Clinical Analysis of Ten Pregnant Women With COVID-19 in Wuhan, China: A Retrospective Study

Int J Infect Dis. 2020 Jun;95:294-300. doi: 10.1016/j.ijid.2020.04.047. Epub 2020 Apr 23.

Abstract

Background: COVID-19 is spreading globally. This study aims to evaluate the clinical characteristics and outcomes of pregnant women confirmed with COVID-19 to provide reference for clinical work.

Methods: The clinical features and outcomes of 10 pregnant women confirmed with COVID-19 at Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, a tertiary- care teaching hospital in Hubei province, Wuhan, China from January 23 to February 23, 2020 were retrospectively analyzed.

Results: All the 10 observed pregnant women including 9 singletons and 1 twin were native people in Wuhan. All of them were diagnosed mild COVID-19, and none of the patients developed severe COVID-19 or died. Among the 10 patients, two patients underwent vaginal delivery, two patients underwent intrapartum cesarean section, and the remaining six patients underwent elective cesarean section. All of 10 patients showed lung abnormalities by pulmonary CT images after delivery. Their eleven newborns were recorded and no neonatal asphyxia was observed.

Conclusions: Pulmonary CT screening on admission may be necessary to reduce the risk of nosocomial transmission of COVID-19 during the outbreak period. And COVID-19 is not an indication of cesarean section.

Keywords: COVID-19; Infection; Public health; pregnant women; pulmonary CT screening.

MeSH terms

  • Adult
  • Betacoronavirus*
  • Cesarean Section
  • Coronavirus Infections / complications*
  • Coronavirus Infections / diagnostic imaging
  • Female
  • Humans
  • Infant, Newborn
  • Lung / diagnostic imaging
  • Pandemics
  • Pneumonia, Viral / complications*
  • Pneumonia, Viral / diagnostic imaging
  • Pregnancy
  • Pregnancy Complications, Infectious*
  • Retrospective Studies
  • Tomography, X-Ray Computed

Supplementary concepts

  • COVID-19
  • severe acute respiratory syndrome coronavirus 2