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      Infection COVID-19 chez la femme enceinte: à propos d’un cas Translated title: COVID-19 infection in pregnancy: about a case

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          Abstract

          La pandémie récente de COVID-19 a entrainé une crise sanitaire mondiale sans précédent. La susceptibilité des femmes enceintes aux infections a engendré beaucoup d´interrogations quant au sujet du risque de transmission, du risque tératogène et des complications materno-fœtales. La vitesse avec laquelle l´infection a progressé, ainsi que l´ambigüité de son impact sur la grossesse en raison de l´absence de données scientifiques a sollicité les obstétriciens à adapter leur pratique en se basant sur des conduites pragmatiques. Nous avons donné de l´intérêt à ce sujet déclaré par l´OMS comme pandémie mondiale en début mars 2020 pour essayer de planifier la prise en charge obstétricale des patientes infectées par SARS-CoV-2 sur la base des données actuelles. A partir d´un cas hospitalisé dans notre service de gynécologie Mahdia et se basant sur les connaissances actuelles; ce travail a pour objectifs de décrire les différentes manifestations cliniques possibles chez la femme enceinte et d´établir les principes de la prise en charge en cas d´infection COVID-19.

          Translated abstract

          The recent COVID-19 pandemic has led to an unprecedented global health crisis. The susceptibility of pregnant women to infections has raised many questions about the risk of transmission, teratogenic risk and maternal and fetal complications. The speed at which the infection advanced as well as the ambiguity effects on pregnancy, due to the absence of scientific data, led obstetricians to adapt their practice according to pragmatic approach. We focused on this subject declared by the WHO as a global pandemic in early March 2020 to develop a plan for obstetric management of SARS-CoV-2 infected patients on the basis of current data. Based on the literature and the case of a patient hospitalized in our Department of Gynecology in Mahdia, the purpose of this study was to describe the possible clinical manifestations of COVID-19 infection in pregnant women and to develop principles of management of patients with COVID-19 infection.

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          Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records

          Huijun Chen, Juanjuan Guo, Chen Wang … (2020)
          Summary Background Previous studies on the pneumonia outbreak caused by the 2019 novel coronavirus disease (COVID-19) were based on information from the general population. Limited data are available for pregnant women with COVID-19 pneumonia. This study aimed to evaluate the clinical characteristics of COVID-19 in pregnancy and the intrauterine vertical transmission potential of COVID-19 infection. Methods Clinical records, laboratory results, and chest CT scans were retrospectively reviewed for nine pregnant women with laboratory-confirmed COVID-19 pneumonia (ie, with maternal throat swab samples that were positive for severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]) who were admitted to Zhongnan Hospital of Wuhan University, Wuhan, China, from Jan 20 to Jan 31, 2020. Evidence of intrauterine vertical transmission was assessed by testing for the presence of SARS-CoV-2 in amniotic fluid, cord blood, and neonatal throat swab samples. Breastmilk samples were also collected and tested from patients after the first lactation. Findings All nine patients had a caesarean section in their third trimester. Seven patients presented with a fever. Other symptoms, including cough (in four of nine patients), myalgia (in three), sore throat (in two), and malaise (in two), were also observed. Fetal distress was monitored in two cases. Five of nine patients had lymphopenia (<1·0 × 10⁹ cells per L). Three patients had increased aminotransferase concentrations. None of the patients developed severe COVID-19 pneumonia or died, as of Feb 4, 2020. Nine livebirths were recorded. No neonatal asphyxia was observed in newborn babies. All nine livebirths had a 1-min Apgar score of 8–9 and a 5-min Apgar score of 9–10. Amniotic fluid, cord blood, neonatal throat swab, and breastmilk samples from six patients were tested for SARS-CoV-2, and all samples tested negative for the virus. Interpretation The clinical characteristics of COVID-19 pneumonia in pregnant women were similar to those reported for non-pregnant adult patients who developed COVID-19 pneumonia. Findings from this small group of cases suggest that there is currently no evidence for intrauterine infection caused by vertical transmission in women who develop COVID-19 pneumonia in late pregnancy. Funding Hubei Science and Technology Plan, Wuhan University Medical Development Plan.
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            Possible Vertical Transmission of SARS-CoV-2 From an Infected Mother to Her Newborn

