Clinical evaluation of pregnant women with SARS-COV2 pneumonia: a real-life study from Egypt

Samy Zaky; Hossam Hosny; Gehan Elassal; Noha Asem; Amin Abdel Baki; Ehab Kamal; Akram Abdelbary; Ahmad Said; Hamdy Ibrahim; Khaled Taema; Wagdy Amin; Sherief Abd-Elsalam; Shaimaa Soliman; Hend Salah Abdelmenam; Ahmed S Mohamed; Mohamed Elnady; Mohamed Hassany; Hala Zaid

doi:10.1186/s42506-021-00092-z

Clinical evaluation of pregnant women with SARS-COV2 pneumonia: a real-life study from Egypt

J Egypt Public Health Assoc. 2021 Nov 4;96(1):29. doi: 10.1186/s42506-021-00092-z.

Authors

Samy Zaky¹, Hossam Hosny², Gehan Elassal³, Noha Asem⁴, Amin Abdel Baki⁵, Ehab Kamal⁶, Akram Abdelbary⁷, Ahmad Said⁷, Hamdy Ibrahim⁸, Khaled Taema⁷, Wagdy Amin⁹, Sherief Abd-Elsalam¹⁰, Shaimaa Soliman¹¹, Hend Salah Abdelmenam¹², Ahmed S Mohamed¹³, Mohamed Elnady¹⁴, Mohamed Hassany⁵, Hala Zaid⁹

Affiliations

¹ Hepatogastroenterology and Infectious Diseases Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
² Chest Diseases Department, Head of Pulmonary Hypertension Unit, Faculty of Medicine, Cairo University, Cairo, Egypt.
³ Pulmonary Medicine Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
⁴ Public Health Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
⁵ National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Egypt.
⁶ Tropical Medicine Department. Medical Division, National Research Center, Cairo, Egypt.
⁷ Critical Care Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
⁸ Fever Hospitals, Ministry of Health and Population (MOHP), Cairo, Egypt.
⁹ MOHP, Cairo, Egypt.
¹⁰ Tropical Medicine and Infectious Diseases Department, Faculty of Medicine, Tanta University, Tanta, Egypt. sherif.abdelbaky@med.tanta.edu.eg.
¹¹ Public Health and Community Medicine Department, Menoufia University, Menoufia, Egypt.
¹² Obstetrics and Gynecology Department, Al Zahraa University Hospital, Cairo, Egypt.
¹³ Chest Diseases Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
¹⁴ Pulmonology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

Abstract

Background: Knowledge about the outcome of COVID-19 on pregnant women is so important. The published literature on the outcomes of pregnant women with COVID-19 is confusing. The aim of this study was to report our clinical experience about the effect of COVID-19 on pregnant women and to determine whether it was associated with increased mortality or an increase in the need for mechanical ventilation in this special category of patients.

Methods: This was a cohort study from some isolation hospitals of the Ministry of Health and Population, in eleven governorates, Egypt. The clinical data from the first 64 pregnant women with COVID-19 whose care was managed at some of the Egyptian hospitals from 14 March to 14 June 2020 as well as 114 non-pregnant women with COVID-19 was reviewed.

Results: The two groups did not show any significant difference regarding the main outcomes of the disease. Two cases in each group needed mechanical ventilation (p 0.617). Three cases (4.7%) died among the pregnant women and two (1.8%) died among the non-pregnant women (p 0.352).

Conclusions: The main clinical outcomes of COVID-19 were not different between pregnant and non-pregnant women with COVID-19. Based on our findings, pregnancy did not exacerbate the course or mortality of COVID-19 pneumonia.

Keywords: COVID-19; Egypt; Mortality; Outcomes; Pregnancy; Ventilation.