|
|
| |
| Covid-19 Infection of Pregnant Women in Morocco: Experience of a Tertiary Hospital |
Hind Ennasser , Ahmed Mimouni , Hanane Saadi , Hafsa Taheri , Mohamed Amine Bouazzaoui ,Naima Abda , Brahim Housni , Houssam Bkiyar , Rim Amrani , Hatim Kouissmi , Siham Hamaz , Iman Skiker ,Iman Kamaoui , Nouredine Oulali, Mohammed Choukri , Adil Maleb
|
Abstract:
Introduction : Coronavirus disease 2019, caused by severe acute respiratory syndrome coronavirus 2, is spreading globally at an accelerated rate .This is a serious public health emergency, especially fatal in vulnerable populations and communities where medical service providers do not have sufficient capacity to manage infections. Materials and methods: We conducted a descriptive and analytical observational study. Among the 90 pregnant women tested COVID positive, from 16Mars to 30 November 2020, 44 hospitalized were included in the study. We described and compared maternal characteristics including comorbidities, symptoms, gestational age at diagnosis, length of hospitalization, pregnancy and fetal outcomes between the two groups according to the severity of disease. Results: Compared with nonsevere cases (77.2%), women with serious disease (22.8%) were elder with associated comorbidities. It seems that they express more caught, dyspnea and myalgia, fever is statistically higher but not significant. High leukocyte count, lymphopenia and elevated C reactive protein were more frequent in pregnant group with severe infection. Among the women who gave birth, 11.7%(2/17)had a vaginal delivery, 76.6%(13/17) had cesarean for obstetrical indication, and only 11.7%(2/17) had cesarean for worsening of pneumonia .Rates of preterm birth in all delivered women 17.6% (3/17),.oxygen-requiring, and critical COVID-19 were. We described 4 maternal death and 3 fetal dismisses of patients with critical COVID-19. All neonates have been tested negative. Conclusion: COVID-19 infection in pregnant women may be a serious disease, early diagnosis and timely obstetric management are essential to improve maternal and neonatal outcomes.
|
|
|
| | |