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An Observational Study of Maternal and Perinatal Outcome of 300 Covid-19 Positive Pregnant Women

Goli Mahalakshmi, , A.Krishnaveni1 , Goli Mahalakshmi2 , Aluri Manasa3 , Bandi Indu4 , Komala Ravali5 , Sushruth Kumar Arige6

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Indian Journal of Obstetrics and Gynecology 9(1):p 35-40, January–March 2021. | DOI: http://dx.doi.org/10.21088/ijog.2321.1636.9121.6

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A.Krishnaveni, Goli Mahalakshmi, Aluri Manasa et al./An Observational Study of Maternal and Perinatal Outcome
of 300 Covid-19 Positive Pregnant Wome/Indian J Obstet Gynecol. 2021;9(1):35–40.
 

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Received : N/A         Accepted : N/A          Published : N/A

Abstract

Background: WHO declared coronavirus disease 2019(COVID-19) as a public health emergency of International concern on January 30,20201. Coronavirus disease 19(COVID-19) has become a global pandemic

Aim: To study the effects of COVID-19 on maternal and perinatal outcome.

Materials and Methods: Retrospective study was conducted in obstetrics and gynecology department, gandhi hospital,Secunderabad. Studied medical records of 300 pregnant women diagnosed with COVID-19,who delivered between 01-05-2020 to 31- 08-2020.

Results: Out of 300 pregnant women, 176(58%) in the age group of 21-25 years.80.8% patients were asymptomatic. In symptomatic patients (19.2%) common presenting complaint was Dry cough (11.3%). Majority of patients (78%) were diagnosed with RTPCR.60 presented with comorbidities hypothyroidism being most common(40)%.Corticosteroids were given for 44 patients (14.6%),12(4%) patients for fetal lung maturity and 32(10.6%) patients for maternal lung inflammation admitted in ICU.207(69%) caesarean and 93(31%) vaginal deliveries.Previous caesarean section followed by fetal distress are the most common indications.252(84%) term deliveries (>37weeks) and 48(16%) preterm (<37weeks) deliveries.32 were admitted in maternal intensive care unit(10.6%) and 7 maternal deaths, 3 Neonatal deaths and 2 Intrauterine fetal deaths were reported.Case fatality rate was 2.3% for pregnant women and 1% for neonates.Out of 298 alive babies,9 COVID-19 positive and 289 COVID-19 negative.None of these neonates had contact with infected mothers except during delivery, which suggests vertical transmission risk(3%).

Conclusion • 97.66% of mothers and 98.3% neonates discharged without any complications.10.6% maternal morbidity and Case fatality rate 2.3% for pregnant women and 1% for neonates. • Maternal-fetal transmission risk(3%) of SARS-C0V-2. • Careful monitoring of pregnancies with COVID-19 and measures to prevent neonatal infection was warranted. 

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Cite this article

 

 

A.Krishnaveni, Goli Mahalakshmi, Aluri Manasa et al./An Observational Study of Maternal and Perinatal Outcome
of 300 Covid-19 Positive Pregnant Wome/Indian J Obstet Gynecol. 2021;9(1):35–40.
 

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.9121.6

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