1. A case study of the first pregnant woman with COVID-19 in Bukavu, eastern Democratic Republic of the Congo
- Author
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Etienne Kajibwami Birindwa, Guy Mulinganya Mulumeoderhwa, Olivier Nyakio, Guy-Quesney Mateso Mbale, Serge Zigabe Mushamuka, Jeanne Maningo Materanya, Pierrot Mulumeoderhwa Kahasha, Yvette Kujirakwinja Bisimwa, Freddy Mirindi Kampara, Jules Mongane Irenge, Isaac Barhishindi Kibalama, Pierre Kabuya Luzadi, Espoir Bwenge Malembaka, Daniel Garhalangwa-Na-Muntu Mayeri, Marius Baguma, and Ghislain Bisimwa Balaluka
- Subjects
Covid-19 ,Inflammation ,Peritoneum ,Vertical transmission ,Medicine - Abstract
Abstract Introduction Vertical transmission of covid-19 is possible; its risk factors are worth researching. The placental changes found in pregnant women have a definite impact on the foetus. Case presentation We report a case of a 25-year-old woman, gravida 3, para 2 (2 alive children), with a history of two caesarean deliveries, who was infected by the SARS-CoV-2 during the last term of her pregnancy. She gave birth by caesarean at 34 weeks of gestation to a newborn baby also infected with SARS-CoV-2. The peri-operative observations noted several eruptive lesions in the pelvis, bleeding on contact. Microscopic examination of the foetal appendages revealed thrombotic vasculopathy in the placenta and in the umbilical cord vessels. Conclusion This case is one of the first documented cases of COVID-19 in pregnancy in sub-Saharan Africa. We strongly suggest obstetricians to carefully examine the aspect of the peritoneum, viscera and foetal appendages in affected pregnant women.
- Published
- 2021
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