Journal of Acute Disease (Jan 2022)

Maternal death due to severe and critical COVID-19 in Qom, Iran: A case series

  • Mojtaba Yousefzadeh,
  • Azadeh Asgarian,
  • Roghayyeh Ahangari,
  • Zahra Yazdi,
  • Marzieh Savari,
  • Monireh Mirzaie,
  • Fatemeh Bagheri,
  • Abolfazl Mohammadbeigi

DOI
https://doi.org/10.4103/2221-6189.362816
Journal volume & issue
Vol. 11, no. 6
pp. 243 – 246

Abstract

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Objective: To report the maternal death due to COVID-19. Methods: A total of 14 maternal deaths due to severe and critical COVID-19 who were referred to the obstetric department of Nekouie-Forghani-Hedayati Hospital, Qom, Iran from December 2019 to May 2022 were collected. The clinical manifestations and maternal and perinatal outcomes were analyzed. Results: Dexamethasone was used in 7 cases, while remdesivir was used in 5 cases. Acute respiratory distress syndrome, multiple organ failure, and sepsis were the main cause of mother death. The pregnancy in 8 cases were terminated by caesarean and only one neonatal death was reported from a mother at 13th week of gestational age, while all other fetus delivered were healthy and alive. Conclusions: COVID-19 in pregnancy is an emergency. Critical appraisal is needed to detect the other comorbidities and positive PCR test by throat swap should be performed as soon as possible.

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