Background: Considering that the obstetricians and pediatricians need to comprehensive information about the obstetric and neonatal effect of COVID-19, this review study was conducted to investigate the impact of COVID-19 on obstetrics and neonatal outcomes Methods: In this systematic review the international search databases following PubMed, Web of Science, Scopus, ProQuest and Embase and Google scholar were searched All articles were reviewed by two independent research-ers until 10 April 2020 After quality assessment of included studies the finding reported in 2 sections obstetrics and neonatal outcomes Results: The sixteen studies with a sample size of 123 pregnant women with a definitive diagnosis of COVID-19 and their neonates were evaluated The range of gestational age was 25-40 weeks There was no death associated with COVID-19 in pregnant women The obstetric outcomes in pregnant women with COVID-19 include de-creased fetal movement, intrauterine fetal distress, anemia, PROM, preterm labor, Multiple Organ Dysfunction Syndrome (MODS) and etc The most common delivery mode in women affect with COVID-19 was cesarean sec-tion Expect for one case with MODS, in the majority of the studies reviewed, no severe morbidity or mortality occurred The neonatal outcomes were stillbirth, prematurity, asphyxia, fetal distress, low birth weight, small for gestational age, large for gestational age, multiple organ dysfunction syndrome, disseminated intravascular coagula-tion and neonatal death In addition, five neonates born to mothers with COVID-19 were positive for SARS-CoV-2 However, the studies report these outcomes but the exact causes of theme are not known Conclusion: In this systematic review, we summarize the diverse results of studies about the obstetrics and neonatal outcomes following COVID-19 This infection may cause negative outcomes in both mothers and neonates However, there were evidence about neonate infected with COVID-19, but there is controversial information about the vertical transmission of COVID-19 © 2020, Iranian Journal of Public Health All rights reserved

中文翻译：

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COVID-19 孕妇的产科和新生儿结局：系统评价

背景：考虑到产科医生和儿科医生需要全面了解 COVID-19 对产科和新生儿的影响，本综述研究旨在调查 COVID-19 对产科和新生儿结局的影响方法：在本系统综述中，国际检索搜索了 PubMed、Web of Science、Scopus、ProQuest 和 Embase 以及 Google 学者之后的数据库 直到 2020 年 4 月 10 日，所有文章均由两名独立研究人员进行审查 对纳入研究进行质量评估后，结果报告在产科和新生儿结局 2 个部分对样本量为 123 名确诊为 COVID-19 的孕妇及其新生儿的 16 项研究进行了评估 胎龄范围为 25-40 周 孕妇中没有与 COVID-19 相关的死亡 产科结局患有 COVID-19 的孕妇包括胎动减少、宫内胎儿窘迫、贫血、PROM、早产、多器官功能障碍综合征 (MODS) 等受 COVID-19 影响的妇女最常见的分娩方式是剖宫产除了 1 例 MODS，在大多数审查的研究中，没有发生严重的发病率或死亡率 新生儿结局是死产、早产、窒息、胎儿窘迫、低出生体重、小于胎龄、大于胎龄、多器官功能障碍综合征，弥散性血管内凝血和新生儿死亡 此外，患有 COVID-19 的母亲所生的 5 名新生儿对 SARS-CoV-2 呈阳性 然而，这些研究报告了这些结果，但具体原因尚不清楚 结论：在本系统评价中，我们总结了关于 COVID-19 后产科和新生儿结局的各种研究结果 这种感染可能对母亲和新生儿造成负面结果 然而，有证据表明新生儿感染了 COVID-19，但关于垂直感染的信息存在争议COVID-19 的传播 © 2020, 伊朗公共卫生杂志 版权所有研究报告了这些结果，但主题的确切原因尚不清楚 结论：在本系统评价中，我们总结了关于 COVID-19 后产科和新生儿结果的各种研究结果 这种感染可能对母亲和新生儿造成负面结果 然而，有证据表明新生儿感染了 COVID-19，但关于 COVID-19 垂直传播的信息存在争议 © 2020，伊朗公共卫生杂志 版权所有研究报告了这些结果，但主题的确切原因尚不清楚 结论：在本系统评价中，我们总结了关于 COVID-19 后产科和新生儿结果的各种研究结果 这种感染可能对母亲和新生儿造成负面结果 然而，有证据表明新生儿感染了 COVID-19，但关于 COVID-19 垂直传播的信息存在争议 © 2020，伊朗公共卫生杂志 版权所有但关于 COVID-19 垂直传播的信息存在争议 © 2020, 伊朗公共卫生杂志 版权所有但关于 COVID-19 垂直传播的信息存在争议 © 2020, 伊朗公共卫生杂志 版权所有