Study of maternal and fetal outcome in COVID positive patients

Author(s): Aprajita 1, Smita Krishnarao Bhat1
1Department of Obstetrics and Gynaecology, Bharati Vidyapeeth (Deemed to be University) Medical College and Hospital, Sangli, India.
Copyright © Aprajita, Smita Krishnarao Bhat. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: Coronavirus disease 2019 [COVID 19] is caused by severe acute respiratory syndrome coronavirus 2[SARS-CoV-2] and was declared a global pandemic in March 2020. The impact of coronavirus disease 2019 on maternal and fetus health is unclear. We performed an observational study to determine the association between SARS-CoV-2 infection and adverse pregnancy outcomes, including preterm birth and stillbirth.
Materials and methods: Study is carried out in covid ward of the Department of Obstetrics and Gynaecology at Bharati Vidyapeeth Medical College and Hospital, Sangli. This is a retrospective study involving all pregnant patients admitted in the covid ward of our hospital from April 2021 to December 2021. Information regarding age, parity, condition of the patient at the time of admission to covid ward in terms of oxygen saturation, mode and time of delivery, outcome of pregnancy, fetal outcome and maternal morbidity and mortality were noted and analysed.
Results: From analysis of available data maternal hypoxia and fetal distress were the most common indications for caesarean section. Caesarean section accounted for 86.6% of all deliveries, successful vaginal delivery were reported in 2 out of 15 deliveries, rest 3 cases were reported as missed abortion and D&E was done.
Conclusion: Covid 19 infection in pregnancy may be associated with increased risk of caesarean section, preterm birth, increased morbidity and mortality.

Keywords: COVID -19; Caesarean section; Preterm birth.