COVID-19 During Pregnancy: The Role of the Mother and Baby in Every Decision

Abstract

Contracting COVID-19 during pregnancy is a clinical concern as knowledge of altered immunity is limited, and so cases should be considered separately in terms of diagnosis and treatment. Although there is no clear evidence that pregnancy increases the risk of COVID-19, it is thought that susceptibility to infection and the intensification of respiratory symptoms may be increased, given the physiological changes in pregnancy and increased mortality and morbidity in many viral diseases. Accordingly, the management of COVID-19 in pregnant patients and those considered among the high-risk groups represent a challenge for clinicians. Numerous studies of COVID-19 have been published to date or are ongoing, yet pregnant women are generally excluded from clinical studies. Clinical experiences and case reports occupy an important position in literature, and we present hare a case in which the diagnosis of a patient being followed by our clinic was delayed due to the absence of SARS CoV-2 in recurrent upper-respiratory-tract sampling, and whose clinical findings worsened with initial COVID-19 treatment during pregnancy. Her delivery by caesarean section (C-section) was the result of a multidisciplinary decision. We draw attention to the diagnostic process and treatment approach. (English) [ABSTRACT FROM AUTHOR] Gebelikte COVID-19, degisen immunite;tani ve tedavideki farkliliklar ile ayri ele alinmasi gereken, bilgilerimizin sinirli oldugu bir klinik tablodur. Gebelikte gerceklesen fizyolojik degisiklikler ve pek cok viral hastalikta artmis mortalite ve morbidite goz onune alindiginda, gebeligin enfeksiyonlara yatkinliga ve solunumsal semptomlarda siddetlenmeye neden olabilecegi dusunulmektedir. Bu nedenle riskli gruplar arasinda degerlendirilmesi gereken gebelerde COVID-19 yonetimi klinisyenler icin zorluklar icermektedir. COVID-19 ile ilgili cok sayida calisma yayinlanmis ya da devam etmekte olsa da gebeler genellikle klinik calismalarin disinda tutulmaktadir. Bu nedenle klinik deneyimler, olgu paylasimlari literaturde onemli bir yer tutmaktadir. Klinigimizde takip ettigimiz, tekrarlayan ust solunum yolu orneklemelerinde SARS CoV-2 saptanmamasi nedeniyle tanisi geciken, gebelikte kullanilabilen COVID-19 tedavisi altinda klinik bulgularda kotulesme olmasi uzerine multidisipliner yaklasim ile sezaryen karari alinarak tedavisi sekillendirilen olgumuzu, tani sureci ve tedavi yaklasimina dikkat cekerek sunmayi amacladik. (Turkish) [ABSTRACT FROM AUTHOR] Copyright of Respiratory Case Reports is the property of LookUs Scientific and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)