Abstract:
Objective To explore the clinical feature, diagnosis, treatment, and pregnancy outcome of pregnant women with novel coronavirus pneumonia (COVID-19).
Methods Epidemiological, radiological features, laboratory data, treatment and maternal and fetal outcomes of 22 pregnant women with COVID-19 who had been admitted to Tongji Hospital of Huazhong University of Science and Technology during January 15 to February 15, 2020 were retrospectively analyzed.
Results In clinical manifestations of pneumonia, 10 had fever (45.45%), 5 (22.73%) coughing, 1 (4.55%) shortness of breath and 1 (4.55%) diarrhea. In laboratory examination, lymphocyte decreased in 14 cases (63.64%), and D-dimer increased in 22 cases (100%). CT showed pulmonary infection and the positive rate of nucleic acid test results was 40.91%.
Conclusions The clinical characteristics of these patients with COVID-19 during pregnancy were similar to those of reported non-pregnant adults with COVID-19. Compared to the etiology test, chest CT is faster in detection and safer for pregnancy and more suitable for the screening of emergency obstetric inpatients in epidemic areas. It can also monitor the progress of the disease, which is helpful for screening, diagnosis and monitoring of pregnant women with COVID-19.
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