A Case Report of a Second-Trimester Stillbirth‎ in a Pregnant Woman with SARS-CoV-2 Infection

Maternal infections are the most important risk factors to fetal health in humans, most of which are caused by viral agents. Viruses are among the most contagious infectious agents that can cause many complex and irreversible complications, including; Stunted growth, intracranial calcification, microcephaly and fetal death. The aim of the present study was to report a case of stillbirth in the second trimester in a pregnant woman infected with the new coronavirus (SARS-CoV-2).

Case Report: 

A 23-year-old woman with a first gestation and a gestational age of 23 weeks based on the first day of her last menstrual period, with fever symptoms and complaints of pain in the abdomen and flanks, along with a referral for a gynecologist (UTI) and to check the possibility of kidney infection refer to the gynecology department of Vali-e-Asr Hospital in Kazerun. An ultrasound performed one hour after the mother was admitted indicated that the fetus was healthy, but the next morning during the examination, the mother showed signs of severe shortness of breath and the fetal heart rate was not heard. The motherchr('39')s lungs were scanned immediately and her infection with the new coronavirus (SARS-CoV-2) was confirmed. The new coronavirus (SARS-CoV-2) may alter immune responses in the mother-fetus relationship and jeopardize the potential risks of a cytokine storm following maternal infection.

Following the physiological adaptation changes in pregnancy, respiratory problems increase in pregnant women, so given the current state of the new coronavirus epidemic, it is necessary to provide more care of pregnant women.