Management of Severe Preeclampsia with Anemia in Pregnant Women with Covid-19 Infection : A Multidisciplinary Approach

Abstract

Abstract
Objectives: to explain the management of severe preeclampsia accompanied by anemia in pregnant women with Covid-19 Infection.
Methods: This study is a case study. The data collection process uses medical records obtained from dr. Soebandi Hospital. The data will be presented in the form of a description of the management of severe preeclampsia accompanied by anemia in pregnant women with COVID-19 Infection.
Result: In this study, we report a case of COVID-19 in a 31-year-old pregnant woman at 30-31 weeks of gestation, who is pregnant with her second child and complained of leaking amniotic fluid and shortness of breath. Physical examination results showed : positive SARS-CoV-2 antigen swab test, BP 156/112 mmHg, T (36.0°C), heart rate 107 beats per minute, respiratory rate 30 breaths per minute, fetal heart rate 144 beats per minute, SpO2 97%, urine protein +4, Hb 5.2 g%. Vaginal toucher examination revealed cervical dilation of 1 cm, negative for amniotic fluid leakage, and cephalic presentation. A spontaneous delivery occurred. A female baby was born with an APGAR score of 1-2, weighing 900 grams, a leght of 27 cm, and a normal anus. Accompanying complication include pneumonia, metabolic acidosis, anemia, melena and coagulopathy.
Conclusion: Abnormal laboratory results in pregnant women with COVID-19 can indicate the severity of the condition. So, body immunity is very important to support pregnancy and fetal growth. When the body's protection is low, the body's immunity will weaken.
Keywords: Anemia, Covid-19, Pregnancy, Severe Pre-eclampsia