Table 1.
Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 | Patient 8 | Patient 9 | n (%) | ||
---|---|---|---|---|---|---|---|---|---|---|---|
Clinical characteristics | |||||||||||
Date of admission | Jan 20 | Jan 25 | Jan 27 | Jan 26 | Jan 27 | Jan 27 | Jan 28 | Jan 29 | Jan 30 | ·· | |
Age (years) | 33 | 27 | 40 | 26 | 26 | 26 | 29 | 28 | 34 | ·· | |
Gestational age on admission | 37 weeks, 2 days | 38 weeks, 2 day | 36 weeks | 36 weeks, 2 days | 38 weeks,1 day | 36 weeks, 3 days | 36 weeks, 2 days | 38 weeks | 39 weeks, 4 days | ·· | |
Epidemiological history | Yes (exposure to relevant environment)* | Yes (contact with infected person) | Yes (contact with infected person) | Yes (exposure to relevant environment)* | Yes (exposure to relevant environment)* | Yes (contact with infected person) | Yes (contact with infected person) | Yes (contact with infected person) | Yes (exposure to relevant environment)† | 9 (100%) | |
Other family members affected | No | Yes | Yes | No | No | Yes | No | Yes | No | 4 (44%) | |
Onset to delivery (days) | 1 | 6 | 4 | 3 | 1 | 4 | 2 | 2 | 7 | ·· | |
Complications | Influenza | None | Gestational hypertension | Pre-eclampsia | Fetal distress | None | PROM | Fetal distress | PROM | ·· | |
Signs and symptoms | |||||||||||
Fever on admission | No | Yes | No | Yes | Yes | Yes | Yes | Yes | Yes | 7 (78%) | |
Post-partum fever | Yes | Yes | Yes | Yes | Yes | No | No | No | Yes | 6 (67%) | |
Myalgia | No | Yes | No | No | Yes | Yes | No | No | No | 3 (33%) | |
Malaise | No | No | No | No | Yes | Yes | No | No | No | 2 (22%) | |
Rigor | No | No | No | No | No | No | No | No | No | 0 | |
Cough | Yes | Yes | Yes | No | No | Yes | No | No | No | 4 (44%) | |
Dyspnoea | No | No | No | Yes | No | No | No | No | No | 1 (11%) | |
Sore throat | No | No | No | No | No | Yes | Yes | No | No | 2 (22%) | |
Diarrhoea | No | No | No | Yes | No | No | No | No | No | 1 (11%) | |
Chest pain | No | No | No | No | No | No | No | No | No | 0 | |
Laboratory characteristics | |||||||||||
White blood cell count (×109 cells per L) | 6·15 | 5·07 | 8·78 | 7·63 | 9·34 | 5·57 | 10·61 | 9·96 | 7·08 | ·· | |
Low or normal leukocyte count (<9·5×109 cells per L) | Yes | Yes | Yes | Yes | Yes | Yes | No | No | Yes | 7 (78%) | |
Lymphocyte count (×109 cells per L) | 1·59 | 0·56 | 0·46 | 2·83 | 0·69 | 0·66 | 0·87 | 1·53 | 1·47 | ·· | |
Lymphopenia (<109 cells per L) | No | Yes | Yes | No | Yes | Yes | Yes | No | No | 5 (56%) | |
C-reactive protein concentration (mg/L) | 20·3 | 14·4 | 33·4 | 3·3 | 28·2 | 18·2 | NA | 6·2 | 24·9 | ·· | |
Elevated C-reactive protein (>10 mg/L) | Yes | Yes | Yes | No | Yes | Yes | NA | No | Yes | 6 (75%)‡ | |
Elevated ALT (>45 U/L) or AST (>35 U/L) | Yes | No | Yes | Yes | No | No | No | No | No | 3 (33%) | |
ALT (U/L) | 2093 | 9 | 62 | 54 | 18 | 14 | 6 | 16 | 12 | ·· | |
AST (U/L) | 1263 | 24 | 71 | 76 | 24 | 23 | 15 | 22 | 21 | ·· | |
Confirmatory test done (SARS-CoV-2 quantitative RT-PCR) | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | 9 (100%) | |
CT evidence of pneumonia | |||||||||||
Typical signs of viral infection | Yes | Yes | Yes | Yes | Yes | Yes | No | Yes | Yes | 8 (89%) | |
Delivery | |||||||||||
Method of delivery | C-section | C-section | C-section | C-section | C-section | C-section | C-section | C-section | C-section | ·· | |
Indication for C-section | Severely elevated ALT or AST; COVID-19 pneumonia | Mature; COVID-19 pneumonia | History of C-section (×2); COVID-19 pneumonia | Pre-eclampsia; COVID-19 pneumonia | Fetal distress; COVID-19 pneumonia | History of stillbirth (×2); COVID-19 pneumonia | PROM; COVID-19 pneumonia | Fetal distress; COVID-19 pneumonia | PROM; COVID-19 pneumonia | ·· | |
Treatment after delivery | |||||||||||
Oxygen support (nasal cannula) | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | 9 (100%) | |
Antiviral therapy | Yes | Yes | Yes | No | No | No | Yes | Yes | Yes | 6 (67%) | |
Antibiotic therapy | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | 9 (100%) | |
Use of corticosteroid | No | No | No | No | No | No | No | No | No | 0 |
PROM=premature rupture of membrane. NA=not applicable. ALT=alanine transaminase. AST=aspartate transaminase. COVID-19=2019 novel coronavirus disease. C-section=caesarean section. SARS-CoV-2=severe acute respiratory syndrome coronavirus 2.
Exposure to Hankou, the area in Wuhan where the epidemic was first detected.
A university where the patient works, and a gathering of people.
Data missing for one patient.