Impact of coronavirus disease (Covid-19) within the third trimester of pregnancy

Boychuk A. V., Khlibovska O. I., Yakymchuk Y. B. Impact of coronavirus disease (Covid-19) within the third trimester of pregnancy. Journal of Education, Health and Sport. 2020;10(12):228-234. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2020.10.12.022

https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.12.022

https://zenodo.org/record/4412204

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

© The Authors 2020;

This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,

provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike.

(http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 09.11.2020. Revised: 25.11.2020. Accepted: 28.12.2020.

Impact of coronavirus disease (Covid-19) within the third trimester of pregnancy

A. V. Boychuk, O. I. Khlibovska, Y. B. Yakymchuk

I. Horbachevsky Ternopil National Medical University of the MOH of Ukraine,

Ternopil, Ukraine

Boychuk A. V. - DSc, PhD, MD, Prof., Head of the Department  of the Obstetrics and Gynaecology Department I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

ORCID: 0000-0002-2191-0383 , e-mail: boychuk_alla@tdmu.edu.ua

Khlibovska O. I. – MD, PhD, Associate Professor of the Obstetrics and Gynaecology

Department I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine.

ORCID: 0000-0003-3293-0010, e-mail: chlibovska@tdmu.edu.ua

Yakymchuk Y. B. - PhD, MD, Assistant Professor of the Therapeutics and Family Medicine Department I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine.

ORCID: 0000-0002-3905-1310, e-mail: yakymchuk@tdmu.edu.ua

Abstract

Introduction. Assessment of pregnancy, fetal status, diagnosis of placental insufficiency (PI) in pregnant women with coronavirus COVID-19, is a topical issue in obstetric practice and is of great social value for the birth of healthy children.

The aim of our study was to analyze the impact of coronavirus disease on pregnancy and fetal status.

Methods and materials.  An examination of 25 pregnant women who relapsed into Covid-2019, who were treated at Public Non-profit Enterprise Ternopil Municipal City Hospital No. 2. The control group consisted of 25 pregnant women with a physiological course of pregnancy, who gave birth to live full-term infants with mass-growth characteristics according to gestational age. The condition of the fetus was assessed according to ultrasound, cardiotocography. Criteria for inclusion in the study were laboratory confirmed by COVID-19 by polymerase chain reaction (PCR).

Results and discussion. It was found that coronavirus disease was present in pregnant women 21 (84.0%) in mild form, 4 (16.0%) patients had pneumonia, but did not require hospitalization and did not require artificial ventilation, and were treated at home by a family doctor. The main complaints of patients were fever in 84.0% (21 pregnant women), cough - in 78.0% (19 pregnant women), myalgia - in 62.0% (15 pregnant women), headache - 84.0% (21 pregnant women) , sore throat - in 40.0% (10 pregnant women), general weakness in 70.0% (17 pregnant women). And 6 pregnant women (20%) of those surveyed had a mild asymptomatic course of the disease. The condition of the fetus was assessed by ultrasound and CTG of the fetus. Decrease in amplitude of oscillations less than 3 beats / min, absence of accelerations, emergence of decelerations, testify to the expressed signs of a hypoxia of a fruit and demand timely treatment and the decision of a question of urgent delivery.

Key words: Fetus; fetal growth retardation; Covid-19, pregnancy.