Pregnancy and Perinatal Outcomes of Women With Coronavirus Disease (COVID-19) Pneumonia: A Preliminary Analysis.
Identifieur interne : 000349 ( PubMed/Corpus ); précédent : 000348; suivant : 000350Pregnancy and Perinatal Outcomes of Women With Coronavirus Disease (COVID-19) Pneumonia: A Preliminary Analysis.
Auteurs : Dehan Liu ; Lin Li ; Xin Wu ; Dandan Zheng ; Jiazheng Wang ; Lian Yang ; Chuansheng ZhengSource :
- AJR. American journal of roentgenology [ 1546-3141 ] ; 2020.
Abstract
OBJECTIVE. The purpose of this study was to describe the clinical manifestations and CT features of coronavirus disease (COVID-19) pneumonia in 15 pregnant women and to provide some initial evidence that can be used for guiding treatment of pregnant women with COVID-19 pneumonia. MATERIALS AND METHODS. We reviewed the clinical data and CT examinations of 15 consecutive pregnant women with COVID-19 pneumonia in our hospital from January 20, 2020, to February 10, 2020. A semiquantitative CT scoring system was used to estimate pulmonary involvement and the time course of changes on chest CT. Symptoms and laboratory results were analyzed, treatment experiences were summarized, and clinical outcomes were tracked. RESULTS. Eleven patients had successful delivery (10 cesarean deliveries and one vaginal delivery) during the study period, and four patients were still pregnant (three in the second trimester and one in the third trimester) at the end of the study period. No cases of neonatal asphyxia, neonatal death, stillbirth, or abortion were reported. The most common early finding on chest CT was ground-glass opacity (GGO). With disease progression, crazy paving pattern and consolidations were seen on CT. The abnormalities showed absorptive changes at the end of the study period for all patients. The most common onset symptoms of COVID-19 pneumonia in pregnant women were fever (13/15 patients) and cough (9/15 patients). The most common abnormal laboratory finding was lymphocytopenia (12/15 patients). CT images obtained before and after delivery showed no signs of pneumonia aggravation after delivery. The four patients who were still pregnant at the end of the study period were not treated with antiviral drugs but had achieved good recovery. CONCLUSION. Pregnancy and childbirth did not aggravate the course of symptoms or CT features of COVID-19 pneumonia. All the cases of COVID-19 pneumonia in the pregnant women in our study were the mild type. All the women in this study-some of whom did not receive antiviral drugs-achieved good recovery from COVID-19 pneumonia.
DOI: 10.2214/AJR.20.23072
PubMed: 32186894
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Pregnancy and Perinatal Outcomes of Women With Coronavirus Disease (COVID-19) Pneumonia: A Preliminary Analysis.</title><author><name sortKey="Liu, Dehan" sort="Liu, Dehan" uniqKey="Liu D" first="Dehan" last="Liu">Dehan Liu</name><affiliation><nlm:affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</nlm:affiliation></affiliation></author><author><name sortKey="Li, Lin" sort="Li, Lin" uniqKey="Li L" first="Lin" last="Li">Lin Li</name><affiliation><nlm:affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wu, Xin" sort="Wu, Xin" uniqKey="Wu X" first="Xin" last="Wu">Xin Wu</name><affiliation><nlm:affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</nlm:affiliation></affiliation></author><author><name sortKey="Zheng, Dandan" sort="Zheng, Dandan" uniqKey="Zheng D" first="Dandan" last="Zheng">Dandan Zheng</name><affiliation><nlm:affiliation>MSC Clinical & Technical Solutions, Philips Healthcare, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, Jiazheng" sort="Wang, Jiazheng" uniqKey="Wang J" first="Jiazheng" last="Wang">Jiazheng Wang</name><affiliation><nlm:affiliation>MSC Clinical & Technical Solutions, Philips Healthcare, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Yang, Lian" sort="Yang, Lian" uniqKey="Yang L" first="Lian" last="Yang">Lian Yang</name><affiliation><nlm:affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</nlm:affiliation></affiliation></author><author><name sortKey="Zheng, Chuansheng" sort="Zheng, Chuansheng" uniqKey="Zheng C" first="Chuansheng" last="Zheng">Chuansheng Zheng</name><affiliation><nlm:affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32186894</idno><idno type="pmid">32186894</idno><idno type="doi">10.2214/AJR.20.23072</idno><idno type="wicri:Area/PubMed/Corpus">000349</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000349</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Pregnancy and Perinatal Outcomes of Women With Coronavirus Disease (COVID-19) Pneumonia: A Preliminary Analysis.