Retrospective Description of Pregnant Women Infected with Severe Acute Respiratory Syndrome Coronavirus 2, France

Emerg Infect Dis. 2020 Sep;26(9):2069-2076. doi: 10.3201/eid2609.202144. Epub 2020 Jul 6.

Abstract

Fix data are available on the management of pregnant women infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We conducted a retrospective study of 100 pregnant women with SARS-CoV-2 infection in 4 obstetric units in the Paris metropolitan area of France during March 12-April 13, 2020. Among patients, 52 (52%) were hospitalized, 10 (10%) in intensive care units (ICUs). Women with higher body mass indexes (BMIs; median 30.7 kg/m2) were more likely to be hospitalized in ICUs than other women (median BMI 26.2 kg/m2). Women hospitalized in ICUs had lower lymphocyte count at diagnosis (median 0.77 × 109 cells/L) than women not hospitalized in ICUs (median lymphocyte count 1.15 × 109 cells/L). All women requiring oxygen >5 L/min were intubated. Clinical and laboratory evaluation of SARS-CoV-2-positive pregnant women at the time of diagnosis can identify patients at risk for ICU hospitalization.

Keywords: COVID-19; France; MERS; SARS; SARS-CoV-2; coronavirus; coronavirus disease; pregnancy; respiratory infections; severe acute respiratory syndrome coronavirus 2; viruses; zoonoses.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Betacoronavirus*
  • COVID-19
  • Coronavirus Infections / complications*
  • Coronavirus Infections / transmission
  • Coronavirus Infections / virology
  • Female
  • Hospitalization / statistics & numerical data
  • Humans
  • Infectious Disease Transmission, Vertical
  • Intensive Care Units
  • Pandemics
  • Paris
  • Pneumonia, Viral / complications*
  • Pneumonia, Viral / transmission
  • Pneumonia, Viral / virology
  • Pregnancy
  • Pregnancy Complications, Infectious / virology*
  • Pregnancy Outcome
  • Retrospective Studies
  • SARS-CoV-2