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Revista médica del Hospital General de México

On-line version ISSN 2524-177XPrint version ISSN 0185-1063

Abstract

BAUTISTA-GARCIA, Pablo B.; BAHENA-CAMPOS, Mariana  and  ALCANTARA-ROSAS, Diana H.. Profile of proinflammatory markers in pregnant women who died of severe COVID-19. Rev. med. Hosp. Gen. Méx. [online]. 2025, vol.88, n.1, pp.4-9.  Epub May 23, 2025. ISSN 2524-177X.  https://doi.org/10.24875/hgmx.24000013.

Introduction:

In December 2019, four cases of pneumonia of unknown origin were reported to the World Health Organization (WHO) in China, caused by SARS-CoV-2. In March 2020, the WHO declared the beginning of the COVID-19 pandemic. In COVID-19, a relevant component is vulnerable groups, such as pregnant women representing a special group due to their high mortality secondary to COVID-19.

Objective:

Describe the association between proinflammatory markers and survival in pregnant women with critical COVID-19, in the intensive care unit (ICU) of the General Hospital of Cholula from January 2020 to 2021.

Materials and methods:

This is an analytical and cross-sectional observational retrospective study conducted on pregnant women admitted to the ICU. Pregnant women, between 18 and 35 years old, at 30-40 weeks gestation diagnosed with critical COVID-19 were included.

Results:

It was observed that pregnant women with critical COVID-19 showed increased values of C-reactive protein, leukocytes, D-dimer, and DHL compared to surviving pregnant patients with critical COVID-19; however, no statistical significance was observed for platelet number and fibrinogen.

Conclusion:

In the case of pregnant women who died from critical COVID-19, there was a significant increase in inflammatory markers, in contrast to what was observed in other studies, no changes in the number of platelets or fibrinogen were observed.

Keywords : Critical COVID-19; Pregnant women; Proinflammatory cytokines.

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