SPECIFICS OF THE COURSE OF KIDNEY DISEASE ON THE BACKGROUND OF CORONAVIRUS INFECTION AMONG PREGNANT WOMEN (REVIEW OF CLINICAL CASES)

Abstract

The purpose of the research: To analyze the course of infections of the urinary system in pregnant women against the background of coronavirus disease, as well as to establish the presence of complications during pregnancy and childbirth in these women.
Materials and methods. Taken for processing 57 birth histories of pregnant women received at the KNP "Uzhgorod City Maternity Hospital" between May 2020 and January 2021. Of these, 2 clinical cases of kidney disease during pregnancy were recorded, combined with coronavirus infection.
Results. Two clinical cases of pregnancy were described against the background of chronic kidney disease complicated by coronavirus infection. Both women had a mild course of both diseases, the fetus was satisfactory. The first pregnancy ended in spontaneous delivery on time, a live full-term girl was born. The postpartum period was normal, at the time of discharge, the woman in labor and the newborn were doing well, the test for antibodies to SARS-CoV2-19 was negative. The second pregnancy took place against the background of a single kidney and was complicated by pyelonephritis and hydronephrosis in the pregnant woman. The delivery was accomplished by caesarean section at 37 weeks. A live full-term girl was born. The postpartum period passed without features, the woman in labor was discharged home on day 5 without signs of coronavirus infection.
Conclusions. Coronavirus infection does not significantly affect the course of urinary tract infection in women. The co-infection did not affect the course of labor and the condition of the newborns. But it can also be assumed that infection with SARS CoV2-19 was a trigger for the recurrence of chronic pyelonephritis in the first clinical case. Therefore, these results give us an impetus for new observations and conclusions.