A pandemic center's experience of managing pregnant women with COVID-19 infection in Turkey: A prospective cohort study.

Autor: Sahin D; Ankara City Hospital, University of Health Sciences, Ankara, Turkey.; Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey., Tanacan A; Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey., Erol SA; Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey., Anuk AT; Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey., Eyi EGY; Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey., Ozgu-Erdinc AS; Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey., Yucel A; Ankara City Hospital, University of Health Sciences, Ankara, Turkey.; Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey., Keskin HL; Ankara City Hospital, University of Health Sciences, Ankara, Turkey.; Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey., Tayman C; Ankara City Hospital, University of Health Sciences, Ankara, Turkey.; Division of Neonatology, Department of Pediatrics, Ministry of Health, Ankara City Hospital, Ankara, Turkey., Unlu S; Department of Infectious Diseases, Ministry of Health Ankara City Hospital, Ankara, Turkey., Kirca F; Department of Medical Microbiology, Ministry of Health Ankara City Hospital, Ankara, Turkey., Dinc B; Department of Medical Microbiology, Ministry of Health Ankara City Hospital, Ankara, Turkey., San I; Ankara City Hospital, University of Health Sciences, Ankara, Turkey.; Head of Emergency Health Services, Ministry of Health, Ankara, Turkey., Parpucu ÜM; Ankara City Hospital, University of Health Sciences, Ankara, Turkey.; Gulhane Vocational School of Health Services Anaesthesiology and Reanimation Department, Ankara, Turkey., Surel AA; Coordinator Head Physician of General Hospital, Ministry of Health, Ankara City Hospital, Ankara, Turkey., Moraloglu OT; Ankara City Hospital, University of Health Sciences, Ankara, Turkey.; Department of Obstetrics and Gynecology, Ministry of Health, Ankara City Hospital, Ankara, Turkey.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2020 Oct; Vol. 151 (1), pp. 74-82. Date of Electronic Publication: 2020 Aug 06.
DOI: 10.1002/ijgo.13318
Abstrakt: Objective: To evaluate the course and effect of coronavirus disease 2019 (COVID-19) on pregnant women followed up in a Turkish institution.
Methods: A prospective, single tertiary pandemic center cohort study was conducted on pregnant women with confirmed or suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Positive diagnosis was made on a real-time polymerase chain reaction (RT-PCR) assay of a nasopharyngeal and oropharyngeal specimen. Demographic features, clinical characteristics, and maternal and perinatal outcomes were evaluated.
Results: SARS-CoV-2 was suspected in 100 pregnant women. Of them, 29 had the diagnosis confirmed by RT-PCR. Eight of the remaining 71 cases had clinical findings highly suspicious for COVID-19. Ten (34.5%) of the confirmed cases had co-morbidities. Cough (58.6%) and myalgia (51.7%) were the leading symptoms. COVID-19 therapy was given to 10 (34.5%) patients. There were no admissions to the intensive care unit. Pregnancy complications were present in 7 (24.1%) patients. Half of the births (5/10) were cesarean deliveries. None of the neonates were positive for SARS-CoV-2. Samples of breastmilk were also negative for the virus. Three neonates were admitted to the neonatal intensive care unit.
Conclusion: The clinical course of COVID 19 during pregnancy appears to be mild in the present study.
(© 2020 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
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