A retrospective research in Iraq for the outcome of 49 pregnant women with COVID-19

Abstract

In 2019, a wild coronavirus infection epidemic (COVID-19) has infected about 183 million people worldwide, resulting in roughly 3,972,000 fatalities. Various studies had reported there were no significant differences between pregnant and non- pregnant women infected with COVID-19 regarding clinical signs. Few studies, however, had focused on the newborns delivered by COVID-19 infected women. In the present survey research, a total of 49 pregnant women with COVID-19 sickness who had passed on in 2 doled-out broad clinical centers in Iraq, between the end of june of 2020 to mid of july 2021 were considered, along with 50 neonates carried  by  them  (one  of  the  women  was  carrying  twins).  Maternal  fragment ascribes, movement course, appearances, and lab test records were obtained from crisis centers. The babies were administered into hospitals if they were found to have the relevant symptoms (5 cases), or legal guardians accepted a segregated clinical solution (23 cases), while 22 cases was symptome free but still followed by telephone if they had any complain. Any recordings of test results, radiography, and tomography files of the hospitalized babies that are the focus of this paper were separated from other records. 4 babies were tested for the presence of sever acute respiratory syndrome -CoV-2 antibodies. 
Of the 49 pregnant women infected with COVID-19 (23 confirmed and 26 through clinical diagnosis), and their mean age was 39 years. 34 of the patients were found to have mild symptoms like fever (29), headache (9), shortness of breath (4), abdominal pain (2), increased salivation (1), while 15 displayed no symptoms. 11 of the patients had difficulties with their pregnancy, and 47 decided to deliver their babies through c-section procedure. 
Of 50 newborns, 28 were transferred to neonatal care unit for treatment and care, while the remaining 22 who had no symptoms were administered to care services normally. 5 of the hospitalized babies were diagnosed with COVID-19 infection (2 confirmed and 3 suspected). Also, 12 of 13 normally service-administered babies displayed radiological findings indicating pneumonia (in X-rays and Computed tomography scans, 1 had intermittent cough, remaining displayed no relevant symptoms). SARS-CoV-2 antibodies and corresponding IgM and IgG levels were evaluated for four of the babies, and two out of these four were found to be positive. The limited number of tested babies prevented any statistical study regarding their social status variables. 
As part of this study, 2 out of 50 babies delivered by COVID-19 infected mothers were found to display pneumonia related findings in their radiological surveys. These findings are indicative that intrauterine and/or intrapartum infection of the baby is a potential risk, which requires further testing and clinical preparations.