M.B. OVCHINNIKOVA, A.G. ARUTYUNYANTS

Noyabrskaya Central Municipal Hospital, Prenatal Center, Noyabrs, Russia

 Contact details:

Ovchinnikova M.B. — obstetrician gynecologist, Head of Consulting and Diagnostic Department

Address: 1 Pirogov St., Noyabrsk, Russian Federation, 629806, tel.: +7 (3496) 33-50-78, +7 (963) 775-58-29, e-mail: mariabmironova@gmail.com

The purpose was to describe the algorithms of midwifery services in the area with low population density under the coronavirus pandemic and to evaluate SARS-Cov-2 as a threatening factor for pregnancy and childbirth.

Material and methods. 205 pregnant women aged from 16 to 42 y. o., with virusologically conformed presence of SARS-Cov-2, in the gestation period from 5 to 40 weeks were explored. Of them, 126 pregnant patients were hospitalized and monitored up to the recovery from COVID-19 or delivery. The features of pregnancy and childbirth, perinatal outcomes were studied. The obtained data were compared with the published data to identify the true and false threats of COVID-19 to a mother and a baby in case of the «third wave» of the pandemic.

Results. Observation showed that pregnant women tend to have a lighter course of SARS-Cov-2 compared to the population and the frequency of critical condition is no more that 0.8%. The frequency of preterm birth is 1.5 % of all births of COVID-19 infected pregnant women, and the frequency of miscarriage is 0.58 % of all COVID-19 infected pregnant women. This does not confirm the published data of high proportion of preterm birth and misbirth (18–19%).

Conclusion. Our investigation does not confirm that COVID-19 adds the complexity of the course of pregnancy and makes its outcomes worse.

Key words: midwifery services, pregnancy, newborns, COVID-19, viral pneumonia, cesarean section.

REFERENCES

1. Prikaz Ministerstva zdravookhraneniya Rossiyskoy Federatsii ot 1.11.2012 no. 572n «Ob utverzhdenii poryadka okazaniya meditsinskoy pomoshchi po profilyu «akusherstvo i ginekologiya (za isklyucheniem ispol’zovaniya vspomogatel’nykh reproduktivnykh tekhnologiy)» [Order of the Ministry of Health of the Russian Federation of November 1, 2012 No. 572n «On approval of the procedure for the provision of medical care in the field of» obstetrics and gynecology (except for the use of assisted reproductive technologies) «], available at: https://minzdrav.gov.ru/documents/9154-prikaz
2. Elshafeey F., Magdi R., Hindi N., Elshebiny M., Farrag N., Mahdy S. et al. A systematic scoping review of COVID-19 during pregnancy and childbirth. Int. J. Gynaecol. Obstet., 2020; Apr.24. DOI: 10.1002/ijgo.13182
3. Breslin N., Baptiste C., Gyamfi-Bannerman C. COVID-19 infection among asymptomatic and symptomatic pregnant women: Two weeks of confirmed presentations to an affiliated pair of New York City Hospitals. Am. J. Obstet. Gynecol. MFM, 2020, Apr 9. DOI: 10.1016/j.ajogmf.2020.100118
4. Bezhenar’ V.F., Zazerskaya I.E. Vnebol’nichnye pnevmonii u beremennykh: differentsial’naya diagnostika, osobennosti lecheniya, akusherskaya taktika v usloviyakh pandemii novoy koronavirusnoy infektsii COVID-19: uchebnoe posobie [Community-acquired pneumonia in pregnant women: differential diagnosis, treatment features, obstetric tactics in the context of the COVID-19 novel coronavirus infection pandemic: a study guide] (MKB-10 (J13–J16 i J18; U07.1, U07.2). Saint Petersburg, 2020.
5. Chuchalin A.G. Vnebol’nichnaya pnevmoniya u vzroslykh MKB-10: J13–J18. Klinicheskie rekomendatsii Rossiyskogo respiratornogo obshchestva i Mezhregional’noy assotsiatsii po klinicheskoy mikrobiologii i antimikrobnoy khimioterapii [Community-acquired pneumonia in adults ICD-10: J13 – J18. Clinical guidelines of the Russian Respiratory Society and the Interregional Association for Clinical Microbiology and Antimicrobial Chemotherapy]. Moscow, 2019. 97 p.
6. Juan J., Gil M., Rong Z. et al. Effect of coronavirus disease 2019 (COVID-19) on maternal, perinatal and neonatal outcome: systematic review. Ultrasound Obstet Gynecol, 2020, Jul, vol. 56 (1), pp. 15–27, available at: https://pubmed.ncbi.nlm.nih.gov/32430957/
7. Bezhenar’ V.F., Zazerskaya I.E., Bettikher O.A., Nesterov I.M., Bautin A.E. Controversial issues of obstetric tactics in the management of pregnancy and delivery of patients with the new coronavirus infection COVID-19. Akusherstvo i ginekologiya, 2020, no. 5, pp. 13–21 (in Russ.). DOI: 10.18565/aig.2020.5.13-21
8. Novoa R.H., Quintana W., Llancarí P., Urbina-Quispe K., Guevara-Ríos E., Ventura W. Maternal clinical characteristics and perinatal outcomes among pregnant women with coronavirus disease 2019. A systematic review. Travel Med Infect Dis, 2020, PMLD 33220455 Free PMC article. https://pubmed.ncbi.nlm.nih.gov/33220455/
9. Adhikari E.H., Moreno W., Zofkie A.C., MacDonald L., McIntire D.D., Collins R.R.J., Spong C.Y. Pregnancy Outcomes Among Women With and Without Severe Acute Respiratory Syndrome Coronavirus 2 Infection, available at: https://pubmed.ncbi.nlm.nih.gov/33211113/
10. Kalimatova D.M., Dobrokhotova Yu.E. Features of the course of pregnancy and childbirth with COVID-19 infection. Prakticheskaya meditsina, 2020, vol. 18, no. 2, pp. 6–11 (in Russ.).
11. Priputnevich T.V., Gordeev A.B., Lyubasovskaya L.A., Shabanova N.E. New coronavirus SARS-COV-2 and pregnancy: a literature review. Akusherstvo i ginekologiya, 2020, no. 5, pp. 6–12 (in Russ.). DOI: 10.18565/aig.2020.5.6-12.