Maternal outcomes and risk factors for COVID-19 severity among pregnant women

Manon Vouga; Guillaume Favre; Oscar Martinez-Perez; Leo Pomar; Laura Forcen Acebal; Alejandra Abascal-Saiz; Maria Rosa Vila Hernandez; Najeh Hcini; Véronique Lambert; Gabriel Carles; Joanna Sichitiu; Laurent Salomon; Julien Stirnemann; Yves Ville; Begoña Martinez de Tejada; Anna Goncé; Ameth Hawkins-Villarreal; Karen Castillo; Eduard Gratacos Solsona; Lucas Trigo; Brian Cleary; Michael Geary; Helena Bartels; Feras Al-Kharouf; Fergal Malone; Mary Higgins; Niamh Keating; Susan Knowles; Christophe Poncelet; Carolina Carvalho Ribeiro-do-Valle; Fernanda Surita; Amanda Dantas-Silva; Carolina Borrelli; Adriana Gomes Luz; Javiera Fuenzalida; Jorge Carvajal; Manuel Guerra Canales; Olivia Hernandez; Olga Grechukhina; Albert I. Ko; Uma Reddy; Rita Figueiredo; Marina Moucho; Pedro Viana Pinto; Carmen De Luca; Marco De Santis; Diogo Ayres de Campos; Inês Martins; Charles Garabedian; Damien Subtil; Betania Bohrer; Maria Lucia Da Rocha Oppermann; Maria Celeste Osorio Wender; Lavinia Schuler-Faccini; Maria Teresa Vieira Sanseverino; Camila Giugliani; Luciana Friedrich; Mariana Horn Scherer; Nicolas Mottet; Guillaume Ducarme; Helene Pelerin; Chloe Moreau; Bénédicte Breton; Thibaud Quibel; Patrick Rozenberg; Eric Giannoni; Cristina Granado; Cécile Monod; Doris Mueller; Irene Hoesli; Dirk Bassler; Sandra Heldstab; Nicole Ochsenbein Kölble; Loïc Sentilhes; Melissa Charvet; Jan Deprest; Jute Richter; Lennart Van der Veeken; Béatrice Eggel-Hort; Gaetan Plantefeve; Mohamed Derouich; Albaro José Nieto Calvache; Maria Camila Lopez-Giron; Juan Manuel Burgos-Luna; Maria Fernanda Escobar-Vidarte; Kurt Hecher; Ann Christin Tallarek; Eran Hadar; Karina Krajden Haratz; Uri Amikam; Gustavo Malinger; Ron Maymon; Yariv Yogev; Leonhard Schäffer; Arnaud Toussaint; Marie Claude Rossier; Renato Augusto Moreira De Sa; Claudia Grawe; Karoline Aebi-Popp; Anda Petronela Radan; Luigi Raio; Daniel Surbek; Paul Böckenhoff; Brigitte Strizek; Martin Kaufmann; Andrea Bloch; Michel Boulvain; Silke Johann; Sandra Andrea Heldstab; Monya Todesco Bernasconi; Gaston Grant; Anis Feki; Anne Claude Muller Brochut; Marylene Giral; Lucie Sedille; Andrea Papadia; Romina Capoccia Brugger; Brigitte Weber; Tina Fischer; Christian Kahlert; Karin Nielsen Saines; Mary Cambou; Panagiotis Kanellos; Xiang Chen; Mingzhu Yin; Annina Haessig; Sandrine Ackermann; David Baud; Alice Panchaud

