IMR Press / CEOG / Volume 50 / Issue 11 / DOI: 10.31083/j.ceog5011244
Open Access Original Research
Abnormal Liver Function and Blood Coagulation Function of Coronavirus Disease 2019-Infected Pregnant Women
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1 Department of Obstetrics and Gynecology, Maternity and Child Health Hospital Affiliated with Anhui Medical University, Anhui Province Maternity & Child Health Hospital, 230001 Hefei, Anhui, China
*Correspondence: jingzh815@qq.com (Jing Zhang); liuhongmei525@163.com (Hongmei Liu)
Clin. Exp. Obstet. Gynecol. 2023, 50(11), 244; https://doi.org/10.31083/j.ceog5011244
Submitted: 24 July 2023 | Revised: 10 September 2023 | Accepted: 19 September 2023 | Published: 27 November 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Coronavirus disease 2019 (COVID-19) has been found worldwide since its first outbreak in December 2019. Methods: This study investigated 347 pregnant women at approximately 39 weeks’ gestation from December 2022 to January 2023, which was divided into two groups: COVID-19 positive group (COVID-19) and COVID-19 negative group (Control). We analyzed blood parameters, liver function, and coagulation parameters of pregnant women with COVID-19 infection and in the Control group. Finally, we divided pregnant women with COVID-19 into two subgroups: No medication (n = 117) and Paracetamol treatment (n = 47), and analyzed effects of paracetamol treatment on the liver and blood coagulation function in COVID-19 infected pregnant women. Results: The alanine aminotransferase (ALT), aspartate aminotransferase (AST), serum total bilirubin (TBIL), total bile acid (TBA), and lactate dehydrogenase (LDH) levels were significantly higher in pregnant women with COVID-19 than that of the control group. Elevated D-dimer, prolonged prothrombin time (PT), activated partial thromboplastin time (APTT), and low levels of fibrinogen (Fib) were observed in patients with COVID-19. There were no significant differences in the liver function between the drug treatment group and no medication group. Conclusions: COVID-19 caused abnormal liver function and blood coagulation function in pregnant women.

Keywords
COVID-19
liver function
coagulation function
D-dimer
Figures
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