1,124 (85%) tested negative and 193 (15%) positive for SARS-CoV-2. 189 (98%) were infected during third trimester. 19 (10%) were asymptomatic, 171 (89%) had mild to moderate coronavirus disease 2019 (COVID-19), and 3 (2%) were critically ill with one case of maternal death. There were no significant differences in preterm birth, small-for-gestational-age birth weight, congenital anomalies, operative delivery, intrapartum hypoxia, and perinatal mortality in SARS-CoV-2 positive pregnancies compared to contemporary reference group or historical controls from pre-COVID-19 period. Labor was more commonly induced in SARS-CoV-2 positive women compared to reference SARS-CoV-2 negative group (68 [35%] vs. 278 [25%], adjusted odds ratio 1.62; 95% confidence interval 1.14\u20132.28).<\/jats:p><\/jats:sec><jats:sec id=\"j_jpm-2021-0313_abs_004\"><jats:title>Conclusions<\/jats:title><jats:p>SARS-CoV-2 infection in pregnancy was not strongly associated with adverse perinatal outcomes. While the majority of SARS-CoV-2 positive women had no or mild\/moderate symptoms, 2% were critically ill, with one case of maternal death.<\/jats:p><\/jats:sec>","DOI":"10.1515\/jpm-2021-0313","type":"journal-article","created":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T09:13:34Z","timestamp":1639041214000},"page":"253-260","source":"Crossref","is-referenced-by-count":2,"title":["Perinatal outcomes in women with severe acute respiratory syndrome coronavirus 2 infection: comparison with contemporary and matched pre-COVID-19 controls"],"prefix":"10.1515","volume":"50","author":[{"given":"Miha","family":"Lucovnik","sequence":"first","affiliation":[{"name":"Department of Perinatology , Division of Obstetrics and Gynecology, University Medical Center Ljubljana , Ljubljana , Slovenia"},{"name":"Medical Faculty , University of Ljubljana , Ljubljana , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirjam","family":"Druskovic","sequence":"additional","affiliation":[{"name":"Department of Perinatology , Division of Obstetrics and Gynecology, University Medical Center Ljubljana , Ljubljana , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marijana","family":"Vidmar Simic","sequence":"additional","affiliation":[{"name":"Department of Perinatology , Division of Obstetrics and Gynecology, University Medical Center Ljubljana , Ljubljana , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Verdenik","sequence":"additional","affiliation":[{"name":"Department of Perinatology , Division of Obstetrics and Gynecology, University Medical Center Ljubljana , Ljubljana , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vita","family":"Mesaric","sequence":"additional","affiliation":[{"name":"Department of Perinatology , Division of Obstetrics and Gynecology, University Medical Center Ljubljana , Ljubljana , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renata","family":"Kosir","sequence":"additional","affiliation":[{"name":"Department of Perinatology , Division of Obstetrics and Gynecology, University Medical Center Ljubljana , Ljubljana , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilijana","family":"Kornhauser Cerar","sequence":"additional","affiliation":[{"name":"Department of Perinatology , Division of Obstetrics and Gynecology, University Medical Center Ljubljana , Ljubljana , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreja","family":"Tojner Bregar","sequence":"additional","affiliation":[{"name":"Department of Perinatology , Division of Obstetrics and Gynecology, University Medical Center Ljubljana , Ljubljana , Slovenia"},{"name":"Medical Faculty , University of Ljubljana , Ljubljana , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lili","family":"Steblovnik","sequence":"additional","affiliation":[{"name":"Department of Perinatology , Division of Obstetrics and Gynecology, University Medical Center Ljubljana , Ljubljana , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gorazd","family":"Kavsek","sequence":"additional","affiliation":[{"name":"Department of Perinatology , Division of Obstetrics and Gynecology, University Medical Center Ljubljana , Ljubljana , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanja","family":"Premru Srsen","sequence":"additional","affiliation":[{"name":"Department of Perinatology , Division of Obstetrics and Gynecology, University Medical Center Ljubljana , Ljubljana , Slovenia"},{"name":"Medical Faculty , University of Ljubljana , Ljubljana , Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2021,12,9]]},"reference":[{"key":"2023040100552190918_j_jpm-2021-0313_ref_001","unstructured":"Royal College of Obstetricians and Gynaecologists (RCOG). 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