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. 2022 Aug 4;42(10):1328–1337. doi: 10.1038/s41372-022-01467-6

Table 2.

Risk ratios for preterm birth among pregnant persons with SARS-CoV-2 infection for trimester of infection and COVID-19 severity.

[Total unweighted number of persons with available information] Weighted %a (95% CI)
Exposure Total Termb Pretermc Unadjusted RR 95% CI Adjusted RRd 95% CI
Total [6336] 89 (87.4–90.6) 11 (9.4–12.6)
Trimester of SARS-CoV-2 infectione [6336] [5474] [862]
 First 13.9 (10.9–16.9) 14.5 (11.1–17.8) 9.4 (7–11.9) 1 ref. 1 ref.
 Second 39.5 (35.5–43.5) 40.2 (35.8–44.6) 33.7 (27–40.3) 1.26 (0.83–1.91) 1.38 (0.87–2.17)
 Thirdf 46.6 (42.5–50.7) 45.3 (40.8–49.8) 56.9 (50.1–63.6) 1.8 (1.22–2.65) 1.84 (1.26–2.69)
Severity of COVID-19 [6336] [5474] [862]
 Mild 57.3 (53.1–61.5) 59.5 (54.8–64.2) 39.7 (33.6–45.8) 1 ref. 1 ref.
 Moderate-to-severe 25 (20.8–29.3) 25.3 (20.6–30) 22.8 (16.6–29.2) 1.32 (0.89–1.97) 1.01 (0.71–1.46)
 Critical 3.5 (2.5–4.5) 2.5 (1.6–3.4) 12.0 (7.4–16.6) 4.94 (3.35–7.27) 4.55 (3.01–6.88)
 Asymptomatic 14.2 (11.2–17.1) 12.8 (9.5–16) 25.5 (18.5–32.4) 2.6 (1.75–3.85) 2.57 (1.71–3.86)
Severity of COVID-19 by trimester of SARS-CoV-2 infectione
 First
 Mild 69.4 (55.9–82.9) 70.6 (56–85.3) 53.8 (41.3–66.4) 1 ref. 1 ref.
 Moderate-to-severe 23.2 (8.8–37.6) 22.8 (7.2–38.4) 28.6 (16.1–41) 1.59 (0.58–4.34) 1.45 (0.62–3.4)
 Critical -g -g -g -g -g -g -g
 Asymptomatic 6.5 (4.4–8.6) 5.7 (3.7–7.7) 16.3 (6.5–26) 3.23 (1.58–6.6) 2.08 (1.15–3.78)
Second
 Mild 57.2 (50.6–63.7) 58.5 (51.3–65.6) 44.2 (33.1–55.4) 1 ref. 1 ref.
 Moderate-to-severe 27.8 (21–34.7) 29 (21.6–36.4) 16.3 (10.9–21.7) 0.76 (0.47–1.22) 0.86 (0.52–1.4)
 Critical 3.9 (2–5.9) 3.2 (1.4–4.9) 11.6 (0–23.2) 3.8 (1.5–9.63) 3.96 (1.74–9.01)
 Asymptomatic 11.1 (7.9–14.3) 9.3 (6.3–12.4) 27.9 (13.5–42.3) 3.25 (1.74–6.07) 3.36 (1.75–6.43)
Thirdf
 Mild 53.9 (47.8–59.9) 56.8 (49.9–63.8) 34.7 (26.3–43) 1 ref. 1 ref.
 Moderate-to-severe 23.1 (17.6–28.7) 22.7 (16.5–29) 25.8 (15.8–35.8) 1.73 (0.97–3.07) 1.07 (0.64–1.78)
 Critical 3.9 (2.7–5.2) 2.4 (1.1–3.6) 14 (9.6–18.5) 5.55 (3.62–8.51) 4.56 (3.14–6.62)
 Asymptomatic 19.1 (13.5–24.6) 18.1 (11.8–24.3) 25.6 (17–34.1) 2.08 (1.21–3.6) 2.05 (1.23–3.42)

COVID-19 coronavirus disease 2019, SARS-CoV-2 severe acute respiratory syndrome coronavirus 2, RR risk ratio, CI confidence interval, Ref referent group.

aPercentages may not sum to 100 due to rounding.

bInfant born at 37 to <43 weeks.

cInfant born at 22 to <37 weeks.

dAdjusted for age as a continuous variable,presence of one or more of the following underlying conditions: prepregnancy obesity, chronic lung disease, chronic hypertension, diabetes mellitus type 1 or 2, cardiovascular disease, immunosuppression, presence of gestational diabetes or hypertensive disorders of pregnancy.

eBased on date of first positive test.

fExcludes persons infected at ≥37weeks.

gSuppressed data due to unweighted total <25.