Impact of coronavirus disease (Covid-19) within the third trimester of pregnancy

• Main Authors: A. V. Boychuk, O. I. Khlibovska, Y. B. Yakymchuk
• Format: Article
• Language: English
• Published: Kazimierz Wielki University 2020-12-01
• Series: Journal of Education, Health and Sport
• Subjects: fetus; fetal growth retardation; covid-19, pregnancy
• Online Access: https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/32663

<p><strong>Introduction.</strong> Assessment of pregnancy, fetal status, diagnosis of placental insufficiency (PI) in pregnant women with coronavirus COVID-19, is a topical issue in obstetric practice and is of great social value for the birth of healthy children.</p><p>The aim of our study was to analyze the impact of coronavirus disease on pregnancy and fetal status.</p><p>Methods and materials.  An examination of 25 pregnant women who relapsed into Covid-2019, who were treated at Public Non-profit Enterprise Ternopil Municipal City Hospital No. 2. The control group consisted of 25 pregnant women with a physiological course of pregnancy, who gave birth to live full-term infants with mass-growth characteristics according to gestational age. The condition of the fetus was assessed according to ultrasound, cardiotocography. Criteria for inclusion in the study were laboratory confirmed by COVID-19 by polymerase chain reaction (PCR).</p><p>Results and discussion. It was found that coronavirus disease was present in pregnant women 21 (84.0%) in mild form, 4 (16.0%) patients had pneumonia, but did not require hospitalization and did not require artificial ventilation, and were treated at home by a family doctor. The main complaints of patients were fever in 84.0% (21 pregnant women), cough - in 78.0% (19 pregnant women), myalgia - in 62.0% (15 pregnant women), headache - 84.0% (21 pregnant women) , sore throat - in 40.0% (10 pregnant women), general weakness in 70.0% (17 pregnant women). And 6 pregnant women (20%) of those surveyed had a mild asymptomatic course of the disease. The condition of the fetus was assessed by ultrasound and CTG of the fetus. Decrease in amplitude of oscillations less than 3 beats / min, absence of accelerations, emergence of decelerations, testify to the expressed signs of a hypoxia of a fruit and demand timely treatment and the decision of a question of urgent delivery.</p>