Analysis of the course of the new coronavirus infection COVID-19 in pregnant women under treatment in the Infection Department of Clinical Hospital no. 1 in Smolensk

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Abstract

BACKGROUND: The physiological features of the pregnant woman’s body include her in the risk group for a more severe course of the disease, therefore, the management and treatment of such patients requires the most careful monitoring, as well as the coordinated work of a gynecologist and an infectious disease specialist.

AIM: To evaluate the variants of the course of the disease in pregnant women with confirmed coronavirus infection.

MATERIALS AND METHODS: The medical records of patients who were treated in the infectious diseases department of the Clinical Hospital No. 1 in Smolensk from May 2020 to September 2021 were analyzed, the necessary data were included in the protocols of our study. Such indicators as the main diagnosis and severity of the course of the disease, complaints at admission, the presence and stage of fever, age, gestational age, the presence of concomitant pathology and a complicated obstetric and gynecological history were evaluated.

RESULTS: Analysis of the course of the disease according to the medical history showed that a moderate form of a new coronavirus infection dominates pregnant women.

CONCLUSIONS: A trend towards a moderate course of a new coronavirus infection COVID-19 has been established. The probability that this is due to the presence in most patients with a history of diseases of the cardiovascular system, kidneys, liver, as well as diabetes, obesity, anemia.

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About the authors

Anastasia A. Skvortsova

Smolensk State Medical University

Author for correspondence.
Email: skvortsova.2015@inbox.ru
ORCID iD: 0000-0002-8623-083X

Student

Russian Federation, Smolensk

Anna I. Zakharova

Smolensk State Medical University

Email: golovast99@bk.ru
ORCID iD: 0000-0003-2739-7864

Student

Russian Federation, Smolensk

Sofia A. Kostina

Smolensk State Medical University

Email: kostina.2018@list.ru
ORCID iD: 0000-0002-6139-7385

Student

Russian Federation, Smolensk

Olga S. Rozinkova

Smolensk State Medical University

Email: o.peregontseva80@mail.ru
ORCID iD: 0000-0002-6346-8204

MD, Cand. Sci. (Med.), Assistant Professor, Department of Infectious Diseases with Epidemiology

Russian Federation, Smolensk

Anna B. Melnikova

Smolensk State Medical University

Email: annabm@list.ru
SPIN-code: 9932-3616

Assistant Professor of the Department of Obstetrics and Gynecology with a Course in Prenatal Diagnostics

Russian Federation, Smolensk

Elena N. Simakina

Smolensk State Medical University

Email: e.simakina@mail.ru

Assistant Lecturer of the Department of Infectious Diseases with Epidemiology

Russian Federation, Smolensk

References

  1. VOZ o vspyshke novoi koronavirusnoi infektsii [Internet]. Available from: https://www.who.int/ru/emergencies/diseases/novel-coronavirus-2019. Accessed: 14.06.2022. (In Russ.)
  2. Di Toro F, Gjoka M, Di Lorenzo G, et al. Impact of COVID-19 on maternal and neonatal outcomes: a systematic review and meta-analysis. Clin Microbiol Infect. 2021;27(1):36–46. doi: 10.1016/j.cmi.2020.10.007
  3. Koronavirusnaya infektsiya — COVID-19: Klinicheskie rekomendatsii RF 2018–2020 gg. [Internet]. Available from: https://diseases.medelement.com/disease/коронавирусная-инфекция-covid-19-рф-версия-6-2020/16429. Accessed: 14.06.2022. (In Russ.)

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. The frequency of occurrence of concomitant diseases. For Fig. 1–3: data obtained from the analysis of case histories of pregnant women treated in the infectious diseases departments of the Clinical Hospital No. 1 in Smolensk

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3. Fig. 2. The magnitude of lung tissue damage according to computed tomography

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4. Fig. 3. Variation of symptoms in pregnant women with a new coronavirus infection at different gestational ages

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