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- Title
CLINICAL PRESENTATION, MATERNAL & NEONATAL OUTCOMES OF PREGNANT WOMEN WITH COVID-19: A PROSPECTIVE OBSERVATIONAL STUDY.
- Authors
Kaur, Prabhleen; Walecha, Nymphaea; Devi, M. Gouri
- Abstract
Background: Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was first reported in Wuhan, China in December 2019. Since then the number of affected pregnant women is rising, but scarce information is available about the clinical features of COVID-19 in pregnancy in India. Our study aimed to evaluate the clinical features, obstetric and neonatal outcomes of 30 pregnant patients with COVID-19 and provide some evidence that can be used for guiding treatment of pregnant women with COVID-19. Materials & Methods: In our prospective, single-centre observational study, we included 30 pregnant women with COVID-19 who were admitied to Fortis Hospital, Shalimar Bagh for delivery between 15th May 2020 to 15th September 2020. Clinical features, laboratory results, treatments, maternal and foetal outcomes were analyzed. Results: Thirty pregnant patients with COVID-19 having a positive reverse transcriptuon polymerase chain reaction (RT-PCR) result for SARS-CoV-2 at the time of admission who delivered at Fortis hospital between May 15th to September 15th 2020, were included in our study. Twelve were primiparous and eighteen were multiparous women. Among the patients, five had fever, eight had fever with cough, rest seventeen were asymptomatic. Twenty-seven patients underwent caesarean section and three delivered vaginally. Only one patient deteriorated in ICU as was unable to maintain the saturation levels and expired after 10 days of her ICU stay because of Acute Respiratory Distress Syndrome. No cases of neonatal death or neonatal asphyxia were reported. Conclusion: The maternal and neonatal outcomes of patients who were infected in late pregnancy appeared to be good and these outcomes were achieved with expedient management that might be the best practice in view of the available data. The clinical characteristics of these patients with COVID-19 during pregnancy were similar to those of non-pregnant adults that have been reported in the literature. All the cases of COVID-19 in our study were of mild type on admission and twenty-nine patients achieved good recovery. Thus, pregnancy and childbirth did not seem to aggravate the course of symptoms of COVID-19.
- Subjects
WUHAN (China); INDIA; COVID-19; PREGNANT women; COVID-19 pandemic; ADULT respiratory distress syndrome; SARS-CoV-2
- Publication
Indian Obstetrics & Gynaecology, 2021, Vol 11, Issue 2, p9
- ISSN
2230-7214
- Publication type
Article