A Case Report of COVID-19 in a Pregnant Woman with Clinical Manifestations of Chorioamnionitis in Ilam, Iran

Introduction: Confrontation with COVID19 has threatened all people of the world, including pregnant women, as a highrisk group. Case Presentation: The present study presents a 29yearold female G1P0 at 33 weeks’ gestation. The patient’s initial complaint was the premature rupture of membranes. The patient’s vital signs showed an abnormal pulse rate and temperature. Initial assessments were carried out, including regular monitoring and recording of vital signs, mother’s blood ABG, uterine contractions, laboratory tests, and fetal heart rate. Treatment for chorioamnionitis began with intravenous ampicillin, gentamicin, and oral erythromycin. Because of the epidemic of COVID19 in Iran and Ilam, a throat swab specimen was obtained from the upper respiratory tract of the patient. The RTPCR assay confirmed that the throat swab sample of the patient was positive for COVID19. A throat swab specimen was taken from the newborn for RTPCR. Also, the mother’s chest CT scan was done that showed abnormality; however, the RTPCR throat swab specimen was negative for the newborn. The patient was transferred to the COVID19 care unit. She was healthily discharged from the hospital with two negative RTPCR tests. Her newborn was followed for two weeks, and no symptoms of COVID19 were reported. Conclusions: Some major prenatal complications, including fetal distress, preterm labor, premature rupture of membranes, and amniotic fluid abnormalities, have been reported among some pregnant women infected with COVID19 (7); however, the clinical manifestations of COVID19 are deceptive. Therefore, low attention to all aspects of COVID19 and late examination would increase the risk of spreading the disease among therapists providing services and other hospitalized mothers. These concerns make pregnant mothers afraid of even the most necessary referrals for appropriate and necessary midwifery interventions. Therefore, it is necessary to pay attention to two important issues: first, the concerns and anxieties of pregnant mothers and second, making the diagnosis in suspected cases as soon as possible.