Manifestations of COVID-19 in Black African Pregnant Women

Introduction: Previous coronavirus outbreaks have shown increased risks of maternal complications. The main objective was therefore to describe the epidemiological, clinical, therapeutic and prognostic aspects of COVID-19 in black African pregnant women. Materials and Method: Retrospective descriptive study over a period of 16 months at the Regional Hospital of Lomé Commune, national reference center for the management of COVID-19 in Togo. Results: Twenty-one pregnant women, one of whom was excluded from the study were hospitalized out of 1338 hospitalized patients. The mean age was 27.9 years [17 - 40 years]. Pregnancy was diagnosed during hospitalization in 3 pregnant women. Nine pregnant women were in the first trimester of pregnancy and 4 in the third trimester. The clinical classification of COVID-19 showed 7 severe forms and one critical form. Complications were pulmonary embolism, respiratory distress with desaturation, acute pulmonary edema and metrorrhagia. The evolution of the other pregnancies was marked by threats of premature delivery and one fetal death. Nine pregnancies progressed normally and 4 women delivered by cesarean section. Two pregnant women with severe and critical conditions respectively died. Conclusion: The manifestations of COVID-19 in black African pregnant women are not different from other races.