doi:10.1038/s41598-021-92357-y

Maternal outcomes and risk factors for COVID-19 severity among pregnant women

Manon Vouga, Guillaume Favre, Oscar Martinez-Perez, Leo Pomar, Laura Forcen Acebal, Alejandra Abascal-Saiz, Maria Rosa Vila Hernandez, Najeh Hcini, Véronique Lambert, Gabriel Carles, Joanna Sichitiu, Laurent Salomon, Julien Stirnemann, Yves Ville, Begoña Martinez de Tejada, Anna Goncé, Ameth Hawkins-Villarreal, Karen Castillo, Eduard Gratacos Solsona, Lucas TrigoBrian Cleary, Michael Geary, Helena Bartels, Feras Al-Kharouf, Fergal Malone, Mary Higgins, Niamh Keating, Susan Knowles, Christophe Poncelet, Carolina Carvalho Ribeiro-do-Valle, Fernanda Surita, Amanda Dantas-Silva, Carolina Borrelli, Adriana Gomes Luz, Javiera Fuenzalida, Jorge Carvajal, Manuel Guerra Canales, Olivia Hernandez, Olga Grechukhina, Albert I. Ko, Uma Reddy, Rita Figueiredo, Marina Moucho, Pedro Viana Pinto, Carmen De Luca, Marco De Santis, Diogo Ayres de Campos, Inês Martins, Charles Garabedian, Damien Subtil, Betania Bohrer, Maria Lucia Da Rocha Oppermann, Maria Celeste Osorio Wender, Lavinia Schuler-Faccini, Maria Teresa Vieira Sanseverino, Camila Giugliani, Luciana Friedrich, Mariana Horn Scherer, Nicolas Mottet, Guillaume Ducarme, Helene Pelerin, Chloe Moreau, Bénédicte Breton, Thibaud Quibel, Patrick Rozenberg, Eric Giannoni, Cristina Granado, Cécile Monod, Doris Mueller, Irene Hoesli, Dirk Bassler, Sandra Heldstab, Nicole Ochsenbein Kölble, Loïc Sentilhes, Melissa Charvet, Jan Deprest, Jute Richter, Lennart Van der Veeken, Béatrice Eggel-Hort, Gaetan Plantefeve, Mohamed Derouich, Albaro José Nieto Calvache, Maria Camila Lopez-Giron, Juan Manuel Burgos-Luna, Maria Fernanda Escobar-Vidarte, Kurt Hecher, Ann Christin Tallarek, Eran Hadar, Karina Krajden Haratz, Uri Amikam, Gustavo Malinger, Ron Maymon, Yariv Yogev, Leonhard Schäffer, Arnaud Toussaint, Marie Claude Rossier, Renato Augusto Moreira De Sa, Claudia Grawe, Karoline Aebi-Popp, Anda Petronela Radan, Luigi Raio, Daniel Surbek, Paul Böckenhoff, Brigitte Strizek, Martin Kaufmann, Andrea Bloch, Michel Boulvain, Silke Johann, Sandra Andrea Heldstab, Monya Todesco Bernasconi, Gaston Grant, Anis Feki, Anne Claude Muller Brochut, Marylene Giral, Lucie Sedille, Andrea Papadia, Romina Capoccia Brugger, Brigitte Weber, Tina Fischer, Christian Kahlert, Karin Nielsen Saines, Mary Cambou, Panagiotis Kanellos, Xiang Chen, Mingzhu Yin, Annina Haessig, Sandrine Ackermann, David Baud, Alice Panchaud

Obstetrics & Gynecology

Research output: Contribution to journal › Article › peer-review

97 Scopus citations

Abstract

Pregnant women may be at higher risk of severe complications associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which may lead to obstetrical complications. We performed a case control study comparing pregnant women with severe coronavirus disease 19 (cases) to pregnant women with a milder form (controls) enrolled in the COVI-Preg international registry cohort between March 24 and July 26, 2020. Risk factors for severity, obstetrical and immediate neonatal outcomes were assessed. A total of 926 pregnant women with a positive test for SARS-CoV-2 were included, among which 92 (9.9%) presented with severe COVID-19 disease. Risk factors for severe maternal outcomes were pulmonary comorbidities [aOR 4.3, 95% CI 1.9-9.5], hypertensive disorders [aOR 2.7, 95% CI 1.0-7.0] and diabetes [aOR2.2, 95% CI 1.1-4.5]. Pregnant women with severe maternal outcomes were at higher risk of caesarean section [70.7% (n = 53/75)], preterm delivery [62.7% (n = 32/51)] and newborns requiring admission to the neonatal intensive care unit [41.3% (n = 31/75)]. In this study, several risk factors for developing severe complications of SARS-CoV-2 infection among pregnant women were identified including pulmonary comorbidities, hypertensive disorders and diabetes. Obstetrical and neonatal outcomes appear to be influenced by the severity of maternal disease.

