COVID-19-associated morbidity and mortality outcomes in pregnant patients admitted to intensive care unit

Yıl 2024, Cilt: 3 Sayı: 1, 22 - 30, 30.04.2024

Ahmet Aydın , Sevgi Kutlusoy , Erdınc Koca

https://doi.org/10.58651/jomtu.1389734

Öz

Background: Our study aimed to evaluate the clinical characteristics and maternal-fetal outcomes of pregnant women admitted to the ICU due to COVID-19 pneumonia.
Materials and Methods: Demographic data, presenting complaints, laboratory values, pregnancy outcomes, delivery method, and ICU mortality were recorded.
Results: A total of 10 pregnant patients were admitted to the intensive care unit of our hospital due to SARS-COV-2 infection during the 2-year period. Arterial blood oxygen saturation values measured at admission to the ICU were higher in the surviving patients. Six of the 10 patients died. Only one of the 7 patients requiring invasive mechanical ventilation survived.
Conclusions: We found that COVID-19-infected pregnant women with severe symptoms have several maternal morbidities and poor obstetric outcomes, such as prolonged intensive care unit stay, increased mortality, neonatal deaths, and caserean section.

Anahtar Kelimeler

Acute respiratory distress syndrome, COVID-19, maternal outcomes, obstetric outcomes

Yoğun bakım ünitesine kabul edilen hamile hastalarda COVID-19 ilişkili morbidite ve mortalite sonuçları

Öz

Amaç: Çalışmamız, yoğun bakım ünitesine COVID-19 pnömonisi nedeniyle yatırılan gebe kadınların klinik özelliklerini ve anne-fetal sonuçlarını değerlendirmeyi amaçladı.
Materyal ve Metot: Demografik veriler, başvuru şikayetleri, laboratuvar değerleri, gebelik sonuçları, doğum şekli ve yoğun bakım mortalitesi kaydedildi.
Bulgular: 2 yıllık süreçte SARS-COV-2 enfeksiyonu nedeniyle hastanemizin yoğun bakım ünitesine toplam 10 hamile hasta yatırıldı. Yaşayan hastalarda yoğun bakım ünitesine girişte ölçülen arteriyel kan oksijen satürasyonu değerleri daha yüksekti. 10 hastadan 6'sı hayatını kaybetti. İnvazif mekanik ventilasyon gerektiren 7 hastadan sadece biri hayatta kaldı.
Sonuç: Şiddetli semptomları olan COVID-19 ile enfekte hamile kadınlarda, uzamış yoğun bakım ünitesinde kalış süresi, artmış mortalite, yenidoğan ölümleri ve sezaryen gibi kötü obstetrik sonuçlar ve maternal morbiditelerin olduğunu tespit ettik.

Anahtar Kelimeler

Akut respiratuar distres sendromu, COVID-19, anne sonuçları, obstetrik sonuçlar

Kaynakça

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