患有子痫前期和HELLP综合征的孕妇感染COVID-19,可能垂直传播给胎儿:1例报告

Sulistiari Retnowati, Alfaina Wahyuni, Nabila A Pramono
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引用次数: 0

摘要

背景:在怀孕期间,妇女的免疫细胞经历细胞和功能的改变,使她们更容易生病。子痫前期和HELLP综合征是妊娠问题,也是印度尼西亚孕产妇死亡的主要原因之一;COVID-19感染将加剧这种情况。COVID-19垂直传播的证据尚未得到充分确立,关于垂直传播发生率的报告,特别是在印度尼西亚,仍然有限。病例介绍:我们讨论了一例26岁,妊娠36周,患有先兆子痫和HELLP综合征,感染COVID-19并出现严重肺炎和ARDS的病例。该婴儿是通过剖宫产出生的,分娩后婴儿和母亲之间没有接触。根据聚合酶链反应(PCR)检查结果,该婴儿也被确诊为新冠肺炎,但没有任何症状。结论:重症COVID-19合并子痫前期和HELLP综合征的妇女在妊娠期间可能存在垂直传播。
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COVID-19 infection in pregnant women with preeclampsia and HELLP syndrome, with possible vertical transmission to the fetus: a case report
Background: During pregnancy, a woman's immune cells undergo cellular and functional alterations, rendering them more vulnerable to illness. Preeclampsia and HELLP syndromes are pregnancy problems and one of Indonesia's leading causes of maternal mortality; COVID-19 infection would exacerbate the situation. The evidence for COVID-19 vertical transmission is not well established, and the report on the incidence of vertical transmission, especially in Indonesia, is still limited.Case presentation: We discuss the case of a 26-year-old, 36 weeks of gestation, with preeclampsia and HELLP syndrome, who was infected with COVID-19 and got severe pneumonia and ARDS. The infant was born by cesarean section, and there was no contact between the infant and mother following delivery. Based on the results of the PCR examination, the baby was also confirmed to have COVID-19 without any symptoms.Conclusion: Vertical transmission during pregnancy is possible in women with a severe type of COVID-19 with preeclampsia and HELLP syndrome.
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