Clinical Outcomes of COVID-19-positive Pregnant Women Admitted for Delivery at a Tertiary Care Center, Chamarajanagar

Chandra, Sue; LNU, Shashikumara; Ramachandra, Pradeep Musale

doi:10.5005/jp-journals-10006-1920

Cited by 1 publication

(7 citation statements)

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“…In another study, none of them was reported to have gestational diabetes, which might be because of the different sociodemographic profiles of the patients, which was similar to the current study. 19 In another study,12.9% had risk factors like PIH, oligohydramnios with anaemia, postdated, and twin gestation. 19 But in another study, the risk of severe COVID-19 was also higher among women who were obese, had smoked, had diabetes, and had preeclampsia.…”

Section: Discussionmentioning

confidence: 94%

“…19 In another study,12.9% had risk factors like PIH, oligohydramnios with anaemia, postdated, and twin gestation. 19 But in another study, the risk of severe COVID-19 was also higher among women who were obese, had smoked, had diabetes, and had preeclampsia. In earlier reviews, chronic hypertension, preeclampsia, diabetes, and GDM have been associated with severe COVID-19.…”

Section: Discussionmentioning

confidence: 94%

“…A study in India showed that participants ranged from 19 to 37 years. 19 Similarly, NFHS-4 data indicated that in Karnataka, 7.8% of them in the age group of 15-19 years were already mothers or pregnant. 20 Hassan et al in their study, reported the mean age of the study subjects as 27.3±4 years; the mean age of the study subjects in this study was 26.00±4.89 years.…”

Section: Discussionmentioning

confidence: 99%

“…Other reviews have reported similar findings.12,24,25 In another study, 6.5% of patients were symptomatic, 1.6% developed cough and breathlessness, and the rest were asymptomatic. 19 According to Nayak et al 97% were asymptomatic, had mild symptoms like fever or cough, and did not require oxygen therapy.…”

Section: Discussionmentioning

confidence: 99%

“…In another study, the oxygen saturation was noted to be decreased by 6.5%. 19 But the risk of severe pneumonia during pregnancy was noted to be high, as highlighted by Nayak et al 26…”

Section: Discussionmentioning

confidence: 99%

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Pregnancy with COVID-19: feto-maternal outcome from a tertiary care hospital, Bangladesh

Chowdhury

Rashid

Shikha

et al. 2022

Int J Reprod Contracept Obstet Gynecol

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Background: The objective was to determine the maternal and fetal outcomes of pregnant women with COVID-19 infection in the southeast part of Bangladesh.Methods: A prospective observational study was conducted at Chittagong Medical College Hospital (CMCH), Bangladesh, for one year. Pregnant women were divided into suspected and confirmed groups based on the clinical features of COVID-19 and the results of RT-PCR (SARS-CoV2). Outcome measures were maternal death, ICU admission, mechanical ventilation, and stillbirth/neonatal death. The Mann-Whitney U test was applied for between-group comparisons. Binary logistic regression analysis was done for factors affecting feto-maternal outcomes. Results were presented as odds ratios (OR) and 95% confidence intervals (CI).Results: A total of 144 pregnant women (n=144) were included in the study, divided into confirmed (n=71) and suspected (n=73). Complications were more in the confirmed group (p=0.315). Caesarean section was 69% and 64.4% in the confirmed and suspected groups, respectively (p=0.556). Eight women (5.55%) needed ICU admission, five (3.5%) required mechanical ventilation, and five (3.5%) women expired. Fetal distress was seen in 15 (10.41%) pregnancies. Stillbirth or neonatal death and the need for NICU admission were higher for suspected than in confirmed cases. Pregnancies with suspected COVID-19 had 3.91 times (OR: 3.913, 95% CI: 1.398-10.954) higher poor feto-maternal outcome. Unbooked status, COVID-19 test negativity, and use of antivirals were associated with poor feto-maternal outcomes.Conclusions: Pregnancies with COVID-19 were prone to poor feto-maternal outcomes. The study pointed to an improvement in the ANC of pregnant women with COVID-19 in a public hospital like Bangladesh.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…In another study, the oxygen saturation was noted to be decreased by 6.5%. 19 But the risk of severe pneumonia during pregnancy was noted to be high, as highlighted by Nayak et al 26…”

Section: Discussionmentioning

confidence: 99%

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