Original language	English
Pages (from-to)	13898
Number of pages	1
Journal	Scientific Reports
Volume	11
Issue number	1
DOIs	https://doi.org/10.1038/s41598-021-92357-y
State	Published - 6 Jul 2021

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10.1038/s41598-021-92357-y

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Vouga, M., Favre, G., Martinez-Perez, O., Pomar, L., Acebal, L. F., Abascal-Saiz, A., Hernandez, M. R. V., Hcini, N., Lambert, V., Carles, G., Sichitiu, J., Salomon, L., Stirnemann, J., Ville, Y., de Tejada, B. M., Goncé, A., Hawkins-Villarreal, A., Castillo, K., Solsona, E. G., ... Panchaud, A. (2021). Maternal outcomes and risk factors for COVID-19 severity among pregnant women. Scientific Reports, 11(1), 13898. https://doi.org/10.1038/s41598-021-92357-y

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title = "Maternal outcomes and risk factors for COVID-19 severity among pregnant women",

abstract = "Pregnant women may be at higher risk of severe complications associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which may lead to obstetrical complications. We performed a case control study comparing pregnant women with severe coronavirus disease 19 (cases) to pregnant women with a milder form (controls) enrolled in the COVI-Preg international registry cohort between March 24 and July 26, 2020. Risk factors for severity, obstetrical and immediate neonatal outcomes were assessed. A total of 926 pregnant women with a positive test for SARS-CoV-2 were included, among which 92 (9.9%) presented with severe COVID-19 disease. Risk factors for severe maternal outcomes were pulmonary comorbidities [aOR 4.3, 95% CI 1.9-9.5], hypertensive disorders [aOR 2.7, 95% CI 1.0-7.0] and diabetes [aOR2.2, 95% CI 1.1-4.5]. Pregnant women with severe maternal outcomes were at higher risk of caesarean section [70.7% (n = 53/75)], preterm delivery [62.7% (n = 32/51)] and newborns requiring admission to the neonatal intensive care unit [41.3% (n = 31/75)]. In this study, several risk factors for developing severe complications of SARS-CoV-2 infection among pregnant women were identified including pulmonary comorbidities, hypertensive disorders and diabetes. Obstetrical and neonatal outcomes appear to be influenced by the severity of maternal disease.",

author = "Manon Vouga and Guillaume Favre and Oscar Martinez-Perez and Leo Pomar and Acebal, {Laura Forcen} and Alejandra Abascal-Saiz and Hernandez, {Maria Rosa Vila} and Najeh Hcini and V{\'e}ronique Lambert and Gabriel Carles and Joanna Sichitiu and Laurent Salomon and Julien Stirnemann and Yves Ville and {de Tejada}, {Bego{\~n}a Martinez} and Anna Gonc{\'e} and Ameth Hawkins-Villarreal and Karen Castillo and Solsona, {Eduard Gratacos} and Lucas Trigo and Brian Cleary and Michael Geary and Helena Bartels and Feras Al-Kharouf and Fergal Malone and Mary Higgins and Niamh Keating and Susan Knowles and Christophe Poncelet and Ribeiro-do-Valle, {Carolina Carvalho} and Fernanda Surita and Amanda Dantas-Silva and Carolina Borrelli and Luz, {Adriana Gomes} and Javiera Fuenzalida and Jorge Carvajal and Canales, {Manuel Guerra} and Olivia Hernandez and Olga Grechukhina and Ko, {Albert I.} and Uma Reddy and Rita Figueiredo and Marina Moucho and Pinto, {Pedro Viana} and {De Luca}, Carmen and {De Santis}, Marco and {de Campos}, {Diogo Ayres} and In{\^e}s Martins and Charles Garabedian and Damien Subtil and Betania Bohrer and {Da Rocha Oppermann}, {Maria Lucia} and Wender, {Maria Celeste Osorio} and Lavinia Schuler-Faccini and Sanseverino, {Maria Teresa Vieira} and Camila Giugliani and Luciana Friedrich and Scherer, {Mariana Horn} and Nicolas Mottet and Guillaume Ducarme and Helene Pelerin and Chloe Moreau and B{\'e}n{\'e}dicte Breton and Thibaud Quibel and Patrick Rozenberg and Eric Giannoni and Cristina Granado and C{\'e}cile Monod and Doris Mueller and Irene Hoesli and Dirk Bassler and Sandra Heldstab and K{\"o}lble, {Nicole Ochsenbein} and Lo{\"i}c Sentilhes and Melissa Charvet and Jan Deprest and Jute Richter and {Van der Veeken}, Lennart and B{\'e}atrice Eggel-Hort and Gaetan Plantefeve and Mohamed Derouich and Calvache, {Albaro Jos{\'e} Nieto} and Lopez-Giron, {Maria Camila} and Burgos-Luna, {Juan Manuel} and Escobar-Vidarte, {Maria Fernanda} and Kurt Hecher and Tallarek, {Ann Christin} and Eran Hadar and Haratz, {Karina Krajden} and Uri Amikam and Gustavo Malinger and Ron Maymon and Yariv Yogev and Leonhard Sch{\"a}ffer and Arnaud Toussaint and Rossier, {Marie Claude} and {De Sa}, {Renato Augusto Moreira} and Claudia Grawe and Karoline Aebi-Popp and Radan, {Anda Petronela} and Luigi Raio and Daniel Surbek and Paul B{\"o}ckenhoff and Brigitte Strizek and Martin Kaufmann and Andrea Bloch and Michel Boulvain and Silke Johann and Heldstab, {Sandra Andrea} and Bernasconi, {Monya Todesco} and Gaston Grant and Anis Feki and Brochut, {Anne Claude Muller} and Marylene Giral and Lucie Sedille and Andrea Papadia and Brugger, {Romina Capoccia} and Brigitte Weber and Tina Fischer and Christian Kahlert and Saines, {Karin Nielsen} and Mary Cambou and Panagiotis Kanellos and Xiang Chen and Mingzhu Yin and Annina Haessig and Sandrine Ackermann and David Baud and Alice Panchaud",

