Fetomaternal Outcome in Women with COVID-19 in a COVID Designated Hospital in Lahore, Pakistan

Munir, Shamila Ijaz; Ahsan, Amna; Iqbal, Sofia; Aslam, Summera; Tahira, Tayyaba; Alqai, Sodat

doi:10.51441/biomedica//biomedica/5-411

Cited by 7 publications

(13 citation statements)

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“…There is no difference in adverse pregnancy outcomes in terms of obstetric haemorrhage between SARS-Cov-2 positive and SARS-Cov-2 negative women admitted for delivery during pregnancy. However, Munir SI et al 4 observed that the prevalence of COVID-19 in pregnant women is not significantly different from that seen in the general population. In most cases, the outcome for the fetus and the mother is favourable, and there is no indication of vertical transmission in any of the new-borns.…”

Section: Resultsmentioning

confidence: 89%

“…COVID-19 clinical manifestations of COVID-19 are similar to those of other corona viruses, with symptoms including cough, fever, diarrhoea, headache, and myalgia. 4 The world has been changed in an unprecedented manner because of SARS-CoV-2, the novel strain of corona virus that causes COVID-19. The rapid universal spreading of SARS-CoV-2 may stipulate that the reproduction number of the virus, which is currently an accepted approximate, may be an underestimate because there are many asymptomatic carriers of the virus, and even though they are contagious, they are not detected by the public health surveillance systems.…”

Section: Introductionmentioning

confidence: 99%

“…8 And therefore, during pregnancy, women infected with SARS and MERS experienced severe respiratory failure. 4 There are limited studies available regarding COVID-19 and pregnancy, and their results specify that there had been no reason to believe that women during pregnancy are more prone to getting infected with a corona virus. 4 In the course of this pandemic, the obstetrical population portrays a distinctive challenge as the patients have multiple experiences with the system of health care over the course of their treatment, and in due course, the majority of these patients are admitted for delivery to the hospitals.…”

Section: Introductionmentioning

confidence: 99%

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Frequency of Covid-19 in Pregnant Women and its Effects on Fetal and Maternal Outcome

Rana¹,

Abbas²,

Parveen³

et al. 2022

PJMHS

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Objective: To determine the frequency of COVID-19 in pregnant women and its effects on feto-maternal outcomes at a tertiary care hospital. Methods: Present cross-sectional study was conducted at the department of gynae and OBS, at Ziauddin University and Hospital Karachi, from April, 2020 to August 2020. All the pregnant women at term who were admitted for delivery in maternity unit, aged more than 18 years old, and of either parity, were included. After taking written and verbal informed consent women were offered to be tested for SARS-COV2 via Nasopharyngeal PCR swab test. Those women who tested positive for the COVID-19 test were treated according to the severity of the symptoms, and asymptomatic and clinically sound patients were shifted to isolation rooms. Women who presented in spontaneous labour were treated as SARS COV2 positive for safety purposes. SPSS version 22 was used to perform the analysis, all of the data. Results: A total of 454 pregnant females were tested for SARS-CoV2 via a nasopharyngeal PCR swab test, and 12 (3%) women tested positive. Out of the 12 women testing positive, 4 were preterm births, and no significant association was found between COVID PCR being positive (p=0.00) and preterm birth (p=0.112). Five out of 12 women testing positive had an episode(s) of leaking. There was a strong association between COVID PCR being positive and episodes of leaking (p=0.001). Three out of 12 women testing positive had fetal distress, while 19 out of 454 women testing negative had fetal distress (p=0.004). There were no cases of APH or PPH reported in women testing positive; however, out of 442 women testing negative, 1 APH and 3 PPH were reported. There was no mortality in either of the patients, mother or neonate. Conclusion: As per the study conclusion, the frequency of COVID-19 among women during pregnancy was observed to be only 3%, which was significantly linked to the pneumonia, leaking, and fetal distress. Keywords: Covid-19, pregnancy, complications, mortality

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Section: Resultsmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Frequency of Covid-19 in Pregnant Women and its Effects on Fetal and Maternal Outcome

Rana¹,

Abbas²,

Parveen³

et al. 2022

PJMHS

View full text Add to dashboard Cite

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“…A Brazilian report showed that almost all of its participants wear protective equipment (Moreira and Jesus, 2013). On the other hand, a study conducted on a Pakistani dental hospital harbouring more than 200 employees demonstrated that none of its practitioners or waste disposal workers have protective equipment nor are vaccinated against HBV (Mushtaq and Iqbal, 2008). Studies also showed that protective wear does not only ensure protection of healthcare workers but also increase the workers’ commitment and confidence (Devi et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Current status of biomedical waste management practices and barriers among private Jordanian dental clinics: A cross-sectional investigation of the capital Amman

