Laporan Kasus Kehamilan pada Minggu Ke-34/35 dengan Covid-19, Diagnosis dan Penatalaksanaannya

Ratna Widyastuti, Arief Prijatna

Abstract


Coronavirus disease 2019 (COVID-19) adalah penyakit menular yang telah menyebabkan pandemi global. Pada saat penulisan, pengetahuan seputar COVID-19 dan hubungannya dengan kehamilan dan janin masih terbatas. Laporan kasus ini akan membahas COVID-19 pada seorang wanita berusia 24 tahun pada usia kehamilan 34/35 minggu. Hasil pemeriksaan rontgen dada menunjukkan adanya pneumonia bilateral, sedangkan tes Polymerase Chain Reaction (PCR) SARS CoV-2 memberikan hasil positif. Pasien menjalani operasi caesar elektif. Bayi lahir dengan berat badan lahir 2700 gram, skor Apgar 7-9, dan tanpa kelainan neonates, selanjutnya pasien dirawat di ruang isolasi dengan perawatan kolaboratif dari berbagai spesialis, tidak mengalami komplikasi intrapartum maupun postpartum. Ibu dan bayi dipulangkan dari rumah sakit dalam kondisi baik. Artikel ini sangat menekankan pentingnya memberikan terapi yang optimal kepada ibu hamil yang terinfeksi COVID-19.

Keywords


covid-19; hasil; kehamilan

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References


Perhimpunan Dokter Paru Indonesia. Pneumonia COVID-19: Diagnosis dan Penatalaksanaan di Indonesia. Journal of the American Pharmacists Association. 2020.

Nugraha B, Wahyuni LK, Laswati H, Kusumastuti P, Tulaar AB, Gutenbrunner C. COVID-19 pandemic in Indonesia: Situation and challenges of rehabilitation medicine in Indonesia. Acta Med Indones. 2020 Jul;52(3):299–305.

Royal College of Obstetricians and Gynaecologist. Coronavirus (COVID-19) Infection in Pregnancy. 2020;

Parasher A. COVID-19: Current understanding of its Pathophysiology, Clinical presentation and Treatment. Postgrad Med J. 2021;97(1147):312–20.

Pokja Infeksi Saluran Reproduksi POGI. Rekomendasi Penanganan Infeksi Virus Corona (Covid-19) Pada Maternal (Hamil, Bersalin Dan Nifas) Revisi 2. 2020.

Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet. 2020;395(10226):809–15.

Kotlyar AM, Grechukhina O, Chen A, Popkhadze S, Grimshaw A, Tal O, et al. Vertical transmission of coronavirus disease 2019: a systematic review and meta-analysis. Am J Obstet Gynecol. 2020/07/31. 2021 Jan;224(1):35-53.e3.

National Institutes of Health. Treatment Guidelines Panel. Coronavirus Disease 2019 (COVID-19). Nih. 2021;2019.

WHO Guidance Note. Laboratory testing for coronavirus disease (COVID-19) in suspected human cases‎‎‎: interim guidance, 11 Setember 2020. World Heal Organ. 2020;(March):20.

National Institutes of Health. Coronavirus Disease 2019 (COVID-19) Treatment Guidelines. Natl Inst Heal. 2021;

Lim S, Bae JH, Kwon H-S, Nauck MA. COVID-19 and diabetes mellitus: from pathophysiology to clinical management. Nat Rev Endocrinol [Internet]. 2021 Jan 13;17(1):11–30. Available from: http://www.nature.com/articles/s41574-020-00435-4

Yu H-H, Qin C, Chen M, Wang W, Tian D-S. D-dimer level is associated with the severity of COVID-19. Thromb Res. 2020/07/27. 2020 Nov;195:219–25.

Li Y, Deng Y, Ye L, Sun H, Du S, Huang H, et al. Clinical Significance of Plasma D-Dimer in COVID-19 Mortality. Front Med. 2021 May;8:638097.

Mucha SR, Dugar S, McCrae K, Joseph D, Bartholomew J, Sacha GL, et al. Coagulopathy in COVID-19: Manifestations and management. Cleve Clin J Med. 2020 Jul;87(8):461–8.

Gómez-Mesa JE, Galindo-Coral S, Montes MC, Muñoz Martin AJ. Thrombosis and Coagulopathy in COVID-19. Curr Probl Cardiol. 2020/11/02. 2021 Mar;46(3):100742.

Gupta A, Madhavan M V, Sehgal K, Nair N, Mahajan S, Sehrawat TS, et al. Extrapulmonary manifestations of COVID-19. Nat Med. 2020 Jul;26(7):1017–32.

World Health Organization. Rational use of personal protective equipment for COVID-19 and considerations during severe shortages: interim guidance, 23 December 2020. 2020;(December):1–32.

Jayaweera M, Perera H, Gunawardana B, Manatunge J. Transmission of COVID-19 virus by droplets and aerosols: A critical review on the unresolved dichotomy. Environ Res. 2020/06/13. 2020 Sep;188:109819.

Siegel JD, Rhinehart E, Jackson M, Chiarello L. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care Settings. Am J Infect Control. 2007 Dec;35(10 Suppl 2):S65-164.

Tran K, Cimon K, Severn M, Pessoa-Silva CL, Conly J. Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: A systematic review. PLoS One. 2012;7(4).

WHO. Mask use in the context of COVID-19. World Heal Organ. 2020;(December):1–10.




DOI: https://doi.org/10.24853/myjm.2.2.69-75

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