Maternal and Fetal Outcome in Women with First Trimester COVID-19 Infection

Document Type : Original Article

Authors

1 Obstetrics and Gynecology department , Kasr Al Ainy hospital, Cairo university

2 Obstetrics and Gynecology department, Kasr Al Ainy hospital, Cairo university

3 Obstetrics and Gynecology department, Kasr Al Ainy hospital, Cairo University

4 Obstetrics and Gynecology department , Kasr Al Ainy hospital, Cairo University

5 Obstetrics and Gynecology department, El obour hospital

Abstract

Background: Coronavirus disease 2019 (COVID-19) is an international public health emergency that is attributed to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
Aim: To assess maternal and fetal results in women with COVID-19 infection in the 1st trimester.
Patients and Methods: This prospective observational and analytical research was performed on eighty pregnant females infected with COVID-19 in the 1st trimester at the Obstetrics and Gynecology Department, Kasr Al-Ainy Hospital Maternity Hospital, Cairo University.
Results: The main pregnancy-associated complications were bleeding in 24 cases (30%), abortion in 20 cases (25%), hyperemesis gravidarum in 1 case (1.3%), hospital admission in 3 cases (3.8%), hypertension/preeclampsia in 10 cases (12.5%), gestational DM in 1 case (1.3%) and preterm premature rupture of membranes (PPROM) in 16 cases (20%). Postpartum hemorrhage occurred in 1 case (1.3%), and 2 cases were admitted to ICU (2.5%). There were 15 preterm neonates (25%) and 45 full-term (75%). The mean birth weight was 2734±797.07 grams, and the median birth weight was 2975 grams (range: 550–4000 grams). The neonatal complications included congenital anomalies in 1 case (1.7%), intrauterine fetal death (IUFD) in 3 cases (5%), neonatal intensive care unit (NICU) in 12 cases (20%), and fetal morbidity in 8 cases (13.3%).
Conclusion: During pregnancy, COVID-19 infection is linked to severe maternal and fetal complications. The adverse impacts of COVID-19 through the 1st trimester of pregnancy, where fewer researches have been performed compared to other trimesters, should not be disregarded.

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