COGI 2023

CORONAVIRUS IN PREGNANCY

Domagoj Krpina
Gyn&obs, Spec. gyn. ord., Zadar
Gyn&obs, Spec. Gyn. Ord, Zadar

Objective: To investigate the clinical picture of coronavirus in infected pregnant women in general and in the Zadar County and its outcome.

Method: The obtained data from the clinical picture of coronavirus in infected pregnant women and its outcome was analyzed from the databases of patients from the Ministry of Health of the Republic of Croatia and Zadar General Hospital. The analysis was classified according to the degree of disease into self-isolation for contact, treatment at home, hospitalization, the outcome of childbirth by the type of method, week of birth and body weight of the fetus.

Results: In the period from February 1st, 2020 to March 31st, 2022 in Zadar General Hospital there were 4136 births per 162481 inhabitants, which is 2.54%. There were 560 (13.53%) pregnant women who were in contact with the infected, positive or hospitalized before and during pregnancy. Of these, 185 (33.03%) pregnant women were in self-isolation before or during pregnancy. 75 pregnant women (40,54%) were in contact with the infected before pregnancy. There were 110 (59.45%) in contact with the infected during pregnancy. 370 (66.07%) were positive pregnancies before and during pregnancy. Before pregnancy 65 (17.56%) were positive and 305 pregnant women were positive during pregnancy (82.43%). There were 5 (0,89%), hospitalized pregnant women and none were on ICU. Regarding the outcome of childbirths, 437 (78.03%) pregnancies ended in vaginal and 122 (21.78%) SC, 1 (0.17%) childbirth VE. In the term, ≥37w, there were 536 births (95.71%),

Conclusion: Analyzing the results of the study period, I realized that pregnant women had mostly milder forms of the disease. I didn’t notice, except for 3 stillbirths, that the number of stillbirths increased, nor the number of premature births nor children underweight, below 2500g. Lastly, that patients who were in contact or treated before pregnancy became pregnant properly.

Domagoj Krpina
Domagoj Krpina