year = "2021",

month = jul,

day = "6",

doi = "10.1038/s41598-021-92357-y",

language = "אנגלית",

volume = "11",

pages = "13898",

journal = "Scientific Reports",

issn = "2045-2322",

publisher = "Nature Publishing Group",

number = "1",

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Vouga, M, Favre, G, Martinez-Perez, O, Pomar, L, Acebal, LF, Abascal-Saiz, A, Hernandez, MRV, Hcini, N, Lambert, V, Carles, G, Sichitiu, J, Salomon, L, Stirnemann, J, Ville, Y, de Tejada, BM, Goncé, A, Hawkins-Villarreal, A, Castillo, K, Solsona, EG, Trigo, L, Cleary, B, Geary, M, Bartels, H, Al-Kharouf, F, Malone, F, Higgins, M, Keating, N, Knowles, S, Poncelet, C, Ribeiro-do-Valle, CC, Surita, F, Dantas-Silva, A, Borrelli, C, Luz, AG, Fuenzalida, J, Carvajal, J, Canales, MG, Hernandez, O, Grechukhina, O, Ko, AI, Reddy, U, Figueiredo, R, Moucho, M, Pinto, PV, De Luca, C, De Santis, M, de Campos, DA, Martins, I, Garabedian, C, Subtil, D, Bohrer, B, Da Rocha Oppermann, ML, Wender, MCO, Schuler-Faccini, L, Sanseverino, MTV, Giugliani, C, Friedrich, L, Scherer, MH, Mottet, N, Ducarme, G, Pelerin, H, Moreau, C, Breton, B, Quibel, T, Rozenberg, P, Giannoni, E, Granado, C, Monod, C, Mueller, D, Hoesli, I, Bassler, D, Heldstab, S, Kölble, NO, Sentilhes, L, Charvet, M, Deprest, J, Richter, J, Van der Veeken, L, Eggel-Hort, B, Plantefeve, G, Derouich, M, Calvache, AJN, Lopez-Giron, MC, Burgos-Luna, JM, Escobar-Vidarte, MF, Hecher, K, Tallarek, AC, Hadar, E , Haratz, KK, Amikam, U, Malinger, G , Maymon, R , Yogev, Y, Schäffer, L, Toussaint, A, Rossier, MC, De Sa, RAM, Grawe, C, Aebi-Popp, K, Radan, AP, Raio, L, Surbek, D, Böckenhoff, P, Strizek, B, Kaufmann, M, Bloch, A, Boulvain, M, Johann, S, Heldstab, SA, Bernasconi, MT, Grant, G, Feki, A, Brochut, ACM, Giral, M, Sedille, L, Papadia, A, Brugger, RC, Weber, B, Fischer, T, Kahlert, C, Saines, KN, Cambou, M, Kanellos, P, Chen, X, Yin, M, Haessig, A, Ackermann, S, Baud, D & Panchaud, A 2021, 'Maternal outcomes and risk factors for COVID-19 severity among pregnant women', Scientific Reports, vol. 11, no. 1, pp. 13898. https://doi.org/10.1038/s41598-021-92357-y

