Preview

Obstetrics, Gynecology and Reproduction

Advanced search

Clinical observation of severe novel coronavirus infection COVID-19 that complicated the postpartum period in puerpera after caesarean section

https://doi.org/10.17749/2313-7347/ob.gyn.rep.2021.193

Full Text:

Abstract

The article presents a clinical case of a severe course of a novel coronavirus infection (COVID-19) that complicated the postpartum period in a patient who underwent cesarean section and resulted in lethal outcome on day 43 after delivery. This observation demonstrates the variety of clinical manifestations of a novel coronavirus infection, masking a severe systemic intravascular catastrophe in a puerperal woman.

About the Authors

L. I. Maltseva
Kazan State Medical Academy – Branch of Russian Medical Academy of Continuing Professional Education, Health Ministry of Russian Federation
Russian Federation

Larisa I. Maltseva – MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology

36 Butlerova Str., Kazan 420015



E. Iu. Iupatov
Kazan State Medical Academy – Branch of Russian Medical Academy of Continuing Professional Education, Health Ministry of Russian Federation; Institute of Fundamental Medicine and Biology, Kazan (Volga Region) Federal University
Russian Federation

Evgenii Iu. Iupatov – MD, PhD, Associate Professor, Head of the Department of Obstetrics and Gynecology, Kazan State Medical Academy; Associate Professor, Department of Surgery and Postgraduate Education, Institute of Fundamental Medicine and Biology, Kazan (Volga Region) Federal University

Scopus Author ID: 57201192778

36 Butlerova Str., Kazan 420015

74 Karl Marks Str., Kazan 420012



R. S. Zamaleeva
Kazan State Medical Academy – Branch of Russian Medical Academy of Continuing Professional Education, Health Ministry of Russian Federation
Russian Federation

Roza S. Zamaleeva – MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology

36 Butlerova Str., Kazan 420015



I. F. Fatkullin
Kazan State Medical Academy – Branch of Russian Medical Academy of Continuing Professional Education, Health Ministry of Russian Federation
Russian Federation

Ildar F. Fatkullin – MD, Dr Sci Med, Professor, Head of Gruzdev Department of Obstetrics and Gynecology

36 Butlerova Str., Kazan 420015



A. Zh. Bayalieva
Kazan State Medical Academy – Branch of Russian Medical Academy of Continuing Professional Education, Health Ministry of Russian Federation
Russian Federation

Ainagul Zh. Bayalieva – MD, Dr Sci Med, Professor, Head of the Department of Anesthesiology and Resuscitation, Disaster Medicine

36 Butlerova Str., Kazan 420015



M. E. Zhelezova
Institute of Fundamental Medicine and Biology, Kazan (Volga Region) Federal University
Russian Federation

Maria E. Zhelezova – MD, Dr Sci Med, Professor, Department of Surgery, Obstetrics and Gynecology

74 Karl Marks Str., Kazan 420012



T. P. Zefirova
Kazan State Medical Academy – Branch of Russian Medical Academy of Continuing Professional Education, Health Ministry of Russian Federation
Russian Federation

Tatiana P. Zefirova – MD, Dr Sci Med, Professor, Department of Obstetrics and Gynecology

36 Butlerova Str., Kazan 420015



R. I. Gabidullina
Kazan State Medical University, Health Ministry of Russian Federation
Russian Federation

Rushanya I. Gabidullina – MD, Dr Sci Med, Professor, Gruzdev Department of Obstetrics and Gynecology

49 Butlerova Str., Kazan 420012



I. S. Raginov
Kazan State Medical University, Health Ministry of Russian Federation
Russian Federation

Ivan S. Raginov – MD, Dr Sci Med, Associate Professor, Department of General Pathology and Gistology

49 Butlerova Str., Kazan 420012



L. S. Fatkullina
Kazan State Medical University, Health Ministry of Russian Federation
Russian Federation

Larisa S. Fatkullina – MD, PhD, Associate Professor, Gruzdev Department of Obstetrics and Gynecology

49 Butlerova Str., Kazan 420012



I. R. Galimova
Kazan University Clinic, Kazan (Volga Region) Federal University
Russian Federation

Ilmira R. Galimova – MD, PhD, Associate Professor, Deputy Chief Physician for Obstetric and Gynecological Care

