Manifestations of COVID-19 in pregnant women with focus on gastrointestinal symptoms: a systematic review
Gastroenterology and Hepatology from Bed to Bench,
Vol. 13 No. 4 (2020),
20 Shahrivar 2020
,
Page 305-312
https://doi.org/10.22037/ghfbb.v13i4.2016
Abstract
Aim: This review study was conducted to evaluate the symptoms of COVID-19 in pregnant women with a focus on gastrointestinal symptoms.
Background: COVID-19 is a fatal respiratory disease caused by a novel coronavirus that quickly became a pandemic. Although the main symptoms of this disease include respiratory symptoms, gastrointestinal manifestations have also been observed in some patients suffering from COVID-19. Pregnant women are among the most vulnerable groups in the community to infectious diseases.
Methods: Scientific databases were searched for articles published up to May 8, 2020. Any type of study investigating the manifestations of COVID-19 in pregnant women was included. Symptoms of the disease in pregnant women with an emphasis on gastrointestinal symptoms were assessed.
Results: The search resulted in 852 titles and abstracts, which were narrowed down to 43 studies involving 374 women. The most common symptoms of patients were fever (59.1%) and cough (48.4%), respectively. Gastrointestinal symptoms included diarrhea (4.5%), abdominal pain (1.6%), nausea (0.8%), and loss of appetite (0.3%), respectively. In studies on pregnant women with gastrointestinal symptoms, 13 fetal abortions occurred, most of which were induced abortions due to the risks posed by COVID-19.In thirty cases, and infected pregnant women reported a history of chronic pregnancy-related diseases.
Conclusion: COVID-19 in pregnant women, similar to the general population, can present with gastrointestinal manifestations. The gastrointestinal tract can be a potential route for infection with the novel coronavirus.
Keywords: COVID-19, Novel Coronavirus Infection, Pregnancy, Diarrhea, Gastrointestinal Tract.
(Please cite as: Makvandi S, Ashtari S, Vahedian-Azimi A. Manifestations of COVID-19 in pregnant women with focus on gastrointestinal symptoms: a systematic review. Gastroenterol Hepatol Bed Bench 2020;13(4):305-312).
- COVID-19, Novel Coronavirus Infection, Pregnancy, Diarrhea, Gastrointestinal Tract.
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