TY - JOUR

T1 - Maternal outcomes and risk factors for COVID-19 severity among pregnant women

AU - Vouga, Manon

AU - Favre, Guillaume

AU - Martinez-Perez, Oscar

AU - Pomar, Leo

AU - Acebal, Laura Forcen

AU - Abascal-Saiz, Alejandra

AU - Hernandez, Maria Rosa Vila

AU - Hcini, Najeh

AU - Lambert, Véronique

AU - Carles, Gabriel

AU - Sichitiu, Joanna

AU - Salomon, Laurent

AU - Stirnemann, Julien

AU - Ville, Yves

AU - de Tejada, Begoña Martinez

AU - Goncé, Anna

AU - Hawkins-Villarreal, Ameth

AU - Castillo, Karen

AU - Solsona, Eduard Gratacos

AU - Trigo, Lucas

AU - Cleary, Brian

AU - Geary, Michael

AU - Bartels, Helena

AU - Al-Kharouf, Feras

AU - Malone, Fergal

AU - Higgins, Mary

AU - Keating, Niamh

AU - Knowles, Susan

AU - Poncelet, Christophe

AU - Ribeiro-do-Valle, Carolina Carvalho

AU - Surita, Fernanda

AU - Dantas-Silva, Amanda

AU - Borrelli, Carolina

AU - Luz, Adriana Gomes

AU - Fuenzalida, Javiera

AU - Carvajal, Jorge

AU - Canales, Manuel Guerra

AU - Hernandez, Olivia

AU - Grechukhina, Olga

AU - Ko, Albert I.

