Objectives: To evaluate the clinical characteristics and outcomes of pregnant women with Covid-19 . Material and methods: This case series study was performed to investigate demographic, clinical and obstetric characteristics of 26 pregnant women with COVID-19 referring to a university hospital of Kashan during the epidemic of COVID-19 (March to May 2020).
Results: The mean gestational age of the patients at admission and delivery was 31.8 ± 5.2 and 36.3 ± 3.4 weeks, respectively . The most common symptoms were fever (96.2 %) followed by dyspnea and cough (30.8 %). The findings of lung CT scan showed abnormalities confirming the pneumonia in 22 patients (84.6 %). Cesarean section was performed in 69.2% of the mothers.The most common maternal-fetal outcome was preterm delivery (38 %). Two mothers were transferred to the ICU due to deterioration in clinical condition and they underwent mechanical ventilation without any maternal death.The most common neonatal outcomes were prematurity (38 %) and low birth weight (34.6 %). No cases of confirmed COVID-19 were observed in the neonates .
Conclusions: Clinical manifestations and laboratory and radiographic findings in pregnant women with COVID-19 are similar to the general population . Common outcomes of pregnancy and delivery in mothers included increased rate of preterm delivery and cesarean section . The most prevalent neonatal outcomes included prematurity and LBW . Careful monitoring of pregnant women with COVID-19 is recommended.