IMPACT OF COVID 19 ON PREGNANCY AND IT'S NEONATAL OUTCOMES IN A COVID
DESIGNATED TERTIARY CARE HOSPITAL
Abstract
Sep 1,2020 India reported with 3,766,708 cases and 66,460 deaths. As a
matter of concern with increasing Infection rates,those of pregnant
women with COVID-19 is also increasing. objective To identify the
effects of COVID 19 on pregnant women,clinical characteristics &
various factors influencing maternal and neonatal outcome and its
management. Materials and methods design - cross sectional study within
one month (SEPTEMBER 1st to 30th) in a COVID designated tertiary care
hospital in the department of OG -GMKMCH,SALEM; sample: Involving about
137 antenatal patients whose nasopharyngeal swab reported covid positive
and also including those of RTPCR negative with findings in CT chest.
outcome and results In the department of OG - GMKMCH,SALEM,of the 1680
mothers admitted,150 mothers were COVID positive and among them were 137
antenatal,9 postnatal & 4 post lscs patients.Most of the antenatal
COVID 19 mothers were in third trimester of pregnancy,where 60 patients
were symptomatic at admission.12 patients were swab RTPCR negative with
CT chest positive.Covid 19 neither worsened nor altered the pregnancy
related co morbidties.11patients had moderate disease and required high
flow nasal oxygen (HFNO). Caesarean section rate was high and most of
them were delivered within 5 days of onset of illness due to obstetric
indications. About 80% newborn had birth weight of
>2.5kg,3 were found positive among 79 newborn,1 expired due
to respiratory failure. Conclusion Most mothers admitted were in third
trimester supporting the need for social distancing,handwashing and
wearing of masks.