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10.4274/jtgga.galenos.2021.2020.0215

http://scihub22266oqcxt.onion/10.4274/jtgga.galenos.2021.2020.0215
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33631874!8420748!33631874
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suck abstract from ncbi


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pmid33631874      J+Turk+Ger+Gynecol+Assoc 2021 ; 22 (3): 196-205
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  • Clinical and radiologic characteristics of symptomatic pregnant women with COVID-19 pneumonia #MMPMID33631874
  • Kuzan TY; Murzoglu Altintoprak K; Ciftci HO; Kuzan BN; Yassa M; Tug N; Cimsit NC
  • J Turk Ger Gynecol Assoc 2021[Aug]; 22 (3): 196-205 PMID33631874show ga
  • OBJECTIVE: To describe the radiological features, diagnostic accuracy and features of imaging studies and their relation with clinical course of Coronavirus disease-2019 (COVID-19) pneumonia in pregnant women. MATERIAL AND METHODS: The clinical, laboratory and radiological features of symptomatic pregnant women suspected of COVID-19 were retrospectively reviewed. Chest radiography (CXR) and chest computed tomography (CT) findings of COVID-19 in pregnant women were identified. RESULTS: Fifty-five of eighty-one pregnant women were included in the final analysis. The most common admission symptoms were dry cough (45.4%), fever (29.1%) and dyspnea (34.5%). Radiological imaging studies were performed in 34 (61.8%) patients. Fourteen (66.7%) of the laboratory-confirmed COVID-19 patients had parenchymal abnormalities on CXR, and most common abnormalities were airspace opacities (61.9%) and prominent bronchovascular shadows (28.6%). Seventeen (85.0%) of the patients had parenchymal abnormalities consistent with COVID-19 on their chest CT. Chest CT most commonly showed bilateral (88.2%), multilobe (100%) involvement; peripheral and central distribution (70.6%); patchy-shape (94.1%) and ground-glass opacity (94.1%). The sensitivity of CXR and chest CT was calculated as 66.7% and 83.3%, respectively. Preterm birth rate was 41.2% (n=7/17). Five (9.1%) of the 55 pregnant women admitted to the intensive care unit, three of those developed acute respiratory distress syndrome and one died. CONCLUSION: This study describes the main radiological features of symptomatic pregnant women infected with COVID-19. The refusal rate among pregnant women for the imaging modalities involving ionizing radiation was high but these had high sensitivity for COVID-19 diagnosis. The preterm birth and cesarean section rates were observed as remarkably increased.
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