Clinical characteristics, CT features and perinatal outcome of COVID-۱۹ pneumonia in pregnant women and comparison with non-pregnant women

سال انتشار: 1399
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 270

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شناسه ملی سند علمی:

JR_JOGCR-6-2_004

تاریخ نمایه سازی: 14 اردیبهشت 1400

چکیده مقاله:

Background and Objective: To evaluate the clinical course and CT findings of pregnant women Methods: Fourthy (۲۵ pregnant and ۱۵ non-pregnant) patients were entered to the study. Chest CT features and clinical findings were evaluated between two groups. Data related to pregnancy and fetal status  evaluated in the pregnant group. Result: The average age of pregnant patients was ۳۳.۱±۵.۷۵ years and the non-pregnant group was ۳۵.۴±۶.۸۸ years. The gestational age ranged from ۷ weeks to ۳۹weeks+۲days (mean =۳۱weeks+۵days). No significant difference was seen between the two groups about clinical findings except the duration of symptoms before CT which was more in pregnant patients (۶.۷۱ ± ۵.۵ days vs ۳.۵۳ ± ۱.۹۲ days). Two mortalities in pregnant and one in non-pregnant patients ,  ۲(۸%) cases of premature rupture of membranes (PROM), ۳ (۱۲%) cases of intra-uterine fetal death (IUFD), ۳ (۱۲%) cases of fetal distress and ۲ (۸%) cases of  IUGR in pregnant group. Fifteen pregnant patients gave birth .No positive PCR result was detected in newborns. Unlike the control group, the common CT findings were ground-glass pattern. Conclusion: In summary, although we found the clinical findings in pregnant and control group were similar but pattern of CT involvement was different in pregnant patients and rate of ICU admission and mortality rate were more than control group. This viral pneumonia was associated with some important complications such as IUFD in severely involved mothers. CT could be an efficient tool for the early detection and severity assessment in the pregnant patients with COVID-۱۹ pneumonia.

کلیدواژه ها:

نویسندگان

Maryam Rahmani

Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Medical Imaging Center, Imam Khomeini Complex Hospital, Tehran, Iran

Behnaz Moradi

Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Medical Imaging Center, Imam Khomeini Complex Hospital, Tehran, Iran

Masoumeh Gity

Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Medical Imaging Center, Imam Khomeini Complex Hospital, Tehran, Iran

Mohammadreza Chavoshi

Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

Sedigheh Hantoushzadeh

Maternal Fetal Neonatal Research Center Valiasr Hospital, Tehran University of Medical Sciences, Tehran, Iran

Soudabeh Kazemi Aski

Reproductive Health Research Center, Department of Obstetrics & Gynecology, Rasht, Iran

Seyedeh Fatemeh Mahdipour Keivani

Reproductive Health Research Center, Department of Obstetrics & Gynecology, Rasht, Iran.

Narges Badraghe

Department of Radiology, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Medical Imaging Center, Imam Khomeini Complex Hospital, Tehran, Iran

Mohammad Ali Kazemi

Department of radiology, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Medical Imaging Center, Imam Khomeini Complex Hospital, Tehran, IranDepartment of Radiology, Amiralam Hospital, Tehran University of Medical Sciences, Tehran

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