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The clinical findings and outcomes of symptomatic pregnant women diagnosed with or suspected of having coronavirus disease 2019 in a tertiary pandemic hospital in Istanbul, Turkey
Author(s) -
Alay Ismail,
Yildiz Sukru,
Kaya Cihan,
Yasar Kadriye Kart,
Aydin Ozlem Altuntas,
Karaosmanoglu Hayat Kumbasar,
Aydeniz Banu,
Salihoglu Ozgul,
Yaşar Levent,
Ekin Murat
Publication year - 2020
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14493
Subject(s) - medicine , covid-19 , pneumonia , hypoxemia , intensive care unit , pregnancy , neonatal intensive care unit , respiratory distress , pediatrics , gestational age , obstetrics , disease , surgery , infectious disease (medical specialty) , biology , genetics
Aim To observe the clinical course of symptomatic pregnant women diagnosed with or suspected of having COVID‐19. Methods This study analyzed the clinical and laboratory results of 27 patients with real‐time polymerase chain reaction (RT‐PCR)‐confirmed COVID‐19 and 25 patients with a suspected COVID‐19 diagnosis based on their symptoms and chest computed tomography (CT) findings. The patients' coagulation parameters and acute‐phase reactants were evaluated both before and after treatment. The maternal and neonatal outcomes were also reviewed. Results The mean duration of hospitalization was 6.1 ± 3 days. The gestational age of the patients ranged from 6w2d to 40w2d. Thirty‐five patients' CT scan findings suggested viral pneumonia. Four patients delivered vaginally, and 10 patients underwent a cesarean section during the study period. Four of the cesarean deliveries were indicated due to COVID‐19 hypoxemia‐related fetal distress. Four patients were admitted to the intensive care unit (ICU) after the cesarean section. Conclusion Early hospitalization and medical treatment can alleviate symptoms, improve the clinical course and reduce the need for ICU in symptomatic pregnant patients with suspected or confirmed COVID‐19. Chest CT scans are a suitable option for suspected but unconfirmed COVID‐19 infection.