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?:abstract
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Objective: To explore clinical delivery process, diagnosis and outcome of a twin pregnancy woman who was closely contacted with a patient with suspected corona virus disease 2019 (COVID-19) Methods: A twin pregnancy women of 37+ 2 gestational weeks who was closely contacted with a patient with suspected COVID-19 and received treatment in Department of Obstetrics, West China Second University Hospital, Sichuan University on February 19, 2020 was selected as research subject Retrospective analysis method was used to analyze her general clinical data, epidemiological data, pregnancy outcome, laboratory examinations and imaging examination results of COVID-19 The procedures followed in this study were in accordance with the World Medical Association Declaration of Helsinki revised in 2013 Results: Clinical analysis data of this subject were as follows ①The twin pregnancy with in vitro fertilization-embryo transfer, without pregnancy-related complications, and without fever, dry cough or other clinical symptoms ②Epidemiology data: the husband of this subject was a patient with suspected COVID-19 The subject lived in close contact with her husband and did not take any isolation, disinfection or other protective measures ③Pregnancy outcomes: after the admission to our hospital, the subject was admitted to a single isolation ward and managed in accordance with the protection standards for COVID-19 suspected patient The subject delivered a pair of live twins at 37+ 3 gestational weeks by cesarean section, with birth weights of 2 430 g and 2 510 g, respectively ④Laboratory examinations and imaging examination results of COVID-19: the subject received chest CT examination immediately after delivery, and the results showed that there was no obvious abnormality, and the detections of severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV-2) nucleic acid in nasopharynx swab, rectum swab, amniotic fluid and fetal membrane samples all were negative Conclusions: During the outbreak of SARS-CoV-2 infection, obstetrics department should take strict protection, isolation measures and response strategies to effectively cut off the source of infection and prevent cross-infection among medical staff and non-SARS-CoV-2 infected pregnant women And to pregnant women with suspected COVID-19, they should be well protected and quarantined to prevent repeatedly infected At the same time, their pregnancy, childbirth and postpartum should be strictly managed Copyright © 2020 by the Chinese Medical Association
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