THE IMPACT OF ACUTE CORONAVIRUS INFECTION ON THE COURSE OF PREGNANCY, CHILDBIRTH, THE CONDITION OF THE MOTHER, FETUS AND NEWBORN

Abstract

The article provides information on the research conducted to study the features of the course of pregnancy, childbirth in patients with acute coronavirus infection and it’s impact on condition of the fetus, mother and newborn.
58 pregnant women with acute coronavirus infection at 22-37 weeks of pregnancy were examined. The average age of pregnant women was 28.93±1.72 (20-38) years. All patients included in a study underwent clinical, functional, laboratory, radiological examinations.
It was found that condition of the patients at a moment of hospitalization was satisfactory in 10% (n=6) of pregnant, an of moderate severity in 89.7% (n=52) of patients. Indications for hospitalization in 55.2% of pregnant women were acute course respiratory coronavirus infection, in 13.8% of pregnant positive COVID-19 test on a background of previous scar on the uterus, in 17.3% of the onset of premature birth, in 13.8% of patients was premature discharge of amniotic fluid.
72.4% of patients underwent caesarean section, 27.6% of patients had vaginal birth. Indicators for caesarean section in 19% of cases was previous scar on the uterus, in 19% - premature discharge of amniotic fluid and the absence of labor, in 47.6% severe course of coronavirus infection following with pneumonia and progressive respiratory failure, in 14.3% of patients acute fetal hypoxia. 10.3% of newborn of mothers with coronovirus infection were in a satisfactory condition, 89.7% were in severe and moderate condition. The main causes of unsatisfactory condition of newborns were intrauterine pneumonia, premature birth and the respiratory distress syndrome.
It was confirmed that the frequency of transmission of intrauterine coronavirus infection from mother to fetus was 10.3%.