Mamoori,

Al-Majali,

Shibli

et al. 2023

Waste Manag Res

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Biomedical waste management (BMWM) is vital in facilitating safe providing of healthcare. Developing countries suffer from the impact of mishandled biomedical waste (BMW) on the general public in addition to healthcare practitioners. Thus, this study aims to investigate the awareness and compliance of dental facilities to BMW regulations. Through a questionnaire designed as per the WHO guidelines on BMWM, we randomly recruited a total of 421 dental facilities representative of Jordan’s capital. Mean BMWM practice scores were relatively high for the studied sample (0.748 ± 0.12). Nonetheless, while collection, transportation and storage standards were acceptable, those pertaining to segregation and disposal demonstrated lack of compliance to BMWM safety measures. An alarming number of participants dispose of infectious waste (40%), extracted teeth (48.5%), expired pharmaceuticals (44.4%), liquid chemicals (53.2%), X-ray films (35.0%) and solutions (48.7%) in the general trash or draining system. Such is attributed to either lack of resources, lack of proper equipment or poor awareness with BMWM guidelines. Moreover, it appears that location of the clinic ( p < 0.001), occupation ( p = 0.026) and presence of regulatory instructions ( p = 0.048) were associated with higher BMWM scores. Overall, dental practitioners require proper training in terms of handling hazardous dental, chemical and radioactive wastes. Moreover, regulatory bodies should actively enforce regulations and monitoring, update current compliance legislations and subsidize eco-friendly practices.

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“…If there is respiratory failure early intubation should be done. 8 Women with comorbidities may have an increased risk of severe morbidity and mortality. The cycle threshold signifying the viral load and degree of infectivity can modify management during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Fetomaternal outcome of pregnancy with COVID-19: a prospective study in a COVID dedicated hospital

Begum¹,

Alam²,

Rehnuma³

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Given physiological changes in immunological, pulmonary, cardiac, and coagulation systems during pregnancy, pregnant women have long been recognized as susceptible demographic during infectious disease pandemics. Learning about pregnancy outcomes, possible issues, and neonatal health issues in babies delivered to COVID-19-infected mothers is crucial. Study aimed to analyze fetomaternal outcome of pregnancy with COVID-19. Methods: This was a prospective longitudinal study done on COVID dedicated to Sylhet Shahid Shamsuddin Ahmed Hospital, from January 2021 to January 2022. A total of 54 pregnant women admitted with confirmed COVID-19 were included in this study as per inclusion criteria. Results: In this study, most patients were in the 26-33 age group (37.03%), followed by 18-25 age group (33.33%) and 24-40 age group (29.62%). 50% were primigravida. SARS COV-2 infection occurred in 51.85% of pregnant women in the 3rd trimester, 35.18% in the 2nd trimester, and 12.96% in the 1st trimester, 53.7% of patients had a mild case, 9.26% had moderate, and 37.04% had severe symptoms. 12.96% of patients needed ventilation, while 5.56% were in ICU without ventilation but on HFNC. Two patients had 1st-trimester abortion, and three had pre-term delivery. There was one IUFD, ongoing pregnancy in five patients, vaginal delivery in nine patients, and cesarean section in 25 patients. Sepsis occurred in 3.7% of patients, and post-partum hemorrhage in 1.85%. Oxygen was needed for 37.04% of patients with severe pneumonia. Out of 54 patients, 88.88% recovered, and 11.11% died in the hospital. The number of healthy babies was 74.07%, while premature babies were 5.56%, and there were two perinatal deaths. Conclusions: This study concluded that pregnant women with COVID-19 infection are at increased risk of adverse pregnancy and birth outcomes however, a low risk of congenital transmission, and the neonatal outcome was good. The availability of ICU in critical conditions is needed for better pregnancy outcomes.

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Fetomaternal Outcome in Women with COVID-19 in a COVID Designated Hospital in Lahore, Pakistan

Cited by 7 publications

References 0 publications

Frequency of Covid-19 in Pregnant Women and its Effects on Fetal and Maternal Outcome

Frequency of Covid-19 in Pregnant Women and its Effects on Fetal and Maternal Outcome

Current status of biomedical waste management practices and barriers among private Jordanian dental clinics: A cross-sectional investigation of the capital Amman

Fetomaternal outcome of pregnancy with COVID-19: a prospective study in a COVID dedicated hospital

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