Effect of Disease Severity on the Clinical Course, Maternal and Perinatal Outcomes in Pregnancy in COVID-19 Infection

Objective: The purpose of the present study was to evaluate the clinical course and maternal and perinatal outcomes of coronavirus disease-2019 (COVID-19) in pregnant women to determine the effects of the severity of the disease on these results.
Material and Methods: The present study was planned retrospectively, and 303 patients between the ages of 16 and 46 who were admitted by Adana City Training and Research Hospital, Clinic of Gynecology and Obstetrics between 15.03.2020 and 01.10.2021 and diagnosed with COVID-19 with reverse transcription-polymerase chain reaction test, pregnant patients and newborns of those who gave birth among these patients were included in it.
Results: The mean age of pregnant women in the severe and critical disease group was found to be significantly higher than that of pregnant women in the mild disease group. The mean gestational week of the patients who were included in the study was 33.8±6.6 years. It was found that the pregnant women in the severe and critical disease group had a lower gestational week than the pregnant women in the mild disease group, and this difference was significant.
Conclusion: It was determined that maternal age was higher in pregnant women who had severe and critical COVID-19 disease than in those with mild disease. It was determined that the presence of obesity and comorbid disease in pregnant women with COVID-19 did not correlate with the severity of the disease

Keywords: COVID-19, pregnancy, disease severity, preterm birth, perinatal outcomes