</title><author><name sortKey="Liu, Dehan" sort="Liu, Dehan" uniqKey="Liu D" first="Dehan" last="Liu">Dehan Liu</name><affiliation><nlm:affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</nlm:affiliation></affiliation></author><author><name sortKey="Li, Lin" sort="Li, Lin" uniqKey="Li L" first="Lin" last="Li">Lin Li</name><affiliation><nlm:affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wu, Xin" sort="Wu, Xin" uniqKey="Wu X" first="Xin" last="Wu">Xin Wu</name><affiliation><nlm:affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</nlm:affiliation></affiliation></author><author><name sortKey="Zheng, Dandan" sort="Zheng, Dandan" uniqKey="Zheng D" first="Dandan" last="Zheng">Dandan Zheng</name><affiliation><nlm:affiliation>MSC Clinical & Technical Solutions, Philips Healthcare, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Wang, Jiazheng" sort="Wang, Jiazheng" uniqKey="Wang J" first="Jiazheng" last="Wang">Jiazheng Wang</name><affiliation><nlm:affiliation>MSC Clinical & Technical Solutions, Philips Healthcare, Beijing, China.</nlm:affiliation></affiliation></author><author><name sortKey="Yang, Lian" sort="Yang, Lian" uniqKey="Yang L" first="Lian" last="Yang">Lian Yang</name><affiliation><nlm:affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</nlm:affiliation></affiliation></author><author><name sortKey="Zheng, Chuansheng" sort="Zheng, Chuansheng" uniqKey="Zheng C" first="Chuansheng" last="Zheng">Chuansheng Zheng</name><affiliation><nlm:affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</nlm:affiliation></affiliation></author></analytic><series><title level="j">AJR. American journal of roentgenology</title><idno type="eISSN">1546-3141</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><b>OBJECTIVE.</b> The purpose of this study was to describe the clinical manifestations and CT features of coronavirus disease (COVID-19) pneumonia in 15 pregnant women and to provide some initial evidence that can be used for guiding treatment of pregnant women with COVID-19 pneumonia. <b>MATERIALS AND METHODS.</b> We reviewed the clinical data and CT examinations of 15 consecutive pregnant women with COVID-19 pneumonia in our hospital from January 20, 2020, to February 10, 2020. A semiquantitative CT scoring system was used to estimate pulmonary involvement and the time course of changes on chest CT. Symptoms and laboratory results were analyzed, treatment experiences were summarized, and clinical outcomes were tracked. <b>RESULTS.</b> Eleven patients had successful delivery (10 cesarean deliveries and one vaginal delivery) during the study period, and four patients were still pregnant (three in the second trimester and one in the third trimester) at the end of the study period. No cases of neonatal asphyxia, neonatal death, stillbirth, or abortion were reported. The most common early finding on chest CT was ground-glass opacity (GGO). With disease progression, crazy paving pattern and consolidations were seen on CT. The abnormalities showed absorptive changes at the end of the study period for all patients. The most common onset symptoms of COVID-19 pneumonia in pregnant women were fever (13/15 patients) and cough (9/15 patients). The most common abnormal laboratory finding was lymphocytopenia (12/15 patients). CT images obtained before and after delivery showed no signs of pneumonia aggravation after delivery. The four patients who were still pregnant at the end of the study period were not treated with antiviral drugs but had achieved good recovery. <b>CONCLUSION.</b> Pregnancy and childbirth did not aggravate the course of symptoms or CT features of COVID-19 pneumonia. All the cases of COVID-19 pneumonia in the pregnant women in our study were the mild type. All the women in this study-some of whom did not receive antiviral drugs-achieved good recovery from COVID-19 pneumonia.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32186894</PMID><DateRevised><Year>2020</Year><Month>03</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1546-3141</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Mar</Month><Day>18</Day></PubDate></JournalIssue><Title>AJR. American journal of roentgenology</Title><ISOAbbreviation>AJR Am J Roentgenol</ISOAbbreviation></Journal><ArticleTitle>Pregnancy and Perinatal Outcomes of Women With Coronavirus Disease (COVID-19) Pneumonia: A Preliminary Analysis.