VARIED CLINICAL PRESENTATIONS OF COVID-19 IN PREGNANT WOMEN

Main Article Content

Amna Begum
Arifa Jabeen
Tasneem Kousar
Israr Ali khan

Keywords

Clinical Presentations, COVID-19, Pregnant Women

Abstract

Background: Globally, we are seeing one of the most severe health-related tragedies of the century is Covid-19. It is a unique disease with a plethora of unanticipated consequences.


Objective: The aim of the study was to explore Varied Clinical Presentations of COVID-19 in Pregnant Women.


Methodology: The current study was conducted at Pir Sayed Abdul Qadir Shah jilani institute of medical sciences Gambat. The duration of our study was one year from January 2020 to January 2021 after taking the approval from the ethical committee of the institute. A total of 40   suspected and probable Covid-19 pregnant participants were enrolled in the present study while Covid -19 negative individuals were excluded. SPSS software, version-20D was used for data analysis.  The symptoms of the study participants were presented as frequency and percentage.


Results: A total of 40 pregnant women presented with the symptoms of covid-19 were included in this study. Majority of the patents showed symptoms of Covid -19 25(62.5%) while 13(32.5%) had not .Various   parameters including history of contact and   symptoms of the study population were presented as frequency and percentage. The individuals displayed a range of Covid-19 symptoms. The majority of patients 25(62.5%) experienced a fever, and there were also minor symptoms.


Conclusion: We came to the conclusion that the clinical presentation of COVID-19 pregnant individuals is comparable to that of other parts of the world and the general population. To comprehend its variety in symptoms and severity, additional research with a greater number of participants would be necessary.

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References

1. Panahi L, Amiri M, Pouy S. Risks of Novel Coronavirus Disease (COVID-19) in Pregnancy; a Narrative Review. Arch AcadEmerg Mede. 2020; 8(1): e34.
2. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. New England Journal of Medicine. 2020.
3. https://www.who.int/emergencies/diseases/novel-coronavirus-2019
4. O’Connor C, Murphy M. Going viral: doctors must tackle fake news in the covid-19 pandemic. bmj 2020; 369: m1587.
5. Zhou SJ, Zhang LG, Wang LL, Guo ZC, Wang JQ, Chen JC, Liu M, Chen X, Chen JX. Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. European Child & Adolescent Psychiatry 2020; 1-10.
6. Zaigham M, Andersson O. Maternal and perinatal outcomes with COVID‐19: A systematic review of 108 pregnancies. Acta obstetricia et gynecologica Scandinavica.2020 Apr 7: 823-829
7. Rasmussen SA, Jamieson DJ, Bresee JS. Pandemic influenza and pregnant women. Emerg Infect Dis 2008; 14: 95–100.
8. Li N, Han L, Peng M, Lv Y, Ouyang Y, Liu K, Yue L, Li Q, Sun G, Chen L, Yang L. Maternal and neonatal outcomes of pregnant women with COVID-19 pneumonia: a case-control study. Clinical infectious diseases. 2020 Jan 1: 2035-2041.
9. Poon LC, Yang H, Kapur A, Melamed N, Dao B, Divakar H, McIntyre HD, Kihara AB, Ayres‐de‐Campos D, Ferrazzi EM, Di Renzo GC. Global interim guidance on coronavirus disease 2019 (COVID‐19) during pregnancy and puerperium from FIGO and allied partners: Information for healthcare professionals. International Journal of Gynecology & Obstetrics. 2020 Jun; 149(3):273-86.
10. Schwartz DA. An analysis of 38 pregnant women with COVID-19, their newborn infants, and maternal-fetal transmission of SARS-CoV-2: maternal coronavirus infections and pregnancy outcomes. Archives of pathology & laboratory medicine. 2020 Jul; 144(7):799-805.
11. Liu D, Li L, Wu X, Zheng D, Wang J, Yang L, Zheng C. Pregnancy and perinatal outcomes of women with coronavirus disease (COVID-19) pneumonia: a preliminary analysis. American journal of roentgenology. 2020 Mar 18:1-6.
12. Lechien, Jerome R. Clinical and Epidemiological Characteristics of 1,420 European Patients with mild‐to‐moderate Coronavirus Disease 2019. Journal of internal medicine (0954-6820) [Internet] 2020 April. [Cited 2020 May 11]; DOI: https://doi.org/10.1111/joim.13089
13. Feng Y, Ling Y, Bai T, et al. COVID-19 with Different Severity: A Multi-center Study of Clinical Features. Am J Respir CritCare Med. 2020;10.1164/rccm.202002-0445OC. [Internet] 2020 April. [Cited 2020 May 11]; DOI: 1007/s00405-020-05965-1
14. ChenL, Deng C, Chen X, et al. Ocular manifestations and clinical characteristics of 534 cases of COVID-19 in China: A cross-sectional study. medRxiv 2020;2020.03.12.20034678. [Internet] 2020 March. [cited 2020 May 11]; DOI:https://doi.org/10.1101/2020.03.12.20034678
15. Tian S, Hu N, Lou J et al., Characteristics of COVID-19 infection in BeXuijing. Journal of Infection [Internet]. 2020 Feb [cited 2020 Mar 23]; 80: 401–406DOI: https://doi.org/10.1016/j.jinf.2020.02.018
16. Chen J, Qi T, Liu L et al., Clinical progression of patients with COVID-19 in Shanghai, China, Journal of Infection, [Internet]. 2020 Mar [cited 2020 Mar23]; https://doi.org/10.1016/j.jinf.2020.03.004
17. Young BE, Ong SWX, Kalimuddin S, et al. Epidemiologic Features and Clinical Course of Patients Infected With SARSCoV-2 in Singapore. JAMA. [Internet].2020 Feb [cited 2020 Mar 23]; doi:10.1001/jama.2020.3204
18. Yang W, Cao Q and Qin L, et al., Clinical characteristics and imaging manifestations of the 2019 novel coronavirus disease (COVID-19): A multi-center study in Wenzhou city, Zhejiang, China. Journal of Infection [Internet]. 2020 Feb [cited 2020 Mar 23]; 80 (2020) 388–393.DOI:https://doi.org/10.1016/j.jinf.2020.02.016.
19. Chang, Tu-Hsuan et al. Clinical characteristics and diagnostic challenges of pediatric COVID-19: A systematic review and meta-analysis. Journal of the Formosan Medical Association (0929-6646), 119 (5), p. 982. [Internet] 2020 April. [Cited 2020 May 11]; DOI: https://doi.org/10.1016/j.jfma.2020.04.007
20. Shen, Q. et al. Novel coronavirus infection in children outside of Wuhan, China. Pediatric pulmonology (8755-6863), 55 (6), p. 1424.[Internet] 2020 April. [Cited 2020 Ma 11];
21. Sutton D, Fuchs K, D’alton M, Goffman D. Universal screening for SARS-CoV-2 in women admitted for delivery. New England Journal of Medicine 2020; 382 (22):2163-2164