Impact of COVID-19 on Maternal and Neonatal Outcomes in Pregnancy: A Prospective Study
267, SST Nagar, Near Guru Harkrishan Public School, Patiala, Punjab, India.
Introduction: The Coronavirus Disease-2019 (COVID19), caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), is a global public health crisis. Pregnant women are known to be disproportionately affected by respiratory illnesses, which are associated with increased infectious morbidity and high maternal mortality rates.
Aim: To study the management of COVID-19 in pregnancy and its perinatal outcome.
Materials and Methods: This prospective observational study was conducted in the Obstetrics and Gynaecology Department in Government Medical College and Rajindra Hospital, Patiala from March 2020 to September 2020, to evaluate the effects of COVID-19 in pregnancy and to determine the maternal and foetal outcomes in COVID-19 positive patients. In order to evaluate the pattern of caesarean and vaginal deliveries in COVID-19 and non COVID-19 patients, Chi-square test was done.
Results: A total of 150 COVID-19 positive patients were admitted to the COVID-19 labour room and out of them 142 (94.67%) were antenatal and 8 (5.33%) were postnatal. Total number of the deliveries in this period was 80 (53.33%) and out of them vaginal deliveries were 35 (23.33%) and caesarean section were 45 (30%). Out of 80, 6 (7.50%) babies with poor Appearance, Pulse, Grimace, Activity, Respiration (APGAR) score were admitted to the Neonatal Intensive Care Unit (NICU) and 70 (87.50%) had good APGAR after delivery, four had Intrauterine Death (IUD).
Conclusion: The pregnant women with suspected COVID19 who needed medical care were transferred to a hospital equipped with sufficient health facilities and fully trained clinicians to take proper care of critically ill obstetric patients for effective management.