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VOLUME 7 , ISSUE 2 ( July-December, 2022 ) > List of Articles

CASE REPORT

COVID-19 as a Possible Cause of Unexplained Maternal Polyhydramnios: A Case Report

Neeraj Kumar, SK Arun, Abhyuday Kumar, Sarfaraz Ahmad

Keywords : COVID-2019, Parturient, Polyhydramnios

Citation Information : Kumar N, Arun S, Kumar A, Ahmad S. COVID-19 as a Possible Cause of Unexplained Maternal Polyhydramnios: A Case Report. Res Inno Anesth 2022; 7 (2):62-64.

DOI: 10.5005/jp-journals-10049-2018

License: CC BY-NC 4.0

Published Online: 22-10-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Background: Pregnant women are uniquely susceptible to severe illnesses with a viral infection, possibly due to the shift from cellular to humoral immunity during pregnancy and puerperium. The relationship between clinically evident polyhydramnios in coronavirus disease 2019 (COVID-19) infection and poor perinatal outcome has not been evaluated. Case description: We describe as case of 28-year-old pregnant female with mild systemic disease (ASA-II) having COVID-19 with moderate polyhydramnios underwent an emergency cesarean section under spinal anesthesia due to fetal distress. She had class II obesity, cough, and fever with moderate COVID-19. Conclusion: Since COVID-19 is a viral infection, it may have caused placental insult due to cytokine storm during the pregnancy and resulted in polyhydramnios.

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  1. Kourtis AP, Read JS, Jamieson DJ. Pregnancy and infection. N Engl J Med 2014;370(23):2211–2218. DOI: 10.1056/NEJMra1213566
  2. Brace RA. Physiology of amniotic fluid volume regulation. Clin Obstet Gynecol 1997;40(2):280–289. DOI: 10.1097/00003081-199706000-00005
  3. Many A, Hill LM, Lazebnik N, et al. The association between polyhydramnios and preterm delivery. Obstet Gynecol 1995;86(3):389–391. DOI: 10.1016/0029-7844(95)00179-U
  4. Magann EF, Chauhan SP, Doherty DA, et al. A review of idiopathic hydramnios and pregnancy outcomes. Obstet Gynecol Surv 2007;62(12):795–802. DOI: 10.1097/01.ogx.0000290349.58707.e0
  5. Clinical Management Protocol for COVID-19. Last Updated: May 9, 2022. Available from: https://www.mohfw.gov.in/pdf/UpdatedDetailedClinicalManagementProtocolforCOVID19adultsdated24052021.pdf
  6. Cardwell MS. Polyhydramnios: a review. Obstet Gynecol Surv 1987;42(10):612–617. DOI: 10.1097/00006254-198710000-00001
  7. Della Gatta AN, Rizzo R, Pilu G, et al. Coronavirus disease 2019 during pregnancy: a systematic review of reported cases. Am J Obstet Gynecol 2020;223(1):36–41. DOI: 10.1016/j.ajog.2020.04.013
  8. Adams Waldorf KM, McAdams RM. Influence of infection during pregnancy on fetal development. Reproduction 2013;146(5):R151–R162. DOI: 10.1530/REP-13-0232
  9. Khalil A, Kalafat E, Benlioglu C, et al. SARS-CoV-2 infection in pregnancy: a systematic review and meta-analysis of clinical features and pregnancy outcomes. E Clinical Medicine 2020;25:100446. DOI: 10.1016/j.eclinm.2020.100446
  10. Hamza A, Herr D, Solomayer EF, et al. Polyhydramnios: causes, diagnosis and therapy. Geburtshilfe Frauenheilkd 2013;73(12):1241–1246. DOI: 10.1055/s-0033-1360163
  11. Phelan JP, Park YW, Ahn MO, et al. Polyhydramnios and perinatal outcome. J Perinatol 1990;10(4):347–350. PMID: 2277279.
  12. Ng WF, Wong SF, Lam A, et al. The placentas of patients with severe acute respiratory syndrome: a pathophysiological evaluation. Pathology 2006;38(3):210–218. DOI: 10.1080/00313020600696280
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