Our experience in the management of pregnant women with SARS-CoV-2 infection

The infection with SARS-CoV-2 among pregnant women represents a new challenge all over the world. Establishing an effective way to prevent the infection with the new type of coronavirus could decrease its incidence. Although this pathology is not completely understood and its perinatal complications are not entirely well known, it should be necessary to create a protocol to prevent and manage this disease. We present the experience of the Department of Obstetrics and Gynecology of the Bucharest University Emergency Hospital regarding pregnant women associating SARS-CoV-2 infection.

Obstetrical and Neonatal Outcome of Pregnancies Complicated with SARS-CoV-2 Infection

COVID-19 pandemic had an impact without precedent. Pregnant women are part of the vulnerable population and the extent of SARS-CoV-2 infection consequences on obstetrical and neonatal outcome are still studied. It’s been speculated, based on what is known about other pathogenic viruses, SARS-CoV-2 virus can interfere with placental defense mechanisms and increase the miscarriage and preterm birth rate. Often, pregnant women infected with SARS-CoV-2 virus develop mild pneumonia. Severe pneumonia occurs very rarely and is statistically significant related to neonatal death. Our study has been conducted in a multidisciplinary hospital unit and included 184 pregnant women with SARS-COV-2 infection who gave birth in our hospital, diagnosed through polymerase chain reaction. There have been analyzed data regarding the maternal symptomatology, the gestational age, the method of giving birth, complications that have occurred during birth, the newborns weight and neonatal outcome through Apgar score. There have been three cases of severe infection with maternal death and one case with neonatal death. Overall, 20% of patients had mild symptomatology, 2% had severe form and the rest of the patients were asymptomatic. We found a high rate of preterm birth and intrauterine growth restriction and an increase incidence of acute fetal distress followed by caesarean section. SARS-CoV-2 virus affects both the mother and the fetus as a whole and, subsequently, individually. Our results show the adverse obstetrical and neonatal outcome in peripartum period complicated with SARS-CoV-2 infection even in asymptomatic and mild-symptomatic cases. © Medicina Moderna.All rights reserved.