Medical aspects of the management of letal SARS-CoV-2-associated pneumonia during pregnancy affecting the rate of maternal mortality
https://doi.org/10.52888/0514-2515-2022-353-2-32-37
Abstract
Aim. To study the causes of maternal mortality in fatal SARS-COV-2-associated pneumonia during gestation in order to optimize medical care for this category of pregnant women.
Material and methods. 70 pregnant women with moderate, severe and critical course of SARS-CoV-2 were examined. The extent of study corresponded to the standard of examination of pregnant women with SARS-CoV-2 coronavirus infection. Out of all cases 7 (1 %) were lethal.
Results and discussion. Analysis of organizational aspects of management revealed defects in the organization of medical care for pregnant women with SARS-CoV-2 coronavirus infection at the outpatient and inpatient levels. The reasons for late hospitalization were: self-treatment of pregnant women at home within 3 days, outpatient treatment within 7-10 days, primary hospitalization carried out in non-specialized hospitals. Routing breaches in pregnant women occurred in 2 (28.6 %) cases. Underestimation of the condition in the hospital contributed to delayed delivery in 5 (71.4 %) cases.
Conclusion. Breaches in the organizational aspects of medical management of lethal SARS-CoV-2-associated pneumonia correspond with late hospitalization, late diagnosis and underestimation of the condition contributed to the delaying of delivery.
About the Authors
M. F. Davlyatova
SEI «ATSMU»
Tajikistan
Tajikistan
Mahina Farrukhovna Davlyatova, candidate of medical sciences, associate professor
tel: 91 905 34 68
Department of Obstetrics and Gynecology № 1
D. G. Karimova
SEI «ATSMU»
Tajikistan
Tajikistan
Department of Obstetrics and Gynecology № 1
M. A. Khaknazarova
SEI «ATSMU»
Tajikistan
Tajikistan
Department of Obstetrics and Gynecology № 1
References
1. Ishan-khodzhaeva F. R. Vliyanie COVID-19 na chastotu prezhdevremennykh rodov [Impact of COVID-19 on premature rate]. Medicinskiy vestnik Nacional’noy akademii nauk Tadzhikistana – Medical bulletin of the National Academy of sciences of Tajikistan, 2021, vol. 11, No. 2 (38), pp. 72-77.
2. Sandakova E. A. Klinicheskie osobennosti techeniya virusnykh infektsiy dykhatelnykh putey u zhenshchin vo vremya beremennosti [Feature of clinical course the infection of breathing ways in pregnant women]. Permskiy meditsinskiy zhurnal - Perm Medical Journal, 2012, Vol. 29, No. 6, pp. 30-37.
3. Sinchikhin S. P. Novaya koronavirusnaya infektsiya i drugie respiratornye virusnye zabolevaniya u beremennykh: klinicheskaya lektsiya [The new coronavirus infection and other respiratory infection of pregnant women: clinical lecture]. Ginekologiya - Gynecology, 2020, Vol. 22, No. 2, pp. 6-16.
4. Chen N., Zhou M., Dong Xl. Epidemiological and clinical characteristics оf 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet, 2020, No. 395, pp. 507.
5. Kash J. C., Taubenberger J. K. The Role of Viral, Host, and Secondary Bacterial Factors in Influenza Pathogenesis. American Journal of Pathology, 2015, Vol. 6, No. 185, pp. 1528-1536.
6. Swartz D., Graham A. Potential Maternal and Infant Outcomes from Coronavirus 2019-nCoV (SARSCoV-2) Infecting Pregnant Women: Lessons From SARS, MERS, and Other Human Coronavirus Infections. Viruses, 2020, pp. 1-16.
7. Zhou F., Yu T., Du R. Clinical course and risk factors for mortality of Adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort Study. Lancet, 2020.
8. Hantoushzade S., Aagaard K. Maternal death due to COVID -19. American Journal of Obstetrics and Gynecology, 2020.
Review
For citations:
Davlyatova M.F., Karimova D.G., Khaknazarova M.A. Medical aspects of the management of letal SARS-CoV-2-associated pneumonia during pregnancy affecting the rate of maternal mortality. Health care of Tajikistan. 2022;(2):32-37. (In Russ.) https://doi.org/10.52888/0514-2515-2022-353-2-32-37
Views:
306
Email this article 