Results
Forty pregnant women with COVID-19 were included in the study. The
demographic information of the patients are shown in Table 1. Two
patients had a history of chronic disease (Type 2 Diabetes Mellitus and
Hypothyroidism).
Most of the patients presented with cough complaints (50%). The most
common symptoms accompanied by cough were fever and shortness of breath.
A significant number of patients were asymptomatic (42.5%). While 15
patients needed nasal oxygen support during their hospitalization, 2 of
our patients were hospitalized in the intensive care unit (ICU) due to
serious respiratory problems. We divided the patients into groups
according to stages of CT findings. We detected 10 patients with mild
involvement, 11 patients with moderate involvement and 8 patients with
severe involvement. Lung CT finding and the clinical features of the
patients are summarized in Table 2.
Laboratory findings of the pregnant at admission such as complete blood
count, coagulation tests, liver function tests, ferritin and CRP were
examined (Table 3).
Thirty-four of the patients had a c-section and six of them had a
vaginal delivery. A patient with a previous c-section had severe AST
(1560 U / L) and ALT (435 U / L) levels. Oxygen saturation under oxygen
support was 94%. She had tachycardia (130 beats per minute) and
shortness of breath. When she was 36 weeks of pregnancy, the decision
was made by cesarean delivery. Four babies needed neonatal intensive
care unit (NICU). Obstetric and neonatal characteristics are
demonstrated in Table 4.
Forty-five percent of the patients received only hydroxychloroquine
treatment. One patient was followed up without treatment. Low molecular
weight heparin treatment (LMWH) was started for all patients. Patients
with a D-dimer value above 2 mg / L were administered LMWH twice daily.
Treatment options are shown in Table 5.