A Case Report of Asymptomatic Covid-19 Infection Death in Gemelli Pregnancy


  • Soniasari Soniasari Program Magister Kesehatan Masyarakat Fakultas Kesehatan Masyarakat Universitas Muhamadiyah Jakarta. Puskesmas Rancabungur Kabupaten Bogor
  • Munaya Fauziah Program Magister Kesehatan Masyarakat Fakultas Kesehatan Masyarakat Universitas Muhamadiyah Jakarta. Universitas Muhamadiyah Jakarta




We present the case of a 23-year-old woman, G1P0A0, Gemelli (twins) with a gestational age of 38 weeks. The patient was referred to a type C referral hospital with complaints of low back pain without other symptoms. Antigen Rapid Test Swab examination with positive results and nasopharyngeal and oropharyngeal swab sampling for Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) examination of patients gave positive results with asymptomatic infection (without symptoms). Gemelli's pregnancy, which is considered a high risk and COVID-19 infection in the patient, resulted in parturition being performed by Sectio Caesarea. Both babies were born alive, but the first baby died on the first day, followed by the second baby on the second day after birth and then the mother experienced a worsening of the condition, namely in a coma placed in the ICU, on the third postpartum day she experienced respiratory and cardiac arrest and was declared dead.


Liang H, Acharya G. Novel corona virus disease (COVID-19) in pregnancy: What clinical recommendations to follow? Acta Obstet Gynecol Scand. 2020;99(4):439-442. doi:10.1111/AOGS.13836

LoMauro A, Aliverti A. Respiratory physiology of pregnancy: Physiology masterclass. Breathe. 2015;11(4):297. doi:10.1183/20734735.008615

Chen L, Li Q, Zheng D, et al. Clinical Characteristics of Pregnant Women with Covid-19 in Wuhan, China. N Engl J Med. 2020;382(25):e100. doi:10.1056/NEJMC2009226

Dashraath P, Wong JLJ, Lim MXK, et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol. 2020;222(6):521-531. doi:10.1016/J.AJOG.2020.03.021

Puskesmas, Rancabungur. Rekam Medis: Pemeriksaan Antenatal.; 2020.

RSUD, Bogor. Formulir Rekam Medik Maternal (RMM) Di Fasilitas Kesehatan, RSUD Kota Bogor.; 2021.

Sutton D, Fuchs K, D’Alton M, Goffman D. Universal Screening for SARS-CoV-2 in Women Admitted for Delivery. N Engl J Med. 2020;382(22):2163-2164. doi:10.1056/NEJMC2009316

Sun B, Yeh J. Mild and Asymptomatic Covid-19 Infections: Implications for Maternal, Fetal, and Reproductive Health. Front Reprod Heal. 2020;0:1. doi:10.3389/FRPH.2020.00001

Breslin N, Baptiste C, Gyamfi-Bannerman C, et al. Coronavirus disease 2019 infection among asymptomatic and symptomatic pregnant women: two weeks of confirmed presentations to an affiliated pair of New York City hospitals. Am J Obstet Gynecol MFM. 2020;2(2). doi:10.1016/J.AJOGMF.2020.100118

Nadim MK, Forni LG, Mehta RL, et al. COVID-19-associated acute kidney injury: consensus report of the 25th Acute Disease Quality Initiative (ADQI) Workgroup. Nat Rev Nephrol. 2020;16(12):747-764. doi:10.1038/S41581-020-00356-5

Taghizadieh A, Mikaeili H, Ahmadi M, Valizadeh H. Acute kidney injury in pregnant women following SARS-CoV-2 infection: A case report from Iran. Respir Med Case Reports. 2020;30. doi:10.1016/J.RMCR.2020.101090

Chan L, Chaudhary K, Saha A, et al. AKI in hospitalized patients with COVID-19. J Am Soc Nephrol. 2021;32(1):151-160. doi:10.1681/ASN.2020050615/-/DCSUPPLEMENTAL

Ahmed I, Eltaweel N, Antoun L, Rehal A. Case report: Severe pre-eclampsia complicated by acute fatty liver disease of pregnancy, HELLP syndrome and acute kidney injury following SARS-CoV-2 infection. BMJ Case Rep. 2020;13(8):237521. doi:10.1136/BCR-2020-237521

Choudhary A, Singh V, Bharadwaj M, Barik A. Pregnancy With SARS-CoV-2 Infection Complicated by Preeclampsia and Acute Fatty Liver of Pregnancy. Cureus. 2021;13(6). doi:10.7759/CUREUS.15645

Huang W, Zhao Z, He Z, et al. Unfavorable outcomes in pregnant patients with COVID-19. J Infect. 2020;81(2):e99. doi:10.1016/J.JINF.2020.05.014




How to Cite

Soniasari, S., & Fauziah, M. (2022). A Case Report of Asymptomatic Covid-19 Infection Death in Gemelli Pregnancy . Ahmad Dahlan Medical Journal, 3(1), 17–26. https://doi.org/10.12928/admj.v3i1.6224