The New Indian Journal of OBGYN. 11(1):174-179
Maternal and neonatal outcome in pregnant women with COVID 19 - a prospective study in a tertiary care centre
Bornali Pegu, Runjun Doley, H.K Sharma, Sandeep Kumar Baranwal
ABSTRACT
Objectives: The study was undertaken (i) to observe and analyse the different clinical characteristics of pregnant women with covid 19 disease and also (ii) to evaluate the outcome among them (iii) to evaluate the neonatal outcome. Methodology: This was a prospective observational study done in a tertiary care centre, Jorhat Medical College and Hospital, Jorhat between 1st July 2020 to 1st July 2021. A total of 188 covid positive pregnant women were included in the study. Cases like ectopic pregnancy, molar pregnancy, abortions were excluded from the study. Symptoms related to SARS COV 2 infection (eg. fever, cough, difficulty in breathing etc.) were observed along with obstetrical signs and symptoms. Babies of covid positive mothers were categorized into two groups (covid positive and covid negative baby based on the nasopharyngeal swab test result for covid19). Any untoward outcome (eg. IUGR, stillborn, TTNB etc.) were noted in both categories. Results: This study showed that 68.62% of the study population were in the age group of 20 <30 years. Only 4.26% of the patients had symptoms of COVID 19. Majority of the patients were delivered by lower segment caesarean section and the indications were mainly obstetrical. Among the study population only 13(6.91%) patients had developed respiratory distress and among them 11 (5.85%) patients needed ICU care. There was no significant co-relation between presence of co-morbid condition and development of respiratory distress among the covid positive patients. There was one maternal death due to covid 19. Only 9(4.79%) babies tested positive for covid 19 disease. Out of the 188 babies delivered 26 babies (13.8%) were admitted to NICU for several reasons. Conclusion: The study showed that (i) there was no significant co-relation between infection with SARS COV2 and development of severe pneumonia among pregnant women, (ii) SARS COV2 infection of the mother does not affect the neonatal outcome.