COVID-19 pneumonia in an Iraqi pregnant woman with preterm delivery
Hayder M. Al‐kuraishy, Thabat J. Al‐Maiahy, Ali I. Al‐Gareeb, RashaA Musa, ZaidH Ali
Abstract
<br><b>Rationale:</b> Coronavirus disease 2019 (COVID-19) is a highly infectious disease due to the severe acute respiratory syndrome coronavirus type 2 (SARS-CoV2). Vertical transmission and clinical presentation of COVID-19 in pregnancy is still obscure. Additionally, the potential hazard of COVID-19 in pregnancy on the fetus and post-delivery risk for the neonate remain under investigations.<br><b>Patient concern:</b> A young-aged Asian pregnant woman with 28 weeks of gestation presented with fever, dyspnoea, headache, and joint pain with decreased fetal movement for about one week.<br><b>Diagnosis:</b> The patient was diagnosed with COVID-19 pneumonia.<br><b>Interventions:</b> The patient was referred to the quarantine sector and was treated with chloroquine orally, intravenous fluid and other supportive treatment.<br><b>Outcomes:</b> After one week of treatment, the patient improved. Seventeen days after admission to hospital and at 30 weeks of gestation, she started vaginal preterm delivery of a viable healthy neonate with negative COVID-19 test for two occasions.<br><b>Lessons:</b> COVID-19 pneumonia during pregnancy presents with similar clinical presentation of non-pregnant women. COVID-19 pneumonia during pregnancy increases the risk of preterm labour without evidence of vertical transmission.<br>