Author/Authors :
Rahmani, Maryam Department of Radiology - Advanced Diagnostic and Interventional Radiology Research Center (ADIR) - Medical Imaging Center - Imam Khomeini Complex Hospital, Tehran, Iran , Moradi, Behnaz Department of Radiology - Advanced Diagnostic and Interventional Radiology Research Center (ADIR) - Medical Imaging Center - Imam Khomeini Complex Hospital, Tehran, Iran , Gity, Masoumeh Department of Radiology - Advanced Diagnostic and Interventional Radiology Research Center (ADIR) - Medical Imaging Center - Imam Khomeini Complex Hospital, Tehran, Iran , Chavoshi, Mohamad Reza Department of Radiology - Shariati Hospital - Tehran University of Medical Sciences, Tehran, Iran , Hantoushzadeh, Sedighe Maternal Fetal Neonatal Research Center Valiasr Hospital - Tehran University of Medical Sciences, Tehran, Iran , Kazemi Aski, Soudabeh Department of Obstetrics & Gynecology - Reproductive Health Research Center, Rasht, Iran , Kazemi, Mohammad Ali Department of Radiology - Amiralam Hospital - Tehran University of Medical Sciences, Tehran, Iran , Badraghe, Narges Department of Radiology - Advanced Diagnostic and Interventional Radiology Research Center (ADIR) - Medical Imaging Center - Imam Khomeini Complex Hospital, Tehran, Iran
Abstract :
Background & Objective: To evaluate the clinical course and CT findings of pregnant women.
Materials & Methods: Fourthy (25 pregnant and 15 non-pregnant) patients were entered to the study. Chest CT features and clinical findings were evaluated between two groups. Data related to pregnancy and fetal status evaluated in the pregnant group.
Results: The average age of pregnant patients was 33.1±5.75 years and the non-pregnant group was 35.4±6.88 years. The gestational age ranged from 7 weeks to 39weeks+2days (mean =31weeks+5days). No significant difference was seen between the two groups about clinical findings except the duration of symptoms before CT which was more in pregnant patients (6.71 ± 5.5 days vs 3.53 ± 1.92 days). Two mortalities in pregnant and one in non-pregnant patients, 2(8%) cases of premature rupture of membranes (PROM), 3 (12%) cases of intra-uterine fetal death (IUFD), 3 (12%) cases of fetal distress and 2 (8%) cases of IUGR in pregnant group. Fifteen pregnant patients gave birth. No positive PCR result was detected in newborns. Unlike the control group, the common CT findings were ground-glass pattern.
Conclusion: In summary, although we found the clinical findings in pregnant and control group were similar but pattern of CT involvement was different in pregnant patients and rate of ICU admission and mortality rate were more than control group. This viral pneumonia was associated with some important complications such as IUFD in severely involved mothers. CT could be an efficient tool for the early detection and severity assessment in the pregnant patients with COVID-19 pneumonia.
