Examination of racial differences and unfavorable birth outcomes
Examination of racial differences and unfavorable birth outcomes

Examination of racial differences and unfavorable birth outcomes

Risk of early preeclampsia

In another study based on data from the same large diverse population among all 14 hospitals, researchers found a strong link between COVID-19 and early preeclampsia.

Researchers analyzed 369 cases involving women who received COVID-19 during or shortly after pregnancy, and compared delivery results with 1,090 women who did not experience an infection. Both groups delivered between March and October 2020 at the same respective unit among hospitals within 30 consecutive days.

COVID-19 pregnancies were associated with an increased risk of preeclampsia – with an even higher risk of individuals who were more symptomatic and with severe disease – even after adjusting for relevant comorbidities.

“We would like to know if having COVID-19 predisposed pregnant women to other medical complications during pregnancy,” Townsel said. “We knew they were at higher risk for respiratory complications and end up in the intensive care unit, but were there other signals we should look for in these patients?

“We found that people with a COVID-19 infection not only had a higher risk of preeclampsia and high blood pressure, but also early preeclampsia. This complication makes premature births more likely, which can have a negative impact on the results for both baby and mother. ”

Many patients who had COVID-19 tended to have the same placental dysfunction that is seen in pregnant patients with high blood pressure, she noted.

“This is really important to understand because once patients develop preeclampsia, there is no cure and there is a high risk of a premature birth and the need for specialized neonatal care,” Townsel said.

“We need to do everything we can to prevent premature preeclampsia. Reducing COVID-19 infection during pregnancy improves the likelihood of patients carrying all the way to term, which we know is the healthiest outcome.”

Black COVID-19 patients also experienced premature birth from preeclampsia 1.9 times more often than COVID-19 patients of other breeds – a difference that should be investigated further, Townsel says.

In the summer of 2021, the Centers for Disease Control and Prevention issued an emergency health counseling to increase COVID-19 vaccination among people who are pregnant, newly pregnant, or trying to conceive.

“We have made progress, but we could still do better with vaccination rates among the pregnant population,” Townsel said. “For patients who are pregnant, trying to conceive, undergoing fertility treatment, or breastfeeding, COVID-19 vaccination is a critical step in preventing serious illness, death, and adverse pregnancy outcomes.”

Additional institutions include Wayne State University, Henry Ford Health System, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Beaumont Health, Spectrum Health Hospital System, St. Joseph Mercy, Hurley Medical Center / Michigan State University, St. John Hospital and Medical Center, Ascension and Oakland University.

MORE FROM THE LAB: Sign up for our weekly newsletter

Do you like podcasts? add Michigan Medicine News Break on iTunes, Google Podcasts or anywhere you listen to podcasts.

Leave a Reply

Your email address will not be published.