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Maternal death due to severe and critical COVID-19 in Qom, Iran: A case series
Mojtaba Yousefzadeh1, Azadeh Asgarian2, Roghayyeh Ahangari3, Zahra Yazdi3, Marzieh Savari3, Monireh Mirzaie3, Fatemeh Bagheri3, Abolfazl Mohammadbeigi4
1 Center of Clinical Research Development, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran
2 Center of Clinical Research Development, NHFI Hospital, Qom University of Medical Sciences, Qom, Iran
3 Department of Obstetrics and Gynecology, School of Medicine, NHFI Hospital, Qom University of Medical Sciences, Qom, Iran
4 Department of Epidemiology, Faculty of Health, Qom University of Medical Sciences, Qom, Iran
Correspondence Address:
Monireh Mirzaie
Department of Obstetrics and Gynecology, School of Medicine, NHFI Hospital, Qom University of Medical Sciences, Qom
Iran
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/2221-6189.362816
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Objective: To report the maternal death due to COVID-19.
Methods: A total of 14 maternal deaths due to severe and critical COVID-19 who were referred to the obstetric department of Nekouie-Forghani-Hedayati Hospital, Qom, Iran from December 2019 to May 2022 were collected. The clinical manifestations and maternal and perinatal outcomes were analyzed.
Results: Dexamethasone was used in 7 cases, while remdesivir was used in 5 cases. Acute respiratory distress syndrome, multiple organ failure, and sepsis were the main cause of mother death. The pregnancy in 8 cases were terminated by caesarean and only one neonatal death was reported from a mother at 13th week of gestational age, while all other fetus delivered were healthy and alive.
Conclusions: COVID-19 in pregnancy is an emergency. Critical appraisal is needed to detect the other comorbidities and positive PCR test by throat swap should be performed as soon as possible.
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