Post Partum Death in a Patient Diagnosed With COVID-19

Sivevski, Atanas; Karadzova, Dafina; Davceva, Natasha; Aleksioska-Papestiev, Irena; Kadriu, Romir; Veličković, Ivan; Marković, Ivana Hanzec; Pejcic, Nada; Baysinger, Curtis L.

doi:10.3389/fgwh.2020.567810

Cited by 5 publications

(3 citation statements)

References 17 publications

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“…The case in North Macedonia showed progressive clinical deterioration in post-partum mothers even though they had gotten aggressive supportive care. It can happen because postpartum mothers with COVID-19 are more at risk of giving an inflammatory response to the mother by giving birth by cesarean delivery and increasing the risk of multiorgan system failure (Sivevski et al, 2020). The conditions in Surabaya are in line with the results of this study that the majority of maternal deaths occurred during the puerperium 66.97%, and the least occurred during childbirth, namely 16.51% (Rochmatin, 2019).…”

Section: Discussionsupporting

confidence: 79%

Maternal Mortality in Grobogan During Covid-19 Pandemic 2020-2021

Hamdah

Sudaryo

2022

JBE

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Background: Maternal mortality is one of the health statuses that is considered global. Central Java Province has the highest maternal mortality rate in Indonesia, and one of the regencies with a high MMR (Maternal Mortality Rate) is Grobogan. Purpose: This research wants to describe maternal mortality in Grobogan in 2020-2021. In further research, we can determine the relationship between risk factors that cause maternal death and use them to develop program decisions to reduce maternal mortality in Grobogan. Methods: This study used a descriptive-quantitative study using Maternal and Infant Mortality data from the Health Office of Grobogan in 2020-2021 and analyzed averages and proportions.Results: This study showed that 103 mothers died, 69% mothers at the age of 20-35 years, 46.60% mothers had Junior High School, 8% were in the Purwodadi 2 area, 73% with gestational age >28 weeks, 52% had 2-3 parity, 87.38% of mothers never abortion, 57% of mothers died during the puerperium, and 39% caused by being infected of COVID-19. Conclusion: Maternal mortality in Grobogan Regency during the 2020-2021 COVID-19 pandemic, most of the causes of death were due to COVID-19 infection, which mainly occurred in mothers aged 20-35 years, last educated at junior high school, at gestational age >28 weeks, parity 2-3, more common in mothers who have never had a history of abortion, and is currently experiencing the puerperium. This maternal death occurred in 28 of the 30 Puskesmas in Grobogan.

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Section: Discussionsupporting

confidence: 79%

Maternal Mortality in Grobogan During Covid-19 Pandemic 2020-2021

Hamdah

Sudaryo

2022

JBE

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“…18 There were two case studies reporting two maternal deaths. 23 , 24 Maternal deaths were much higher (78%) in another report. 25 …”

Section: Discussionmentioning

confidence: 70%

Clinical Features and Outcomes of COVID-19 Infection among Pregnant Women in South Africa

Basu

Chauke

Maternal³

et al. 2021

Int J MCH AIDS

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Background and Objective: Studies among COVID positive pregnant women are limited. Previous studies reported high rate of symptoms, comorbidities, and poor fetal/neonatal outcome among women of different ethnicity. To date, no study was reported among pregnant African women. This study was conducted to determine the clinical features and outcomes of COVID-19 positive pregnant women in Ekurhuleni District in South Africa. Methods: Retrospective record review of 103 COVID-19 infected pregnant women during the period of April to September 2020 was performed. Clinical features, symptoms, comorbidities, laboratory results, maternal, and neonatal outcomes were analyzed. Descriptive statistics (mean + standard deviation, number, and percentages) and inferential statistics (Chi-square test) were calculated. Ethical clearance was obtained from the Human Research Ethics Committee of the University of Witwatersrand, South Africa. Results: Majority of patients (90%) were of African ethnicity and symptomatic (53%). The most common symptom, comorbidity, and laboratory abnormality was cough (62%), hypertension (23%), and high LDH (20%), respectively. Thrombocytopenia and lymphocytopenia occurred among 9% and 15% of the women, respectively. Although association was not significant, symptoms were more common among women who were HIV positive, had comorbidity, and had abnormal results. The most common complications were preterm labor (8%) and macerated stillbirths (6%). Six (6%) mothers died. Conclusion and Global Health Implications: COVID-positive pregnant South African women were commonly symptomatic, but incidence of adverse fetal outcomes was low. High rate of preterm labor, macerated stillbirths, and maternal deaths was a concern. This study has several strengths. It included all COVID-positive women over a 6-month period at all healthcare facility levels, such as clinics, community health centers/midwifery units, district, and regional/tertiary hospitals conducted in an African country. Previous studies primarily included hospitals, which increased a high probability of mainly including severely-ill women. The study might benefit the health care workers in other African countries.

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“…The obstetrician’s concern is the timing and mode of delivery in COVID-19 as the possibility of the inflammatory response associated with labour may increase the risk for multiorgan system failure in the parturient with COVID-19 than in other critically ill parturients. [ 17 ]…”

Section: Discussionmentioning

confidence: 99%

COVID-19 suspicion and diagnosis in pregnancy: A big conundrum!

Singh¹,

Bhuriya²,

Nanda³

et al. 2022

Journal of Family Medicine and Primary Care

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Introduction: This article aims to discuss all the challenges faced in the diagnosis of coronavirus disease 2019 (COVID-19) in pregnancy, isolation of suspected and positive patients, their management, and the strategies to prevent the transmission of infection among the healthy population and medical fraternity. The diagnosis of COVID in pregnancy is influenced by many factors, including normal physiological changes in pregnancy, comorbid conditions associated with pregnancy, and the presence of asymptomatic infection in patients. Suspicion of COVID-19 in pregnant females is of utmost importance at a primary health center for risk mitigation of exposure to medical personnel. Material and Methods: A retrospective study was carried out in the labour room in a tertiary care center in India. Two groups were made, suspected COVID and confirmed COVID in pregnant patients. The case records were analysed. Results: Out of a total of 5164 admissions, 95 patients were admitted as suspected (1.8%), but only two patients were COVID-positive amongst them. 84% of COVID-positive patients were asymptomatic. Fever was the most common symptom in both groups ( P -value: 0.15). Preeclampsia and anaemia were the most common comorbidities in both groups, not statistically significant. There were 32% of intensive acre unit (ICU) admissions in suspected COVID patients, and 77% of them were having respiratory distress. Conclusion: COVID-19 presents as an asymptomatic infection in most pregnant patients. Physiological changes to the cardiorespiratory and immune systems along with associated comorbidities in pregnancy, increase a woman’s susceptibility and delay diagnosis. Consideration of patients as suspected COVID at triage stations on the basis of only contact or travel history poses a great burden on the health care system. Although triage is an essential tool to identify symptomatic COVID patients, universal testing strategies should continue simultaneously. Streamlining medical care professionals into self-sufficient teams ensures adequate clinical coverage amongst the suspected COVID, confirmed COVID, and routine labour room admissions.

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Post Partum Death in a Patient Diagnosed With COVID-19

Cited by 5 publications

References 17 publications

Maternal Mortality in Grobogan During Covid-19 Pandemic 2020-2021

Maternal Mortality in Grobogan During Covid-19 Pandemic 2020-2021

Clinical Features and Outcomes of COVID-19 Infection among Pregnant Women in South Africa

COVID-19 suspicion and diagnosis in pregnancy: A big conundrum!

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