1A Chekhov Str., Kazan 420043



N. R. Akhmadeev
Republican Clinical Hospital, Health Ministry of the Republic of Tatarstan
Russian Federation

Nariman R. Akhmadeev – MD, PhD, Head of the Department of Pregnancy Pathology

420064 Kazan, Orenburgskiy Trakt, 138



S. V. Gubaidullina
Republican Clinical Hospital, Health Ministry of the Republic of Tatarstan
Russian Federation

Svetlana V. Gubaidullina – MD, Deputy Chief Physician for Obstetrics and Gynecology

420064 Kazan, Orenburgskiy Trakt, 138



A. A. Evstratov
Republican Clinical Hospital, Health Ministry of the Republic of Tatarstan
Russian Federation

Alexey A. Evstratov – MD, Head of the Department of Intensive Care and Resuscitation, Perinatal Center

420064 Kazan, Orenburgskiy Trakt, 138



References

1. Liu D., Li L., Wu X. et al. Pregnancy and perinatal outcomes of women with coronavirus disease (COVID-19) pneumonia: a preliminary analysis. AJR Am J Roentgenol. 2020;215(1):127–32. https://doi.org/10.2214/AJR.20.23072.

2. Priputnevich T.V., Gordeev A.B., Lyubasovskaya L.A., Shabanova N.Ye. The novel coronavirus SARS-CoV-2 and pregnancy: literature review. [Novyj koronavirus SARS-COV-2 i beremennost': obzor literatury]. Akusherstvo i ginekologiya. 2020;(5):6–12. (In Russ.). https://doi.org/10.18565/aig.2020.5.6-12.

3. Kalimatova D.M., Dobrokhotova Yu.E. Features of pregnancy and childbirth under COVID-19 infection. [Osobennosti techeniya beremennosti i rodov pri infekcii COVID-19]. Prakticheskaya medicina. 2020;18(2):6–11. (In Russ.). https://doi.org/10.32000/2072-1757-2020-2-6-11.

4. Zaigham M., Andersson O. Maternal and perinatal outcomes with COVID-19: A systematic review of 108 pregnancies. Acta Obstet Gynecol Scand. 2020;99(7):823–9. https://doi.org/10.1111/aogs.13867.

5. Hantoushzadeh S., Shamshirsaz A.A., Aleyasin A. et al. Maternal death due to COVID-19 disease. Am J Obstet Gynecol. 2020;223(1):109.e1–16. https://doi.org/10.1016/j.ajog.2020.04.030.

6. Di Mascio D., Khalil A., Saccone G. et al. Outcome of coronavirus spectrum infections (SARS, MERS, COVID-19) during pregnancy: a systematic review and meta-analysis. Am J Obstet Gynecol MFM. 2020;2(2):100107. https://doi.org/10.1016/j.ajogmf.2020.100107.

7. Artymuk N.V., Belokrinitskaya T.E., Filippov O.S., Shifman E.M. COVID-19 in pregnant women in Siberia and the Far East. Article. [Novaya koronavirusnaya infekciya COVID-19 u beremennyh Sibiri i Dal'nego Vostoka]. Vestnik intensivnoj terapii imeni A.I. Saltanova. 2020;(2):41–8. (In Russ.). https://doi.org/10.21320/1818-474X-2020-2-41-48.

8. Gidlöf S., Savchenko J., Brune T., Josefsson H. COVID-19 in pregnancy with comorbidities: more liberal testing strategy is needed. Acta Obstet Gynecol Scand. 2020;99(7):948–9. https://doi.org/10.1111/aogs.13862.

9. Polyakova I.N., Stryuk R.I. Acute respiratory viral disorders in pregnant women: what general practice physician should know. [Ostrye respiratornye virusnye zabolevaniya u beremennyh: chto dolzhen znat' vrach obshchej praktiki]. Terapiya. 2020;6(5):140–6. (In Russ.). https://doi.org/10.18565/therapy.2020.5.140-146.

10. Bezhenar V.F., Zazerskaya I.E., Bettikher O.A. et al. Controversial issues of obstetric management of women with novel coronavirus disease COVID-19 during pregnancy and childbirth. [Spornye voprosy akusherskoj taktiki pri vedenii beremennosti i rodorazreshenii pacientok s novoj koronavirusnoj infekciej COVID-19]. Akusherstvo i ginekologiya. 2020;(5):13–21. (In Russ.). https://doi.org/10.18565/aig.2020.5.13-21.

