COVID-19pneumonia in an Iraqi pregnant woman with preterm delivery

摘要

Rationale: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.Patient concern: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.Diagnosis:The patient was diagnosed with COVID-19 pneumonia.Interventions:The patient was referred to the quarantine sector and was treated with chloroquine orally,intravenous fluid and other supportive treatment.Outcomes: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.Lessons: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.