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Review paper

Pregnancy outcomes of COVID-19 positive pregnant women at the Cantonal Hospital Zenica, Bosnia and Herzegovina

By
Jasmin Hodžić Orcid logo ,
Jasmin Hodžić
Contact Jasmin Hodžić

Department of Gynaecology and Obstetrics, Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina

Bedrana Muračević ,
Bedrana Muračević

Department of Gynaecology and Obstetrics, Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina

Hana Štimjanin ,
Hana Štimjanin

Department of Gynaecology and Obstetrics, Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina

Rasim Iriškić ,
Rasim Iriškić

Department of Gynaecology and Obstetrics, Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina

Muamera Husika
Muamera Husika

Department of Gynaecology and Obstetrics, Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina

Abstract

Aim
To investigate clinical presentation of COVID-19 infection in pregnancy, its course during pregnancy, effects on pregnancy
outcomes for both mothers and newborns as well as the potential for vertical transmission.
Methods
This retrospective observational study included all identifi ed COVID-19-positive pregnant women admitted to the Cantonal Hospital in Zenica at any stage of pregnancy or labour from 30 April 2020 to April 30 2021. Maternity and newborns were
followed until discharge from the hospital.
Results
Twenty-four pregnant women were positive for COVID-19. There were 79.2% asymptomatic cases, 12.5% had mild
symptoms, while 8.3% had more severe forms of the disease. The main follow-up morbidities were high BMI 33.3%, anaemia 16.7%, thrombocytopenia 12.5%, hypertensive disorders 4.2% and diabetes 4.2%. The rate of premature births was 33.3%, while 8.3% pregnant women had premature rupture of the amniotic sac. Caesarean section was done for 75% women while 25% delivered vaginally. Previous caesarean section (54.2%) was the most common indication for operative completion of labour. Twentythree (92%) live babies were born, of which 8 (33.3%) were admitted to the neonatal intensive care unit. Two (8%) intrauterine foetal deaths were recorded that occurred before admission to our hospital. Two infants (8.7%) had a positive PCR test for COVID-19.
Conclusion
COVID-19 viral disease in pregnancy is usually presented as an asymptomatic or mild disease. It is associated with
high rates of preterm birth, admission of newborns to the intensive care unit and intrauterine foetal death. Vertical transmission is possible but the newborns were asymptomatic.

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