Pregnancy complications and outcomes in women with COVID-19


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Abstract

Aim: Analysis of pregnancy complications and outcomes in women with COVID-19. Materials and methods: The retrospective study included 34pregnant women aged 16-40years, who underwent treatment for COVID-19 in hospital. The diagnosis of COVID-19 infection was confirmed by positive PCR test results for SARS-CoV-2 RNA detection in all pregnant women. Results: Most pregnant women (52.9%) had mild symptoms, 20.7% had moderate symptoms and 17.6% had severe symptoms. Pneumonia was diagnosed in 67.1% of pregnant women. Obesity was predominant in the structure of extragenital disorders. It was in 44.1% of women. With COVID-19, iron deficiency anemia (44.2%), preeclampsia (38.2%), risk of preterm birth (35.3%) were predominant in the structure of pregnancy complications. Preterm birth occurred in 36.8% of cases. Cesarean section was performed in 73.3% of cases. The incidence of complications in newborns was 11.6%. 8.8% of newborns were referred to the neonatal intensive care unit. Conclusion: It was found that most pregnant women had mild cases ofCOVID-19. Pregnant women with COVID-19 had high incidence of preeclampsia, preterm birth and cesarean section versus pregnant women without COVID- 19. Intrauterine vertical transmission of infection was not detected. The incidence of complications in newborns was in compliance with general population indicators.

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About the authors

Yulia E. Dobrokhotova

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia

Email: pr.dobrohotova@mail.ru
Dr. Med. Sci., Professor, Head of the Department of Obstetrics and Gynecology, Medical Faculty

Lesya N. Gumenyuk

V.I. Vernadsky Crimean Federal University

Email: lesya_gymenyuk@mail.ru
Dr. Med. Sci., Professor, Department of Psychiatry, Narcology, and Psychotherapy with a Course of General and Medical Psychology, S.I. Georgievsky Medical Academy

Galina A. Puchkina

V.I. Vernadsky Crimean Federal University

Email: puchkina.g.a@mail.ru
Assistant of the Department of Obstetrics, Gynecology and Perinatology No. 1, S.I. Georgievsky Medical Academy

Vyacheslav Yu. Mikhailichenko

V.I. Vernadsky Crimean Federal University

Email: puchkina.g.a@mail.ru
Professor, Head of the Department of General Surgery, Anesthesiology-Resuscitation and Emergency Medicine, S.I. Georgievsky Medical Academy

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