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An evaluation of the results of convalescent plasma therapy applied to pregnant women diagnosed as COVID-19- positive in a pandemic center: A prospective cohort study.
Erol, Seyit Ahmet; Tanaçan, Atakan; Apaydin, Hakan; Ayhan, Sule Göncü; Oluklu, Deniz; Hendem, Derya Uyan; Ünlü, Serpil; Erden, Abdulsamet; Tekin, Özlem Moraloglu; Omma, Ahmet; Ates, Ilan; Küçüksahin, Orhan; Sahin, Dilek.
  • Erol SA; Department of Obstetrics and Gynecology, Division of Perinatology, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey.
  • Tanaçan A; Department of Obstetrics and Gynecology, Division of Perinatology, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey.
  • Apaydin H; Department of Internal Medicine, Division of Rheumatology, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey.
  • Ayhan SG; Department of Obstetrics and Gynecology, Division of Perinatology, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey.
  • Oluklu D; Department of Obstetrics and Gynecology, Division of Perinatology, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey.
  • Hendem DU; Department of Obstetrics and Gynecology, Division of Perinatology, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey.
  • Ünlü S; Department of Infectious Diseases and Clinical Microbiology, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey.
  • Erden A; Department of Internal Medicine, Division of Rheumatology, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey.
  • Tekin ÖM; Department of Obstetrics and Gynecology, University of Health Sciences, Turkish Ministry of Health, Ankara City Hospital, Ankara, Turkey.
  • Omma A; Department of Internal Medicine, Division of Rheumatology, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey.
  • Ates I; Department of Internal Medicine, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey.
  • Küçüksahin O; Department of Internal Medicine, Division of Rheumatology, Yildirim Beyazit University, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey.
  • Sahin D; Department of Obstetrics and Gynecology, Division of Perinatology, University of Health Sciences, Turkish Ministry of Health Ankara City Hospital, Ankara, Turkey.
Turk J Med Sci ; 52(3): 554-564, 2022 06.
Article in English | MEDLINE | ID: covidwho-1918427
ABSTRACT

BACKGROUND:

Convalescent plasma (CP) might be an additional treatment modality in COVID-19. The aim of this study was to compare CP-related clinical characteristics and perinatal outcomes in pregnant women with mild or moderate-severe COVID-19.

METHODS:

This prospective cohort study included 36 pregnant women (12 mild and 24 moderate-severe), who underwent CP therapy. The CP obtained from recently recovered donors was transfused to patients together with maximum supportive care and antiviral agents. The groups were then compared in respect of clinical characteristics, laboratory parameters, obstetric complications, and neonatal outcomes.

RESULTS:

Significant differences were determined between the groups in respect of systemic corticosteroids in COVID-19 treatment (41.7%, 87.5%, p = 0.004), oxygen (O2) support (0%, 91.7%, p < 0.001), chest imaging (41.7%, 58.3%, p = 0.02), intensive care unit admission (0%, 20.8%, p = 0.03) and length of hospitalization (5.5 versus 9.5 days, p < 0.001). The O2 saturation levels before and after administration of CP were significantly lower in the moderate-severe COVID-19 group (p < 0.05). The O2 therapy time before and after administration of CP and total O2 therapy time were significantly lower in the mild COVID-19 group (p < 0.05). Platelet, plateletcrit and lymphocyte counts were significantly higher in both the mild and moderate-severe COVID-19 groups after treatment compared to the pretreatment values (p < 0.05).

DISCUSSION:

Although data on the results of CP treatment in pregnant women are somewhat limited, it has been suggested that early CP treatment may be associated with improvements in laboratory and ventilatory parameters in pregnant women with mild and moderate-severe COVID-19. Nevertheless, there is a need for further, randomized controlled studies on this subject with the inclusion of greater numbers of patients.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications, Infectious / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Infant, Newborn / Pregnancy Language: English Journal: Turk J Med Sci Year: 2022 Document Type: Article Affiliation country: 1300-0144.5346

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications, Infectious / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans / Infant, Newborn / Pregnancy Language: English Journal: Turk J Med Sci Year: 2022 Document Type: Article Affiliation country: 1300-0144.5346