ABSTRACT
The article presents the basic principles of organization adopted by the leadership of the GKP on the REM "Multidisciplinary City Hospital No.3" in Nur-Sultan in the context of a coronavirus pandemic. The Infection Control Committee has developed algorithms aimed at curbing the epidemic process of COVID-19 and preventing nosocomial infection. The timely adoption of measures to counter the spread of the new coronavirus infection had a positive effect and determined the effective and high-quality work of the obstetric unit.
ABSTRACT
Relevance. The Coronavirus pandemic, which has changed the lives of people and the medical community around the world, was announced by WHO in March 2020. The reason was the rapidly spreading new coronavirus infection SARS - CoV-2. It is important to know that in the future outbreaks of infections, crown-like or any other infections are not excluded and medical workers should be prepared to work in special conditions. The pandemic has not revealed a more severe course of the disease in pregnant women compared to the general population of adults, but medical workers need to be prepared for any development of the situation in case of changes in the epidemiological situation in the regions, the country and the world. The purpose of the study: analysis of the management of pregnancy and childbirth in patients infected with the COVID-19 virus in the mode of the infectious hospital of the Multidisciplinary City Hospital No. 3. Materials and methods research: A retrospective study was conducted based on the analysis of statistical data of 1541 medical records histories for the period from May to August 2021 in dynamics in the obstetric unit of the Multidisciplinary City Hospital No. 3 in Nur-Sultan. The inclusion criteria are pregnant patients with confirmed analysis of SARS - CoV-2 coronavirus infection. Clinical manifestations of COVID-19 coronavirus infection, laboratory, X-ray and CT data, timing and methods of delivery, severity and complications caused by this disease were taken for analysis in medical records. Quantitative data and percentage ratio are presented. Research results: 1501 (97.4%) hospitalized pregnant women had an average degree of CVI and a severe degree - 40 (2.6%). The following symptoms were most often noted: fever, cough, shortness of breath, diarrhea, sore throat, myalgia, chills. Less common: rash, headache, malaise and loss of appetite. Radiographs and CT data showed both typical bilateral signs of lung damage in 357 (30%) and unilateral signs in 618 (51.9%). Changes in laboratory parameters in these women included: an increase in the level of D-dimer, an increase in C-reactive protein, lymphocytopenia, a moderate increase in liver enzymes (aspartate aminotransferase, alanine aminotransferase), thrombocytopenia. Maternal mortality was not recorded during the study period. Conclusions: The management and treatment of pregnant women with coronavirus infection in MGB No. 3 in an infectious mode according to clinical protocols approved by the Joint Commission on the Quality of Medical Services of the Ministry of Health of the Republic of Kazakhstan allowed to improve pregnancy outcomes and prevent cases of maternal mortality. Further studies of the course of pregnancy and its outcomes in pregnant women with coronavirus infection are needed.