Bratisl Lek Listy. 2021;122(2):152-157. doi: 10.4149/BLL_2021_023.
To evaluate clinical features, laboratory test results, maternal and neonatal outcomes of pregnant patients with the Coronavirus disease (COVID-19).
COVID-19 is a highly contagious disease caused by a severe acute respiratory coronavirus 2 (SARS-CoV-2). Healthy pregnant women are more susceptible to developing COVID-19.
We reviewed clinical data from pregnant patients with a laboratory-confirmed SARS-CoV-2, who were admitted to two tertiary care hospitals in Turkey. Demographic, clinical characteristics, laboratory test results, imaging findings, treatment received, maternal and neonatal outcomes were collected.
A total of 24 pregnant women were enrolled in this study. The mean maternal and gestational age was 26.9±5.37 years and 24.15±10.61 weeks, respectively. Cough was observed as the most common symptom (n=15; 62.5 %). The lowest lymphocyte percentage was 20.83±13.05 (%). Nine women have delivered by Caesarean section, while one had a vaginal birth. One woman with critical COVID-19 died 2 days later postpartum. The neonate had been transferred to neonatal intensive care unit and died within 24 hours of birth.
Our findings showed that except for one patient, the clinical course of COVID-19 during pregnancy was mild. Early hospitalization of pregnant women with confirmed and suspected COVID-19, liberal testing for SARS-CoV-2, active management with a multidisciplinary team seemed to be critical to recovery (Tab. 3, Ref. 31).
评估患冠状病毒病 (COVID-19) 的孕妇的临床特征、实验室检查结果、母婴结局。
COVID-19 是由一种严重急性呼吸道冠状病毒 2 (SARS-CoV-2) 引起的高度传染性疾病。健康孕妇更容易感染 COVID-19。
我们回顾了土耳其两家三级保健医院收治的经实验室确诊的 SARS-CoV-2 感染孕妇的临床数据。收集了人口统计学、临床特征、实验室检查结果、影像学表现、治疗方法以及母婴结局。
本研究共纳入 24 例孕妇。母亲的平均年龄和孕周分别为 26.9±5.37 岁和 24.15±10.61 周。最常见的症状是咳嗽（n=15；62.5%）。最低的淋巴细胞百分比为 20.83±13.05（%）。9 名妇女行剖宫产分娩，1 名妇女经阴道分娩。1 例重症 COVID-19 患者产后 2 天死亡。新生儿转入新生儿重症监护病房，出生后 24 小时内死亡。
除 1 例患者外，我们的研究结果显示孕妇 COVID-19 病程在妊娠期间均较轻。对于确诊和疑似 COVID-19 的孕妇，早期住院、广泛检测 SARS-CoV-2、多学科团队积极管理，对于康复至关重要（表 3，参考文献 31）。
