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Published on: November 10, 2023
COVID-19 during pregnancy: case report and literature review
Nadia Slimene1, Cyrine Bennasrallah2, Hela Abroug2
1Department of Family Medicine, University of Monastir, Monastir, Tunisia.
Insights
Pregnant women with COVID-19 pneumonia showed no severe symptoms or complications. Neonates born to these mothers also had no adverse outcomes, suggesting similar prognoses to the general population.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic poses a significant public health challenge, with pregnant women identified as a potentially vulnerable group.
- Understanding the impact of COVID-19 on pregnant individuals and their fetuses is crucial for clinical management and public health strategies.
Approach:
- This report details four cases of pregnant women diagnosed with COVID-19 pneumonia admitted to a national containment center in Tunisia.
- Clinical data, including patient demographics, gestational age, disease presentation, and delivery outcomes, were collected and analyzed.
Key Points:
- All four pregnant patients were asymptomatic and experienced no complications during their COVID-19 illness.
- Two patients delivered healthy neonates (one vaginally, one via Cesarean section) with no symptoms or adverse outcomes.
- No significant differences in disease prognosis were observed between the pregnant women group and the general female population.
Conclusions:
- The findings suggest that pregnant women may not experience more severe COVID-19 outcomes compared to non-pregnant women.
- Further research and careful monitoring are essential to fully understand COVID-19's impact on pregnancy and to inform clinical guidelines.
Abstract:
The current coronavirus disease 2019 (COVID-19) pneumonia pandemic, caused by the newly discovered coronavirus is a serious public health emergency and a highly infectious disease. Evidence to date suggests that there are groups of people who are at a higher risk of getting severe COVID-19 disease such as pregnant women and their fetuses. We reported 4 cases of pregnant women with COVID-19 admitted in the national containment center, Tunisia (3 imported cases and one local case). The age range of the patients was 27-35 years and the range of gestational weeks at admission was 16 weeks to 32 weeks. None of the patients had underlying diseases. All four cases were totally asymptomatic and presented no complications. Two of them gave birth one by vaginal and the other by cesarean delivery, neonates presented no symptoms and no adverse outcomes. The current report does not present significant differences in the disease prognosis in the pregnant women´s group compared with the general women´s population. Careful observation, data collection and consecutive research are necessary.
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