11. Ignatko I.V., Strizhakov A.N., Timokhina E.V., Denisova Yu.V. Novel coronavirus infection (COVID-19): guiding plinciples for obstetric care under pandemic conditions. [Novaya koronavirusnaya infekciya (COVID-19): principy organizacii akusherskoj pomoshchi v usloviyah pandemii]. Akusherstvo i ginekologiya. 2020;(5):22–33. (In Russ.). https://doi.org/10.18565/aig.2020.5.22-33.

12. Bettocchi S., Veretzky A., Ivanov D.O. et al. A generalized action plan for obstetric hospitals and outpatient clinics during the suspected or confirmed COVID-19 pandemic. [Obobshchennyj plan raboty akusherskih stacionarov i ambulatorij v usloviyah pandemii s podozreniem ili podtverzhdennym COVID-19]. Akusherstvo i ginekologiya. 2020;(5):34–41. (In Russ.). https://doi.org/10.18565/aig.2020.5.34-41.

13. Bitsadze V.O., Khizroeva J.Kh., Makatsariya A.D. et al. COVID-19, septic shock and syndrome of disseminated intravascular coagulation. Part 1. [COVID-19, septicheskij shok i sindrom disseminirovannogo vnutrisosudistogo svertyvaniya krovi. Chast' 1]. Vestnik RAMN. 2020;75(2):118–28. (In Russ.). https://doi.org/10.15690/vramn1335.

14. Bitsadze V.O., Khizroeva J.Kh., Makatsariya A.D. et al. COVID-19, septic shock and syndrome of disseminated intravascular coagulation. Part 2. [COVID-19, septicheskij shok i sindrom disseminirovannogo vnutrisosudistogo svertyvaniya krovi. Chast' 2]. Vestnik RAMN. 2020;75(3):214–25. (In Russ.). https://doi.org/10.15690/vramn1336.

15. Makatsariya A.D., Slukhanchuk E.V., Bitsadze V.O. et al. COVID-19, hemostasis disorders and risk of thrombotic complications. [COVID-19, narusheniya gemostaza i risk tromboticheskih oslozhnenij]. Vestnik RAMN. 2020;75(4):306–17. (In Russ.). https://doi.org/10.15690/vramn1368.

16. Makatsariya A.D., Grigorieva K.N., Mingalimov M.A. et al. Coronavirus disease (COVID-19) and disseminated intravascular coagulation. [Koronavirusnaya infekciya (COVID-19) i sindrom disseminirovannogo vnutrisosudistogo svertyvaniya]. Obstetrics, Gynecology and Reproduction. 2020;14(2):123–31. (In Russ.). https://doi.org/10.17749/2313-7347.132.

17. Khizroeva J.Kh., Makatsariya A.D., Bitsadze V.O. et al. Laboratory monitoring of COVID-19 patients and importance of coagulopathy markers. [Laboratornyj monitoring COVID-19 i znachenie opredeleniya markerov koagulopatii]. Obstetrics, Gynecology and Reproduction. 2020;14(2):132–47. (In Russ.). https://doi.org/10.17749/2313-7347.141.

18. Vorobyev P.A., Momot A.P., Zaitsev A.A. et al. Disseminated intravascular blood coagulation syndrome in case of COVID-19 infection. [Sindrom disseminirovannogo vnutrisosudistogo svertyvaniya krovi pri infekcii COVID-19]. Terapiya. 2020;6(5):25–34. https://doi.org/10.18565/therapy.2020.5.25-34.


For citation:


Maltseva L.I., Iupatov E.Yu., Zamaleeva R.S., Fatkullin I.F., Bayalieva A.Zh., Zhelezova M.E., Zefirova T.P., Gabidullina R.I., Raginov I.S., Fatkullina L.S., Galimova I.R., Akhmadeev N.R., Gubaidullina S.V., Evstratov A.A. Clinical observation of severe novel coronavirus infection COVID-19 that complicated the postpartum period in puerpera after caesarean section. Obstetrics, Gynecology and Reproduction. 2021;15(3):321-329. (In Russ.) https://doi.org/10.17749/2313-7347/ob.gyn.rep.2021.193

Views: 41


ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)