PREVALENCE OF GASTROINTESTINAL SYMPTOMS FOR PREGNANT WOMEN WITH COVID-19

Dr. Halah Razzaq Jasim  Abozaid; Dr. Noora Abdullah  Najm; Dr. Yasmin Najim  Abdulla

Dr. Halah Razzaq Jasim Abozaid Lecturer \ M.B.Ch.B., D.O.G., F.I.C.O.G. \ (Obstetrics & Gynecology) Ministry of Higher Education and Scientific Research, Kufa University, College of Medicine, Najaf, Iraq
Dr. Noora Abdullah Najm M.B.Ch.B., F.I.B.M.S. \ (Obstetrics & Gynecology) Iraqi Ministry of Health, Baghdad Health Directorate Al-Karkh, Al-Karkh Maternity Hospital, Baghdad, Iraq
Dr. Yasmin Najim Abdulla M.B.Ch.B., C.A.B.O.G. \ (Obstetrics & Gynecology) Iraqi Ministry of Health, Baghdad Health Directorate Al-Karkh, Al-Shaheed Al-Hakeem General Hospital, Baghdad, Iraq

Keywords: Symptoms, CO-19, Gastrointestinal, pregnant women, outcomes, clinical

Abstract

This study focused on knowing the occurrence of gastrointestinal symptoms in pregnant women sick with COVID-19 and knowing the extent of its spread in Iraq. and the time period was from June 2022 to March 2023 were. In this study collected, 123 Iraqi women patients with ages ranging between 20 and 40 years were included, and this study was designed according to knowledge of the prevalence of patients according to digestive system symptoms and evaluating the results according to logistic regression to the factors that posed a risk to the patients.

In this study, the following results were found (age ranged from 20 to 40 years) (the most common symptoms are Fever for 93 patients, cough for 72 patients), (and birth weight. It was observed that the baby's weight decreased in 20 patients with a rate of 26.26%, With a decrease in the Apgar score for low-weight children.

In summary, we conclude there is an Association between gastrointestinal symptoms and other clinical outcomes (e.g., pregnancy complications and fetal outcomes) in pregnant women with COVID-19.

References

1. Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr. 2020; 52:102066.
2. Agarwal A, Chen A, Ravindran N, To C, Thuluvath PJ. Gastrointestinal and Liver Manifestations of COVID-19. J ClinExpHepatol. 2020; 10:263–65.
3. Sellevoll HB, Saeed U, Young VS, Sandbæk G, Gundersen K, Mala T. Acute abdomen as an early symptom of COVID-19. Tidsskr Nor Legeforen. 2020; 10:4045.
4. Chen L, Li Q, Zheng D, Jiang H, Wei Y, Zou L, et al. Clinical Characteristics of Pregnant Women with COVID-19 in Wuhan, China. N Engl J Med. 2020;382: e100.
5. Zamaniyan M, Ebadi A, Aghajanpoor Mir S, Rahmani Z, Haghshenas M, Azizi S. Preterm delivery in a pregnant woman with critical COVID-19 pneumonia and vertical transmission. Prenat Diagn. 2020;10:1002
6. Cao D, Yin H, Chen J, Tang F, Peng M, Li R, et al. Clinical analysis of ten pregnant women with COVID-19 in Wuhan, China: A retrospective study. Int J Infect Dis. 2020; 23:30263–70.
7. Chen R, Zhang Y, Huang L, Cheng BH, Xia ZY, Meng QT. Safety and efficacy of different anesthetic regimens for parturients with COVID-19 undergoing Cesarean delivery: a case series of 17 patients. Can J Anesth. 2020:67655–63.
8. Chen S, Liao E, Cao D, Gao Y, Sun G, Shao Y. Clinical analysis of pregnant women with 2019 novel coronavirus pneumonia. J Med Virol. 2020; 92:1556–61.
9. Chen Y, Peng H, Wang L, Zhao Y, Zeng L, Gao H, et al. Infants Born to Mothers With a New Coronavirus (COVID-19) Front Pediatr. 2020; 8:1–5.
10. Fan C, Lei D, Fang C, Li C, Wang M, Liu Y, et al. Perinatal Transmission of COVID-19 Associated SARS-CoV-2: Should We Worry? Clin Infect Dis. 2020; 10:1093. [Google Scholar]
11. Khan S, Peng L, Siddique R, Nabi G, Nawsherwan , Xue M, et al. Impact of COVID-19 infection on pregnancy outcomes and the risk of maternal-to-neonatal intrapartum transmission of COVID-19 during natural birth. Infect Control Hosp Epidemiol. 2020; 41:748–50.
12. Wong SF, Chow KM, Leung TN, et al. Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol. 2004; 191:292‐297. 10.1016/j.ajog.2003.11.019.
13. Yan J, Guo J, Fan C, et al. Coronavirus disease 2019 in pregnant women: a report based on 116 cases. Am J Obstet Gynecol. 2020; 223:111. e1‐111.e14. 10.1016/j.ajog.2020.04.014.
14. Rasmussen SA, Jamieson DJ. Coronavirus disease 2019 (COVID‐19) and pregnancy. Obstet Gynecol. 2020; 135:999‐1002. 10.1097/AOG.0000000000003873
15. Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019‐nCoV epidemic: address mental health care to empower society. Lancet. 2020;395: e37‐e38. 10.1016/S0140-6736 (20)30309-3.
16. Basile C, Combe C, Pizzarelli F, et al. Recommendations for the prevention, mitigation, and containment of the emerging SARS‐CoV‐2 (COVID‐19) pandemic in haemodialysis centres. Nephrol Dial Transplant. 2020; 35:737‐741. 10.1093/ndt/gfaa069.
17. De Castro A, Abu-Hishmeh M, El Husseini I, Paul L. Haemophilus parainfluenzae endocarditis with multiple cerebral emboli in a pregnant woman with coronavirus. ID Cases. 2019;18: e00593. [PMC free article] [PubMed] [Google Scholar]
18. Hirshberg A, Kern-Goldberger AR, Levine LD, Pierce-Williams R, Short WR, Parry S, et al. Care of critically ill pregnant patients with COVID-19: a case series. Am J Obstet Gynecol. 2020; 223:286–90. [PMC free article] [PubMed] [Google Scholar]
19. Iqbal SN, Overcash R, Mokhtari N, Saeed H, Gold S, Auguste T, et al. An Uncomplicated Delivery in a Patient with Covid-19 in the United States. N Engl J Med. 2020;382 [PMC free article] [PubMed] [Google Scholar]
20. Juusela A, Nazir M, Gimovsky M. Two cases of coronavirus 2019-related cardiomyopathy in pregnancy. Am J Obstet Gynecol MFM. 2020; 2:100113. [PMC free article] [PubMed] [Google Scholar]