Pregnancy and Childbirth in Women with Confirmed COVID-19
Abstract
Djabbarova Yulduz Kasimovna, Ismoilova Shoira Tolkunovna, Yuldasheva Gulchekhra Rakhimovna
Introduction: A new viral infection, dubbed “COVID-19” in the spring of 2020, became pandemic. Data on the impact of Covid-19 on pregnant women and childbirth are scarce and contradictory. Purpose: to study the peculiarities of the course and outcome of labor in women with positive results from COVID-19.
Materials and Methods: An analysis of 222 birth histories of women with laboratory-confirmed COVID-19 PCR directed to delivery to the specialized obstetric department of the Fergana city medical association for October-December 2020 is presented.
Results: A mild form of infection was in 70,2%, moderate - in 21.2%, severe - in 8.1%, and critical - in 0.5%. The frequency and nature of the upper and lower respiratory tract lesions, SPO2 parameters and lung damage, as well as the age of pregnant women, parity, the presence of somatic and obstetric pathology are presented. The frequency of delivery by weight section was 25.2%, preterm birth - 9.5%.
Conclusions: In most pregnant women the severe form of COVID-19 is characterized by bilateral pneumonia with ARS and anemia in 100% of cases, the frequency of miscarriage in them is high and reaches 37%. The condition of pregnant women with COVID-19 aggravated the development of severe preeclampsia, premature placental abruption, and multiple pregnancy.