Fetal taşikardi term gebeliklerde asemptomatik COVID-19'a işaret edebilir: Olgu serisi

Year 2023, , 1676 - 1680, 30.03.2023

Esin Merve Erol Koç , Hatice Akkaya

https://doi.org/10.38136/jgon.1076215

Abstract

Coronavirüs Hastalığı 2019 (COVID-19) viral kaynaklı bir pandemidir. Hastalığın olumsuz gebelik sonuçlarıyla doğrudan ilişkili olmadığı savunulmakla birlikte, çalışmalarda COVID-19'lu gebeliklerde fetal distres oarnının arttığı gösterilmiştir. Bu vaka serisinde, asemptomatik COVID-19'un eşlik ettiği fetal taşikardi vakalarını sunmayı amaçladık. Bu çalışmada, rutin gebelik takibi için başvuran ve termed gebeliği olan 3 hastada, fetal taşikardi temelinde fetal distres geliştiği tespit edildi ve acil sezaryen ile doğum gerçekleştirildi. Gebelerden hiçbirinin kronik hastalığı veya COVID-19’lu bir vaka ile yakın temas öyküsü yoktu. Tam kan sayımı ve kan serumu analizleri normaldi. Tüm hastalara asemptomatik COVID-19 teşhisi konuldu ve yenidoğanlardan 1 tanesinde de COVID-19 pozitif çıktı. Bu doğrultuda, fetal taşikardi tespit edilen gebeliklerde, hastalık semptomları olmasa bile COVID-19 ihtimali akılda tutulmalıdır. Fetal distres, obstetrik bir acildir. Bu nedenle olası olumsuz maternal ve neonatal sonuçlarla başa çıkabilmek için COVID-19'un potansiyel tehditleri göz önünde bulundurulmalıdır.

Keywords

COVID-19, fetal distres, fetal taşikardi, güven vermeyen fetal status

Fetal tachycardia may indicate to asymptomatic COVID-19 at term pregnancies: A case series

Abstract

Coronavirus Disease 2019(COVID-19)pandemics is a novel viral infection.The disease was not found as directly related with adverse pregnancy outcomes;however,the incidence of fetal distress has shown to be increased in pregnancies with COVID-19.This case series aimed to present fetal tachycardia cases with accompanying asymptomatic COVID-19.This study reported three women with term pregnancies applied for routine pregnancy follow-up were detected to develop fetal distress at the basis of fetal tachycardia and delivered through emergency C-section.None of them had any chronic disease or the history of close contact.The complete blood count and blood serum analyses were normal.All patients were diagnosed to have asymptomatic COVID-19,of which one neonate was positive for COVID-19. COVID-19 should be considered in fetal tachycardia cases, even in the absence of disease symptoms.Fetal distress is an obstetric emergency;therefore,the potential threats of COVID-19 should be kept in mind to be able to cope with possible adverse maternal and neonatal outcomes.

Keywords

Pregnancy outcomes, Nonreassuring fetal status, Fetal heart rate, Fetal distress, COVID-19

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