Online ISSN: 2515-8260

Maternal and perinatal outcomes of pandemic Covid-19 in pregnancy in Basrah

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Maysoon Sharief, Gufran Jaafar, Alla Hussan

Abstract

Objective: To evaluate the maternal, fetal and neonatal complications in pregnant women with Covid-19 infection. Setting and design: A prospective descriptive study was carried out in Basrah Teaching Hospital, Iraq during the period 15/3/2020 till 1/11/2020. There were 135 infected pregnant women with Covid-19. The maternal information's were obtained included Age, parity, residence, travel history, gestational age at time of diagnosis. The pregnancy measures of interest were evaluated according to the severity of the disease, medical disease, history of antepartum hemorrhage, mode of delivery, type of delivery, post-natal complication and admission to intensive care unit and maternal death. The neonatal outcomes of interest were fetal weight, neonatal Apgar score, admission to neonatal intensive care unit and neonatal death. Results: The mild type of the disease was common (41.48%) in comparison to severe conditions (17.77%). Admission to ICU was 10 cases, out of them 7 deaths taken place due to respiratory failure. The maternal risk factors that may worse the prognosis of the disease were maternal hypertension (5.1%) and diabetes (2.9%) . The completed cure was 95% for the diseased women, with just 5% death. While 2 pregnant women survive from risky condition postnatal. The mode of delivery was vaginally (4.4%) and abdominally (6.6%). Out of 23 (17.03%) neonates admitted to the intensive care unit, 5 (3.7%) perinatal deaths were observed. Conclusion : There are low rates of maternal and neonatal mortality as well as ICU admissions associated with COVID-19.

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