AU - Reddy, Uma

AU - Figueiredo, Rita

AU - Moucho, Marina

AU - Pinto, Pedro Viana

AU - De Luca, Carmen

AU - De Santis, Marco

AU - de Campos, Diogo Ayres

AU - Martins, Inês

AU - Garabedian, Charles

AU - Subtil, Damien

AU - Bohrer, Betania

AU - Da Rocha Oppermann, Maria Lucia

AU - Wender, Maria Celeste Osorio

AU - Schuler-Faccini, Lavinia

AU - Sanseverino, Maria Teresa Vieira

AU - Giugliani, Camila

AU - Friedrich, Luciana

AU - Scherer, Mariana Horn

AU - Mottet, Nicolas

AU - Ducarme, Guillaume

AU - Pelerin, Helene

AU - Moreau, Chloe

AU - Breton, Bénédicte

AU - Quibel, Thibaud

AU - Rozenberg, Patrick

AU - Giannoni, Eric

AU - Granado, Cristina

AU - Monod, Cécile

AU - Mueller, Doris

AU - Hoesli, Irene

AU - Bassler, Dirk

AU - Heldstab, Sandra

AU - Kölble, Nicole Ochsenbein

AU - Sentilhes, Loïc

AU - Charvet, Melissa

AU - Deprest, Jan

AU - Richter, Jute

AU - Van der Veeken, Lennart

AU - Eggel-Hort, Béatrice

AU - Plantefeve, Gaetan

AU - Derouich, Mohamed

AU - Calvache, Albaro José Nieto

AU - Lopez-Giron, Maria Camila

AU - Burgos-Luna, Juan Manuel

AU - Escobar-Vidarte, Maria Fernanda

AU - Hecher, Kurt

AU - Tallarek, Ann Christin

AU - Hadar, Eran

AU - Haratz, Karina Krajden

AU - Amikam, Uri

AU - Malinger, Gustavo

AU - Maymon, Ron

AU - Yogev, Yariv

AU - Schäffer, Leonhard

AU - Toussaint, Arnaud

AU - Rossier, Marie Claude

AU - De Sa, Renato Augusto Moreira

AU - Grawe, Claudia

AU - Aebi-Popp, Karoline

AU - Radan, Anda Petronela

AU - Raio, Luigi

AU - Surbek, Daniel

AU - Böckenhoff, Paul

AU - Strizek, Brigitte

AU - Kaufmann, Martin

AU - Bloch, Andrea

AU - Boulvain, Michel

AU - Johann, Silke

AU - Heldstab, Sandra Andrea

AU - Bernasconi, Monya Todesco

AU - Grant, Gaston

AU - Feki, Anis

AU - Brochut, Anne Claude Muller

AU - Giral, Marylene

AU - Sedille, Lucie

AU - Papadia, Andrea

AU - Brugger, Romina Capoccia

AU - Weber, Brigitte

AU - Fischer, Tina

AU - Kahlert, Christian

AU - Saines, Karin Nielsen

AU - Cambou, Mary

AU - Kanellos, Panagiotis

AU - Chen, Xiang

AU - Yin, Mingzhu

AU - Haessig, Annina

AU - Ackermann, Sandrine

AU - Baud, David

AU - Panchaud, Alice

PY - 2021/7/6

Y1 - 2021/7/6

N2 - Pregnant women may be at higher risk of severe complications associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which may lead to obstetrical complications. We performed a case control study comparing pregnant women with severe coronavirus disease 19 (cases) to pregnant women with a milder form (controls) enrolled in the COVI-Preg international registry cohort between March 24 and July 26, 2020. Risk factors for severity, obstetrical and immediate neonatal outcomes were assessed. A total of 926 pregnant women with a positive test for SARS-CoV-2 were included, among which 92 (9.9%) presented with severe COVID-19 disease. Risk factors for severe maternal outcomes were pulmonary comorbidities [aOR 4.3, 95% CI 1.9-9.5], hypertensive disorders [aOR 2.7, 95% CI 1.0-7.0] and diabetes [aOR2.2, 95% CI 1.1-4.5]. Pregnant women with severe maternal outcomes were at higher risk of caesarean section [70.7% (n = 53/75)], preterm delivery [62.7% (n = 32/51)] and newborns requiring admission to the neonatal intensive care unit [41.3% (n = 31/75)]. In this study, several risk factors for developing severe complications of SARS-CoV-2 infection among pregnant women were identified including pulmonary comorbidities, hypertensive disorders and diabetes. Obstetrical and neonatal outcomes appear to be influenced by the severity of maternal disease.

AB - Pregnant women may be at higher risk of severe complications associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which may lead to obstetrical complications. We performed a case control study comparing pregnant women with severe coronavirus disease 19 (cases) to pregnant women with a milder form (controls) enrolled in the COVI-Preg international registry cohort between March 24 and July 26, 2020. Risk factors for severity, obstetrical and immediate neonatal outcomes were assessed. A total of 926 pregnant women with a positive test for SARS-CoV-2 were included, among which 92 (9.9%) presented with severe COVID-19 disease. Risk factors for severe maternal outcomes were pulmonary comorbidities [aOR 4.3, 95% CI 1.9-9.5], hypertensive disorders [aOR 2.7, 95% CI 1.0-7.0] and diabetes [aOR2.2, 95% CI 1.1-4.5]. Pregnant women with severe maternal outcomes were at higher risk of caesarean section [70.7% (n = 53/75)], preterm delivery [62.7% (n = 32/51)] and newborns requiring admission to the neonatal intensive care unit [41.3% (n = 31/75)]. In this study, several risk factors for developing severe complications of SARS-CoV-2 infection among pregnant women were identified including pulmonary comorbidities, hypertensive disorders and diabetes. Obstetrical and neonatal outcomes appear to be influenced by the severity of maternal disease.

UR - http://www.scopus.com/inward/record.url?scp=85110936233&partnerID=8YFLogxK

U2 - 10.1038/s41598-021-92357-y

DO - 10.1038/s41598-021-92357-y

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C2 - 34230507

AN - SCOPUS:85110936233

SN - 2045-2322

VL - 11

SP - 13898

JO - Scientific Reports

JF - Scientific Reports

IS - 1

ER -

Maternal outcomes and risk factors for COVID-19 severity among pregnant women

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