Title : Acute complications of Covid-19 infection in pregnant woman during the period 2020-2021
Abstract:
Introduction: In December 2019, a new coronavirus identified in Wuhan, China was responsible for the rapid emergence of COVID-19, declared by the WHO a global pandemic in
March 2020, responsible for a high rate of mortality and occurrence of acute and long-term complications. Pregnancy is a physiological condition associated with changes on several body systems, making possible a high rate of complications during COVID-19.
Methods: We carried out a retrospective descriptive study on pregnant women hospitalized at Mohamed Boudiaf Hospital in Ouargla, Algeria for two years 2020-2021 aiming to describe SARS-CoV-2 infection in pregnant women, the complications occurring; and to reduce maternal-fetal mortality associated to COVID-19.
Results: 36 pregnant women were registered out of total of 4101 patients; the average age was 33.58 years; 55.6% were admitted in the 3rd trimester and 78% had no comorbidities. The most common symptoms were: dyspnea (61.1%), followed by Fatigue (50%) and fever (44.4%).
61.1% of pregnant women were complicated; ARDS was the most frequent complication present in 10 patients, followed by superinfection and septic shock in 05 and 03 patients, respectively. Then pulmonary embolism (02), Diabetic ketosis (02) and other complications.
A high rate of complications was associated with advanced age, 3rd trimester, presence of dyspnea and initial blood oxygen saturation <92%. Caesarean section was the method of delivery in 70% of the cases; mortality was estimated at 25%.
Conclusion: In our study, pregnant women seem to be vulnerable to COVID-19, particularly in the 3rd trimester, with a high mortality rate, hence the importance of prevention, early diagnosis and adequate care.
