Pregnancy worsens the morbidity of COVID-19 and this effect becomes more prominent as pregnancy advances

Objective

To investigate pregnancy outcomes and compare the clinical characteristics of coronavirus 2019 (COVID-19) disease in pregnant and agematched non-pregnant women.

Materials and Methods

Hospital records of four tertiary care centers were reviewed retrospectively. The subjects comprised 188 pregnant patients and 799 non-pregnant women who were admitted to these hospitals.

Results

Pregnancy significantly affected the clinical severity of COVID-19 and this effect was more prominent in pregnant women at >20 weeks gestation (p<0.001). Rates of oxygen support (10.1% vs 4.8%; p≤0.001), intensive care unit admission (3.2% vs 0.6%; p=0.009), presence of fever (12.8% vs 4.4%; p<0.001), tachypnea (7.0% vs 2.4%; p=0.003) and tachycardia (16.0% vs 1.9%; p<0.001) were significantly more frequent in pregnant women compared with non-pregnant women. Pregnancy was strongly associated with the need for oxygen support [relative risk (RR), 2.125; 95% confidence interval (CI): 1.25-3.60] and admission to the intensive care unit (RR, 5.1; 95% CI: 1.57-16.53) compared with non-pregnant women. Some 14.4% of the pregnant women had co-morbidities. Sixty of the 188 pregnant women (31.9%) delivered during the Severe Acute Respiratory syndrome coronavirus-2 infection, 11 (18.3%) had vaginal deliveries and 49 (81.7%) were by cesarean section. Of these 60 deliveries, 40 (66.7%) were <37 weeks gestation.

Conclusion

Pregnancy worsens the morbidity of COVID-19 and this effect seems to increase as the pregnancy advances, but not the mortality rate.

The role of compactibility in liquid-solid separation of wastewater sludges

The dewaterability of sludges is generally evaluated by the measurement of specific resistance to filtration (SRF) and capillary suction time (CST). It is generally, but not truly, agreed that the lower figures of these parameters indicate the easiness of sludge dewatering. The biological sludges which have the lower particle size and EPS contents may be characterised as hard-to-filter sludges based on SRF and CST measures. However, cake solids concentration of such a kind of sludge can be unexpectedly higher when the centrifugation is used as the dewatering mechanism. This study introduces compactibility, which is cake solids concentration of sludges after centrifugation as a new measure of dewaterability of hard-to-filter sludges. The results of this study claim that although the filterability indexes (CST and SRF) are moderately high for hard-to-filter sludges, their compactibility might be high indicating particle packing characteristics.