Features of the postcovid period in women in labor

Clinical case

Authors

DOI:

https://doi.org/10.18370/2309-4117.2021.59.46-50

Keywords:

COVID-19, post-COVID period, vesicular rash, women in labor

Abstract

Clinical manifestations in the abdominal cavity of a woman in labor, discovered during an urgent cesarean section at 41 weeks of gestation 2 months after an acute form of COVID-19, are described. The materials of medical documentation were analyzed and the features of the course of pregnancy by trimester, urgent cesarean section, postoperative period, laboratory parameters, ultrasound data, cardiotocography, fetal condition at birth and three days later were determined.
Presentation of case. 33-year-old pregnant woman (pregnant for the first time) had COVID-19 at 26 weeks of gestation. At a cesarean section for urgent indications at 41 weeks of gestation during the revision of the abdominal cavity was found that the visceral peritoneum of the uterus along the anterior and posterior surfaces, fallopian tubes, wide and round uterus ligaments, ovaries and parietal peritoneum of the pelvis, areas of the serous intestinal layer were with expressive signs of edema covered with vesicular rash, in places in the conglomerate, which were bleeding. There was no abdominal effusion.
The child was born with 7–8 points Apgar score and had a negative PCR result for COVID-19. Placenta measuring 25 x 21 x 5.0 x 0.5 cm with multiple petrification, single red heart attacks. The shells are distinctly yellow-gray-green in color. The umbilical cord is 70 cm long and usual color. Amniotic fluid is clear. The early and late postoperative periods and the postpartum period proceeded without complications. At once the disorders in the blood coagulation system, immune system, positive COVID-19 IgG and IgM were identified in mother. Videin, Magniсum-antistress, preparations of acetylsalicylic acid and for the comprehensive support of the physiological state of the intestine were used in the complex treatment of the postpartum period.
Conclusion. COVID-19 disease is pathology with many unknowns. Therefore, each clinical observation is important for studying of its course. Post-COVID syndrome and long-COVID syndrome have individual characteristics. Collective experience will contribute to the definition of an algorithm for the therapy of patients and personalized dispensary observation after an acute period.

Author Biographies

V.P. Mishchenko, Odesa National Medical University, Odesa

MD, professor, Department of Obstetrics and Gynecology

I.V. Shpak, Odesa National Medical University; Maternity Hospital No. 5, Odesa

MD, associate professor, Department of Obstetrics and Gynecology;

Director

I.V. Rudenko, College of Medicine Gulf Medical University, Ajman

Clinical professor, Department of Clinical Sciences (Obstetrics and Gynecology)

V.V. Mishchenko, Odesa National Medical University, Odesa

MD, professor, Department of Surgery No. 1

T.Y. Moskalenko, Odesa National Medical University; Maternity Hospital No. 7, Odesa

MD, professor, Department of Obstetrics and Gynecology;

Director

I.L. Golovatyuk-Józefpolska, Odesa National Medical University; Maternity Hospital No. 1, Odesa

PhD, assistant, Department of Obstetrics and Gynecology;

Director

M.Y. Golubenko, Odesa National Medical University; Maternity Hospital No. 2, Odesa

MD, professor, Department of Obstetrics and Gynecology;

Director

A.S. Makoshyba, Maternity Hospital No. 1, Odesa

Obstetrician-gynecologist

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Published

2021-07-22

Issue

Section

Pregnancy and childbirth