</ArticleTitle><Pagination><MedlinePgn>1-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2214/AJR.20.23072</ELocationID><Abstract><AbstractText><b>OBJECTIVE.</b> The purpose of this study was to describe the clinical manifestations and CT features of coronavirus disease (COVID-19) pneumonia in 15 pregnant women and to provide some initial evidence that can be used for guiding treatment of pregnant women with COVID-19 pneumonia. <b>MATERIALS AND METHODS.</b> We reviewed the clinical data and CT examinations of 15 consecutive pregnant women with COVID-19 pneumonia in our hospital from January 20, 2020, to February 10, 2020. A semiquantitative CT scoring system was used to estimate pulmonary involvement and the time course of changes on chest CT. Symptoms and laboratory results were analyzed, treatment experiences were summarized, and clinical outcomes were tracked. <b>RESULTS.</b> Eleven patients had successful delivery (10 cesarean deliveries and one vaginal delivery) during the study period, and four patients were still pregnant (three in the second trimester and one in the third trimester) at the end of the study period. No cases of neonatal asphyxia, neonatal death, stillbirth, or abortion were reported. The most common early finding on chest CT was ground-glass opacity (GGO). With disease progression, crazy paving pattern and consolidations were seen on CT. The abnormalities showed absorptive changes at the end of the study period for all patients. The most common onset symptoms of COVID-19 pneumonia in pregnant women were fever (13/15 patients) and cough (9/15 patients). The most common abnormal laboratory finding was lymphocytopenia (12/15 patients). CT images obtained before and after delivery showed no signs of pneumonia aggravation after delivery. The four patients who were still pregnant at the end of the study period were not treated with antiviral drugs but had achieved good recovery. <b>CONCLUSION.</b> Pregnancy and childbirth did not aggravate the course of symptoms or CT features of COVID-19 pneumonia. All the cases of COVID-19 pneumonia in the pregnant women in our study were the mild type. All the women in this study-some of whom did not receive antiviral drugs-achieved good recovery from COVID-19 pneumonia.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Liu</LastName><ForeName>Dehan</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Hubei Province Key Laboratory of Molecular Imaging, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Li</LastName><ForeName>Lin</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Hubei Province Key Laboratory of Molecular Imaging, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Xin</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Hubei Province Key Laboratory of Molecular Imaging, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zheng</LastName><ForeName>Dandan</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>MSC Clinical & Technical Solutions, Philips Healthcare, Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Jiazheng</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>MSC Clinical & Technical Solutions, Philips Healthcare, Beijing, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yang</LastName><ForeName>Lian</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Hubei Province Key Laboratory of Molecular Imaging, Wuhan, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zheng</LastName><ForeName>Chuansheng</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jiefang Ave No. 1277, Wuhan 430022, China.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Hubei Province Key Laboratory of Molecular Imaging, Wuhan, China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>03</Month><Day>18</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>AJR Am J Roentgenol</MedlineTA><NlmUniqueID>7708173</NlmUniqueID><ISSNLinking>0361-803X</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">CT</Keyword><Keyword MajorTopicYN="N">coronavirus disease</Keyword><Keyword MajorTopicYN="N">ground-glass opacity (GGO)</Keyword><Keyword MajorTopicYN="N">pregnant women with COVID-19 pneumonia</Keyword><Keyword MajorTopicYN="N">reverse transcription–polymerase chain reaction (RT-PCR)</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>3</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>3</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>3</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32186894</ArticleId><ArticleId IdType="doi">10.2214/AJR.20.23072</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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