The maternal and perinatal outcomes of pregnancies complicated with covid-19: a Retrospective, observational study in a tertiary care center

Author: 
Dr. Sandeepika, Dr. Shallu, Dr Jasmeen, Dr. Pallavi and Dr. Manjula

Introduction: The COVID-19 pandemic leading to National lockdowns, disruption of health care services and fear of attending health facilities has affected the well-being of the pregnant women and their babies. A very few studies done on pregnancies complicated with COVID-19 suggest that the pregnant women may present with severe manifestations leading to feto-maternal compromise. Methodology: We did a retrospective descriptive study in GMC, Kathua after attaining approval from Institutional Ethical Committee. All the pregnant women , with laboratory confirmed positive result of either RTPCR or RAT report from nasopharyngeal or oropharyngeal swab (8) from 1st of March to 31st of May 2021 were included in the study. Data was analyzed as mean, percentages and range.Results: Among the 23 observed women, the mean age was 27. 3 patients were asymptomatic, fever was the most common symptom among symptomatic (55%). X-Ray and D-dimer was done only in 2 patients with clinically moderate and severe covid 19 cases. Nearly 56% of the patients had mild transaminitis. Only 1 patient had severe illness and stayed in ICU for 8 days. Average hospital stay of women was 6 days. Preterm deliveries happened in 1 woman. 1 IUD was reported and 17% of neonates were admitted in NICU. Conclusion: All suspected pregnant women should be systematically screened, monitored and followed up. Pregnant women may present with mild disease. Neuraxial anesthesia is the better choice of anesthesia in Caesarean sections whenever possible. Perinatal morbidity may increase due to underlying maternal infection. Further investigations and follow-up studies of pregnant mothers infected by COVID-19 are warranted.

Paper No: 
3980