Descriptive and Evaluation Study of the Use of Pulmonary Ultrasound in the Initial Management of Pregnant Women in the Context of COVID-19

Descriptive and Evaluation Study of the Use of Pulmonary Ultrasound in the Initial Management of Pregnant Women in the Context of COVID-19

Cohort prospective study.

Objectives :

Primary objective:

To describe the lung ultrasound lesions in pregnant women in case of suspected or confirmed COVID-19

Secondary objectives:

• To compare the lung ultrasound lesions with chest Computed Tomography -scanner (CT-Scan) lesions
• To evaluate the performances of the lung ultrasound to diagnose COVID-19 in pregnant women
• To evaluate predictive value of different lung ultrasound lesions for intensive care unit admission of pregnant women with suspected or confirmed COVID-19
• To describe the pregnancy issues of the study population

Course of the study:

• Inclusion of pregnant suspected of having COVID-19 and cared following the service protocol
• Performing of lung ultrasound at bedside in labor ward or in COVID unit

Primary outcome:

Lung ultrasound lesions (and corresponding score) at the moment of the initial management of pregnant women suspected or confirmed with COVID-19 (having a nasopharyngeal Reverse Transcription Polymerase Chain Reaction (RT-PCR) SARS-CoV-2 and a chest CT-scan)

Inclusion Criteria:

• Age greater than or equal to 18 years
• Gestational age greater than or equal to 22 weeks of gestation
• Pregnant women suspected of COVID-19 :
• already having a nasopharyngeal RT-PCR for the SARS-CoV-2
• AND having a chest CT-scan or waiting for this exam
• Women giving a writing consent to participate

Exclusion Criteria:

• Women giving an opposition to participate
• Women not enough fluent in French to benefit from clear and intelligible information