            Lan Dong, Jinhua Tian, Songming HE … (2020)
            This case report describes birth of an infant with elevated anti–SARS-CoV-2 IgM antibodies and cytokine levels to a mother with polymerase chain reaction–confirmed coronavirus disease 2019 (COVID-19) despite no physical contact.
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              Outcome of Coronavirus spectrum infections (SARS, MERS, COVID 1 -19) during pregnancy: a systematic review and meta-analysis

              Daniele Di Mascio, Asma Khalil, Gabriele Saccone … (2020)
              Objective The aim of this systematic review was to report pregnancy and perinatal outcomes of Coronavirus (CoV) spectrum infections, and particularly COVID-19 disease due to SARS-COV-2 infection during pregnancy. Data sources Medline, Embase, Cinahl and Clinicaltrials.gov databases were searched electronically utilizing combinations of word variants for “coronavirus” or “severe acute respiratory syndrome” or “SARS” or “Middle East respiratory syndrome” or “MERS” or “COVID-19” and “pregnancy”. The search and selection criteria were restricted to English language. Study eligibility criteria Inclusion criteria were pregnant women with a confirmed Coronavirus related illness, defined as either SARS, MERS or COVID-19. Study appraisal and synthesis methods We used meta-analyses of proportions to combine data and reported pooled proportions. The pregnancy outcomes observed included miscarriage, preterm birth, pre-eclampsia, preterm prelabor rupture of membranes, fetal growth restriction, and mode of delivery. The perinatal outcomes observed were fetal distress, Apgar score 90% of whom also had pneumonia, PTB is the most common adverse pregnancy outcome. Miscarriage, preeclampsia, cesarean, and perinatal death (7-11%) were also more common than in the general population. There have been no published cases of clinical evidence of vertical transmission. Evidence is accumulating rapidly, so these data may need to be updated soon. The findings from this study can guide and enhance prenatal counseling of women with COVID-19 infection occurring during pregnancy.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Pan Afr Med J
                Journal ID (iso-abbrev): Pan Afr Med J
                Journal ID (publisher-id): PAMJ
                Title: The Pan African Medical Journal
                Publisher: The African Field Epidemiology Network
                ISSN (Electronic): 1937-8688
                Publication date (Electronic): 14 October 2020
                Publication date Collection: 2020
                Volume: 37
                Electronic Location Identifier: 156
                Affiliations
                [1 ]Service de Gynécologie-Obstétrique, Centre Hospitalier Universitaire Tahar Sfar Mahdia, Mahdia, Tunisie,
                [2 ]Centre de Maternité et de Néonatologie de Monastir, Monastir, Tunisie
                Author notes
                Corresponding author: Sofiane Kouas, Service de Gynécologie-Obstétrique, Centre Hospitalier Universitaire Tahar Sfar Mahdia, Mahdia, Tunisie. sofianekouas@ 123456gmail.com
                Article
                Publisher ID: PAMJ-37-156
                DOI: 10.11604/pamj.2020.37.156.25233
                PMC ID: 7757293
                SO-VID: 55684ae8-8506-47d8-826f-6697cbe87770
                Copyright © Copyright: Sofiane Kouas et al.
                License:

                The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 27 July 2020
                Date accepted : 27 July 2020
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Medicine
                Keywords: infection covid 19,femme enceinte,manifestations cliniques,prise en charge,covid-19 infection,pregnant woman,clinical manifestations,care and support
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: infection covid 19, femme enceinte, manifestations cliniques, prise en charge, covid-19 infection, pregnant woman, clinical manifestations, care and support

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