Normal Vaginal Delivery in a Woman with COVID-19

Background: The results of studies on the outcomes and course of coronavirus disease-2019 (COVID-19) in pregnant women are inconsistent. Proper characterization of the disease process can help healthcare providers in the accurate management and control of the disease in vulnerable individuals, parti...

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Main Authors: Behjat Khorsandi, Nasrin Nasirzadeh, Leila Asadi
Format: Article
Language:English
Published: Golestan University Of Medical Sciences 2020-12-01
Series:Journal of Clinical and Basic Research
Subjects:
Online Access:http://jcbr.goums.ac.ir/article-1-284-en.html
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spelling doaj-06ca5678a1624664aaa3427bad470ae02021-06-22T05:08:09ZengGolestan University Of Medical SciencesJournal of Clinical and Basic Research2538-37362020-12-01443440Normal Vaginal Delivery in a Woman with COVID-19Behjat Khorsandi0Nasrin Nasirzadeh1Leila Asadi2 Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Yazd, Iran Afshar Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Yazd, Iran Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran Background: The results of studies on the outcomes and course of coronavirus disease-2019 (COVID-19) in pregnant women are inconsistent. Proper characterization of the disease process can help healthcare providers in the accurate management and control of the disease in vulnerable individuals, particularly pregnant women. We herein report a case of a multiparous pregnant woman with COVID-19. Case description: A 30-year-old pregnant woman (gravida 3 para 2) with gestational age of 39 weeks and six days and a history of occasional fever and chills in the past week was admitted to the midwifery triage with complaints of myalgia as well as severe pubic symphysis and back pain. The patient had the following vital signs at admission: fetal heart rate: 140 beats/min, oxygen saturation: 96%, temperature: 37 oC, respiratory rate: 17 breaths/min, pulse rate: 126 beats/min and blood pressure: 100/70 mmHg. The mother was positive for COVID-19 in both PCR and chest CT-scan findings, which demonstrated presence of multiple opacities in both lungs in favor of viral pneumonia. Vaginal delivery was performed and an apparently healthy, term and cephalic baby girl was born with an Apgar score of 9 at one minute and 10 at five minutes after birth. The baby was negative for COVID-19 based on the molecular testing. Conclusion: With proper management and timely separation of the mother from the baby and preparing breast milk by a non-infected person, no maternal or neonatal complications were observed in our case. More studies are required to gain a better understating about the possible morbidities and mortalities associated with COVID-19 during pregnancyhttp://jcbr.goums.ac.ir/article-1-284-en.htmlpregnancycovid-19vaginal delivery
collection DOAJ
language English
format Article
sources DOAJ
author Behjat Khorsandi
Nasrin Nasirzadeh
Leila Asadi
spellingShingle Behjat Khorsandi
Nasrin Nasirzadeh
Leila Asadi
Normal Vaginal Delivery in a Woman with COVID-19
Journal of Clinical and Basic Research
pregnancy
covid-19
vaginal delivery
author_facet Behjat Khorsandi
Nasrin Nasirzadeh
Leila Asadi
author_sort Behjat Khorsandi
title Normal Vaginal Delivery in a Woman with COVID-19
title_short Normal Vaginal Delivery in a Woman with COVID-19
title_full Normal Vaginal Delivery in a Woman with COVID-19
title_fullStr Normal Vaginal Delivery in a Woman with COVID-19
title_full_unstemmed Normal Vaginal Delivery in a Woman with COVID-19
title_sort normal vaginal delivery in a woman with covid-19
publisher Golestan University Of Medical Sciences
series Journal of Clinical and Basic Research
issn 2538-3736
publishDate 2020-12-01
description Background: The results of studies on the outcomes and course of coronavirus disease-2019 (COVID-19) in pregnant women are inconsistent. Proper characterization of the disease process can help healthcare providers in the accurate management and control of the disease in vulnerable individuals, particularly pregnant women. We herein report a case of a multiparous pregnant woman with COVID-19. Case description: A 30-year-old pregnant woman (gravida 3 para 2) with gestational age of 39 weeks and six days and a history of occasional fever and chills in the past week was admitted to the midwifery triage with complaints of myalgia as well as severe pubic symphysis and back pain. The patient had the following vital signs at admission: fetal heart rate: 140 beats/min, oxygen saturation: 96%, temperature: 37 oC, respiratory rate: 17 breaths/min, pulse rate: 126 beats/min and blood pressure: 100/70 mmHg. The mother was positive for COVID-19 in both PCR and chest CT-scan findings, which demonstrated presence of multiple opacities in both lungs in favor of viral pneumonia. Vaginal delivery was performed and an apparently healthy, term and cephalic baby girl was born with an Apgar score of 9 at one minute and 10 at five minutes after birth. The baby was negative for COVID-19 based on the molecular testing. Conclusion: With proper management and timely separation of the mother from the baby and preparing breast milk by a non-infected person, no maternal or neonatal complications were observed in our case. More studies are required to gain a better understating about the possible morbidities and mortalities associated with COVID-19 during pregnancy
topic pregnancy
covid-19
vaginal delivery
url http://jcbr.goums.ac.ir/article-1-284-en.html
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AT nasrinnasirzadeh normalvaginaldeliveryinawomanwithcovid19
AT leilaasadi normalvaginaldeliveryinawomanwithcovid19
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