E. M. Colocassides College of Tourism & Hotel Management, Doctor of Science in

Covid-19 changes in pregnant women with sickness and 
ultrasound examination in them 
 
Shavkat Ibrohim ugli Qahhorov 
Termez branch of Tashkent Medical Academy 
Abstract:
We all know that COVID-19 did not limit anyone. Old and young, 
boys and girls do not avoid even pregnant women. This article describes the effects of 
COVID-19 on pregnant women, the pathological changes that occur in them, and 
their manifestations in additional screening methods (UE). 
Keywords:
COVID-19, UE, pregnant women, extragenital diseases, hormonal 
changes, preeclampsia. 
Pregnant women have a special place among the risk groups for COVID-19. It is 
known that pregnancy, although a physiological condition, is associated with changes 
in a number of organs and systems, including the immune system. Therefore, 
susceptibility to infections during pregnancy is significantly increased. 
Currently, surveillance of pregnant women infected with COVID-19 is 
insufficient, but some observations in China, the United States, and Russia suggest 
some conclusions. 
Thus, pregnant women with various extragenital diseases are at high risk, 
especially in the second half of pregnancy. These include cardiovascular and 
respiratory diseases (pneumonia, bronchial asthma), diabetes, hypertension, and 
chronic inflammatory diseases. In addition to these diseases, the presence of immune 
disorders, hemostasis (blood clotting) during pregnancy, the presence of malignant 
tumors increases the stress on the whole organism, in particular, leads to an increase 
in circulating blood volume, decreased respiratory rate and the development of 
various complications. 
A risk factor for complications during pregnancy is a severe obstetric history. 
Risk factors include preeclampsia in previous pregnancies, high blood pressure, 
bleeding, coagulation disorders, premature births, termination of pregnancy, and 
various surgical procedures. Such pregnancies are at risk and require special 
attention. 
COVID-19 is more dangerous in the second and third trimesters, which is 
explained by an increase in the load on various systems of the body. All pregnant 
women, regardless of coronavirus, should be screened at the intervals specified in the 
pregnancy protocol. Timely tests, ultrasound examinations, and consultations with 
"Science and Education" Scientific Journal / ISSN 2181-0842
December 2021 / Volume 2 Issue 12
www.openscience.uz
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physicians are required. Not to miss an obstetric screening test is a guarantee of 
reducing obstetric and neonatal complications. 
It is natural that there are limitations associated with coronavirus infection. 
However, these challenges can be overcome with proper recreation, physical activity, 
and lifestyle arrangements (social distance, hygiene, and protection). 
The fetus is not a direct target of coronavirus infection. The virus does not affect 
the fetus teratogenically. Because the placental barrier is a reliable barrier to the fetus, 
the placenta is born healthy. Much depends on the mother's condition and the severity 
of the coronavirus infection. Births are usually mild, meaning babies are born without 
symptoms. The most important thing is to separate them in a timely manner. Given 
the general anxiety and nervousness in the world, it should be noted that the main risk 
factor for pregnancy is stress. Refuse to read unfounded news, follow hygienic rules 
and be positive. The health of the placenta and mother protects the fetus from the 
virus. 
Chinese doctors did not detect a new coronavirus in babies of mothers who were 
infected with COVID-19 during pregnancy. Data from these patients were published 
in the journal Frontiers in Pediatrics. Although there are four cases reported in the 
article, it is possible that pregnant women do not transmit the virus to their children. 
Samples for coronavirus in children were taken from the nasopharynx three days 
after birth. Fever, cough, and diarrhea were not observed in newborns. At the time of 
discharge, neither mother nor children (including children who had not been tested 
for SARS-CoV-2) showed no signs of infection. Summarizing these data, the authors 
concluded that COVID-19 is unlikely to be transmitted from mother to child, but not 
at all. 
The main known route of transmission of the new SARS-CoV-2 is through 
airborne droplets, and it has not yet been proven that a person without respiratory 
symptoms can infect others. It is also unclear whether the virus is transmitted from 
mother to child in the womb. 
If a mother has been diagnosed with a coronavirus, the question of whether to 
stop breastfeeding is on everyone's mind. If the mother is suspected of having 
COVID-19 or has been in contact with patients, she should not stop breastfeeding. 
However, if a woman has a high fever or other signs of a viral infection and her 
doctor has prescribed medications that can pass through breast milk and have a 
harmful effect on the baby, breastfeeding should be stopped during treatment. During 
this period, it is important to maintain lactation by breastfeeding and continue 
breastfeeding after recovery. 
Pregnant women should avoid harm as much as normal people. The spread of 
COVID-19 can be stopped by coughing at the elbow and avoiding contact with sick 
people by washing hands frequently with soap and water or alcohol-based hand 
"Science and Education" Scientific Journal / ISSN 2181-0842
December 2021 / Volume 2 Issue 12
www.openscience.uz
110

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sanitizers. Treatment of pregnant women is based on the incidence of COVID-19, its 
clinical manifestations, and accurate assessment of obstetric status. 
Obstetric tactics depend on several factors: the patient's condition, the condition 
of the fetus and the duration of pregnancy. Given the high risk of perinatal 
complications in severe and moderate pregnancies up to 12 weeks of gestation, 
termination of pregnancy is recommended after treatment of the infectious process. If 
the patient refuses to terminate the pregnancy, a chorionic biopsy is needed to detect 
chromosomal abnormalities in the fetus. 
Termination of pregnancy and delivery during the development of the disease 
are associated with maternal mortality and a number of complications: exacerbation 
of the underlying disease, development and exacerbation of respiratory failure, 
obstetric 
hemorrhage, 
intranatal 
death, 
increased 
septic 
complications. 
However, if hypoxia cannot be ruled out or if respiratory failure is exacerbated, 
alveolar edema of the lungs, or refractory septic shock, emergency surgery by 
cesarean section may be necessary to prevent coagulopathic and hypotonic obstetric 
hemorrhage. In the event of an outbreak of the disease and the onset of labor, it is 
advisable to monitor the condition of the mother and child through natural childbirth. 
Anesthesia, detoxification, antibacterial and antiviral, respiratory therapies should be 
performed. In the second period, tension should be limited to prevent the 
development of respiratory and cardiovascular failure. If rapid termination is 
required, vacuum extraction or obstetric clamps may be appropriate. Cesarean section 
is performed under absolute obstetric instructions, as well as in a dying woman (to 
save the life of the fetus). 
The condition of the mother and child depends on the duration of the disease, 
the presence of premorbid background (smoking, obesity, background diseases of the 
respiratory system and ENT organs, diabetes, HIV infection), the severity of the 
infectious process, the presence of complications and timely initiation of antiviral 
therapy. 
Thus, rational approaches and well-chosen obstetric and general therapeutic 
tactics help to save the life and health of mother and child.