COMPREHENSIVE ASSESSMENT OF THE IMPACT OF SARS-COV-2 VIRAL INFECTION ON THE COURSE AND CONSEQUENCES OF PREGNANCY

Abstract

SUMMARY. The overall decline in the population health index against the backdrop of the sars-cov-2 pandemic significantly worsened the indicators of perinatal and infant mortality not only in Ukraine, but also in the world.

The aim – to evaluate the impact of sars-cov-2 viral infection on the course of pregnancy.

Material and Methods. A retrospective analysis of the course of pregnancy, childbirth and perinatal outcomes was conducted in 90 pregnant women who were under observation at the Ternopil Communal City Hospital No. 2. Pregnant women were divided into two groups. The first group included 60 pregnant women who contracted sars-cov-2 during pregnancy. The second group included 30 pregnant women who did not suffer from sars-cov-2 during pregnancy.

Results. Among pregnant women of the first group, complications such as placental dysfunction (76.7 %), threat of abortion (40.0 %), fetal growth retardation syndrome (36.7 %), anemia of pregnancy (53.3 %) and gestational pyelonephritis prevailed. (30.0 %), acute fetal distress (5.0 %) and late gestosis of pregnant women (23.3 %) occurred less often, while in the second group of pregnant women such complications were registered significantly less often: placental dysfunction (13.3 %), threat of abortion (13.3 %), late gestosis of pregnant women (10.0 %), anemia of pregnant women (16.7 %) and gestational pyelonephritis (6.7 %).

The average number of hospitalizations during pregnancy of the first group was 1.2+0.08, compared to the second group – 0.58+0.01 times.

Conclusions. Sars-cov-2 viral infection negatively affects the course and consequences of pregnancy. Pregnancy complicated by sars-cov-2 viral infection was accompanied by 2 times higher hospitalization of pregnant women than in the group that was not in contact with this virus.