[SARS-CoV-2 infection in pregnant women: Tunisian series of 11 cases]

INTRODUCTION: in pregnant women, the symptoms of COVID-19 join those of the general population in most cases However, like any population at risk, more serious symptoms can appear such as pneumonia or ARDS In our study, we propose to define the clinical, biological and therapeutic characteristics as well as the management of a series of pregnant women suffering from COVID-19 METHODS: this is a prospective and descriptive study which brought together 11 pregnant patients affected by the Coronavirus SARS-CoV-2 in the gynecology-obstetrics department of Mohamed Tlatli hospital, Nabeul, Tunisia between 12(th) September and 11(th) November 2020 RESULTS: the average age is 31 18 years Six patients were followed for a chronic disease Gestational diabetes was the most common comorbidity Contact with a suspected or confirmed case of COVID-19 was identified in 6 patients The average incubation period of the virus was 5 89 days Average term of pregnancy was 33 36 weeks with amenorrhea The preferred route of delivery was cesarean section The most frequently reported symptoms were fever in all patients, dry cough, dyspnea and headache in nine patients Two patients were subsequently treated in medical intensive care for a picture of acute respiratory distress syndrome (ARDS) Both patients were put on high flow nasal oxygen therapy: Optiflow without the need for mechanical ventilation In the remaining 9 cases, symptomatic treatment and antibiotic therapy were sufficient and the patients returned to their homes We have had no mother-to-child transmission and no death Breastfeeding does not seem to influence this transmission CONCLUSION: the most frequently reported symptoms were fever in all patients, followed by dry cough, dyspnea and headache There was no mother-to-child transmission, nor transmission during breastfeeding In general, symptomatic and antibiotic treatment was sufficient We are currently facing the second wave of the virus Our efforts will have to be based on a better clinical knowledge of this new coronavirus and adapt a management function accordingly Publisher: Abstract available from the publisher fre