A Case Report of Pregnant Lady having COVID-19 Delivered via Cesarean Section in Tertiary Care Hospital in Pakistan

Tarar, Shahida Husain; Atta, Hamna; Khalid, Marina; Saeed, Saira; Shah, Syed Muhammad Ali; Rizwan, Komal; Rasheed, Tahir; Bilal, Muhammad

doi:10.22207/jpam.14.2.06

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…24 In a case reported by Tarar et al, fetal outcome in a COVID-19 infected mother was normal. 25 Good feto-maternal oucome with no vertical transmission has also been documented by Munir et al 26…”

Section: Discussionmentioning

confidence: 55%

Maternal and neonatal outcome of vertical transmission in pregnant women during COVID-19 pandemic at Quetta, Balochistan; developing a regional consensus on existing evidence.

Sheikh

Khanum

Pervaiz

et al. 2021

TPMJ

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Objectives: To evaluate deleterious impact of novel coronavirus infection 2019 (COVID-19), on both maternal and fetal well being during pregnancy. Study Design: Hospital-Based Cross-sectional Survey. Setting: Department of Gynecology & Obstetrics, Combined Military Hospital, Chiltan Road, Quetta (Balochistan); Department of Gynecology & Obstetrics, Frontier Corps Hospital, Quetta Cantonment (Balochistan), and the Department of Otorhinolaryngology (ENT), Combined Military Hospital, Chiltan Road, Quetta (Balochistan). Period: March 2020 till July 2020. Material & Methods: Careful history, clinical and obstetrical examination radiology and real time polymerase chain reaction of nasopharyngeal swab were carried out in pregnant patients presenting for childbirth. Deliveries were conducted through spontaneous vaginal birth and caesarean section as per indication. Neonatal evaluation and nasopharyngeal swab for COVID-19 real time polymerase chain reaction in all delivered fetuses were performed. Results: 516 pregnant women underwent spontaneous vaginal delivery and caesarean sections at these hospitals during the study duration. 4.06% (n=21) were confirmed as COVID-19 infected. All of the fetuses born to these infected mothers were delivered healthy and COVID-19 negative, except for one preterm fetus born at 22nd week of gestation on account of maternal gestational hypertension. Conclusion: Trans-placental spread of COVID-19 infection to the fetus is unlikely. However, the infection places a pregnant mother at much higher risk to develop complications which may occasionally lead to adverse pregnancy outcome.

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Section: Discussionmentioning

confidence: 55%

Maternal and neonatal outcome of vertical transmission in pregnant women during COVID-19 pandemic at Quetta, Balochistan; developing a regional consensus on existing evidence.

Sheikh

Khanum

Pervaiz

et al. 2021

TPMJ

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“…There is very little evidence that a person got infected from COVID-19 from intestinal infection and is present in feces. Among the confirmed COVID-19 cases, nearly 2 − 10% of the patients suffer from diarrhea [ [22] , [23] , [24] ]. Whereas two investigations spotted COVID-19 viral RNA wreckages in the patients' feces [ 25 , 26 ].…”

Section: Transmission Of Covid-19mentioning

confidence: 99%

Risk management strategies and therapeutic modalities to tackle COVID-19/SARS-CoV-2

Shah¹,

Rasheed²,

Rizwan³

et al. 2021

Journal of Infection and Public Health

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Impact of COVID-19 Infection on Maternal and Neonatal Outcomes: A Review of 11078 Pregnancies Reported in the Literature

Atoof

Janghorban

2022

CWHR

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Background: Pregnant women are a vulnerable group in viral outbreaks, especially in the COVID-19 pandemic. Objective: The aim of this review was to identify maternal and neonatal outcomes in available articles on pregnancies affected by COVID-19. Methods: The articles that had assessed outcomes of pregnancy and perinatal of women with COVID-19 between Oct 2019 and Aug 2020 without language limitation were considered. We searched databases, selected relevant studies and extracted data regarding maternal and neonatal outcomes from each article. Results: Data of 11078 pregnant women with COVID-19 of 23 countries were assessed from 77 articles between December 8, 2019 and Aug 18, 2020. Most pregnant women reported in their third trimester, out of which 6229 (56.22%) cases were symptomatic at the time of admission. Common onset symptoms, abnormal laboratory findings, and chest computed tomography pattern were cough (40.88%), lymphocytopenia (43.38%), and multiple ground-glass opacities (4.42%), respectively. 51.37% of all deliveries were done through cesarean section. 158 maternal mortality and 4.2 % ICU admission were reported. Vertical transmission was not reported, but its possibility was suggested in thirty-two neonates. Ten neonatal deaths, thirteen stillbirths, and nineteen abortions were reported. 60% of newborns were not breastfed. Conclusion: This review showed fewer adverse maternal and neonatal outcomes in pregnant women with COVID-19 in comparison with previous coronavirus outbreak infection in pregnancy. Limited data are available regarding the possibility of virus transmission in utero, during vaginal childbirth and breastfeeding. The effect of COVID-19 on the first and second trimesters and ongoing pregnancy outcomes in infected mothers is still questionable.

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A Case Report of Pregnant Lady having COVID-19 Delivered via Cesarean Section in Tertiary Care Hospital in Pakistan

Cited by 3 publications

References 13 publications

Maternal and neonatal outcome of vertical transmission in pregnant women during COVID-19 pandemic at Quetta, Balochistan; developing a regional consensus on existing evidence.

Maternal and neonatal outcome of vertical transmission in pregnant women during COVID-19 pandemic at Quetta, Balochistan; developing a regional consensus on existing evidence.

Risk management strategies and therapeutic modalities to tackle COVID-19/SARS-CoV-2

Impact of COVID-19 Infection on Maternal and Neonatal Outcomes: A Review of 11078 Pregnancies Reported in the Literature

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