Evaluation of Demographic, Clinic and Laboratory data of COVID-19 (+) Pregnants in their First Admission to Hospital

Authors : Özlem GÜNDÜZ, Banu SEVEN, A Seval ÖZGÜERDİNÇ, Batuhan TURGAY, Özlem MORALOĞLU TEKİN, Hüseyin Levent KESKİN

Pages : 1759-1763

Doi:10.38136/jgon.1178509

View : 22 | Download : 77

Publication Date : 2023-07-03

Article Type : Research Paper

Abstract :Aim: To investigate the clinical course of COVID-19 in different trimesters of pregnancy by evaluating the demographic, clinical and laboratory data of pregnant women who applied to the Emergency Service. Materials and method: Cases were examined in 3 groups as asymptomatic, mild symptomatic and severe disease according to symptoms and oxygen saturation. High levels of CRP, ferritin, D-dimer and lymphopenia in blood tests were considered as poor prognostic factors. Results: Of 678 pregnant women with COVİD-19 , 118 insert ignore into journalissuearticles values(17.4%); were in the first trimester, 261 insert ignore into journalissuearticles values(38.5%); were in the second trimester and 299 insert ignore into journalissuearticles values(44.1%); were in the third trimester. A total of 257 insert ignore into journalissuearticles values(37.9%); COVID-19 insert ignore into journalissuearticles values(+); pregnant women were hospitalized and 120 of them were due to COVID-19 infection without any obstetric indication. Severe disease was detected in 57 insert ignore into journalissuearticles values(8.4%); of the cases; 29 of them insert ignore into journalissuearticles values(50.9%); were in the 2nd trimester and 26 insert ignore into journalissuearticles values(45.6%); were in the 3rd trimester. The incidence of severe disease was statistically significantly higher in the later weeks of pregnancy compared to the first trimester insert ignore into journalissuearticles values(p=0.004);. When the distribution of the poor prognostic laboratory criteria according to trimesters was examined, 22.9% of pregnant women with COVID-19 had at least one poor prognostic laboratory criterion in the first trimester, while this rate was 41.7% and 63.9% in the second and third trimesters, respectively insert ignore into journalissuearticles values(p<0.001);. Conclusion: In this study, we observed that the course of the disease in COVID-19 positive pregnant women is more severe in the later weeks of pregnancy than in the first trimester.
Keywords : COVİD 19, gebelik, trimester