tetano
Editor, Senior Moderator
J Obstet Gynaecol Res
. 2020 Sep 21.
doi: 10.1111/jog.14493. Online ahead of print.
The clinical findings and outcomes of symptomatic pregnant women diagnosed with or suspected of having coronavirus disease 2019 in a tertiary pandemic hospital in Istanbul, Turkey
Ismail Alay[SUP] 1 [/SUP], Sukru Yildiz[SUP] 1 [/SUP], Cihan Kaya[SUP] 1 [/SUP], Kadriye Kart Yasar[SUP] 2 [/SUP], Ozlem Altuntas Aydin[SUP] 2 [/SUP], Hayat Kumbasar Karaosmanoglu[SUP] 2 [/SUP], Banu Aydeniz[SUP] 3 [/SUP], Ozgul Salihoglu[SUP] 4 [/SUP], Levent Yaşar[SUP] 1 [/SUP], Murat Ekin[SUP] 1 [/SUP]
Affiliations
Abstract
Aim: To observe the clinical course of symptomatic pregnant women diagnosed with or suspected of having COVID-19.
Methods: This study analyzed the clinical and laboratory results of 27 patients with real-time polymerase chain reaction (RT-PCR)-confirmed COVID-19 and 25 patients with a suspected COVID-19 diagnosis based on their symptoms and chest computed tomography (CT) findings. The patients' coagulation parameters and acute-phase reactants were evaluated both before and after treatment. The maternal and neonatal outcomes were also reviewed.
Results: The mean duration of hospitalization was 6.1 ? 3 days. The gestational age of the patients ranged from 6w2d to 40w2d. Thirty-five patients' CT scan findings suggested viral pneumonia. Four patients delivered vaginally, and 10 patients underwent a cesarean section during the study period. Four of the cesarean deliveries were indicated due to COVID-19 hypoxemia-related fetal distress. Four patients were admitted to the intensive care unit (ICU) after the cesarean section.
Conclusion: Early hospitalization and medical treatment can alleviate symptoms, improve the clinical course and reduce the need for ICU in symptomatic pregnant patients with suspected or confirmed COVID-19. Chest CT scans are a suitable option for suspected but unconfirmed COVID-19 infection.
Keywords: COVID-19; SARS-Cov-2; chest CT scan; novel coronavirus-2019; pregnancy.
. 2020 Sep 21.
doi: 10.1111/jog.14493. Online ahead of print.
The clinical findings and outcomes of symptomatic pregnant women diagnosed with or suspected of having coronavirus disease 2019 in a tertiary pandemic hospital in Istanbul, Turkey
Ismail Alay[SUP] 1 [/SUP], Sukru Yildiz[SUP] 1 [/SUP], Cihan Kaya[SUP] 1 [/SUP], Kadriye Kart Yasar[SUP] 2 [/SUP], Ozlem Altuntas Aydin[SUP] 2 [/SUP], Hayat Kumbasar Karaosmanoglu[SUP] 2 [/SUP], Banu Aydeniz[SUP] 3 [/SUP], Ozgul Salihoglu[SUP] 4 [/SUP], Levent Yaşar[SUP] 1 [/SUP], Murat Ekin[SUP] 1 [/SUP]
Affiliations
- PMID: 32954601
- DOI: 10.1111/jog.14493
Abstract
Aim: To observe the clinical course of symptomatic pregnant women diagnosed with or suspected of having COVID-19.
Methods: This study analyzed the clinical and laboratory results of 27 patients with real-time polymerase chain reaction (RT-PCR)-confirmed COVID-19 and 25 patients with a suspected COVID-19 diagnosis based on their symptoms and chest computed tomography (CT) findings. The patients' coagulation parameters and acute-phase reactants were evaluated both before and after treatment. The maternal and neonatal outcomes were also reviewed.
Results: The mean duration of hospitalization was 6.1 ? 3 days. The gestational age of the patients ranged from 6w2d to 40w2d. Thirty-five patients' CT scan findings suggested viral pneumonia. Four patients delivered vaginally, and 10 patients underwent a cesarean section during the study period. Four of the cesarean deliveries were indicated due to COVID-19 hypoxemia-related fetal distress. Four patients were admitted to the intensive care unit (ICU) after the cesarean section.
Conclusion: Early hospitalization and medical treatment can alleviate symptoms, improve the clinical course and reduce the need for ICU in symptomatic pregnant patients with suspected or confirmed COVID-19. Chest CT scans are a suitable option for suspected but unconfirmed COVID-19 infection.
Keywords: COVID-19; SARS-Cov-2; chest CT scan; novel coronavirus-2019; pregnancy.