Pregnancy and Birth Complications in Pregnant Women with COVID-19

Abstract

Background and purpose: Considering that pregnant women are among the high-risk groups during the outbreak of infectious diseases, the purpose of this study is to investigate the complications of pregnancy and childbirth in pregnant women who were infected with (Covid-19). Materials and methods: In this cross-sectional study, which was conducted from 2020 to 2022, 100 pregnant women who were referred or sent to Imam Khomeini Hospital in Sari due to complaints ,such as fever, shortness of breath, cough or diarrhea and were suspected of having pneumonia caused by COVID-19 (according to biochemical and imaging criteria) were admitted to the hospital and treated, and the complications of pregnancy and childbirth were investigated. Results: In the infected pregnant women, there was a statistically significant difference in the severity of the covid disease in different peaks (P=0.002), such that 71% of these individuals had more severe involvement of covid disease in the third peak. Hospitalization for preterm labor (P=0.019) and amniotic fluid disorders (P=0.004) were significantly more common in the second peak than in other peaks. In the second peak, the amount of abnormal amniotic fluid in the third trimester was higher than in the other peaks (P=0.05). 66.7% of reasons for termination of pregnancy in severe cases of COVID-19 were due to maternal problems, which was significantly more than fetal cases (P=0.043). Conclusion: Due to the high risk of maternal and neonatal consequences of Covid-19 during pregnancy, special precautions should be taken during this period to prevent infection with this disease.

Keywords

• covid-19
• delivery
• pregnancy complications