Abstract

OBJECTIVES

Study of covid 19 obstetric cases admitted in maternal intensive care unit.
To study the fetomaternal outcome of covid 19 pregnant women

METHODS

This was an observational study carried out in the department of Obstetrics and Gynecology at Gandhi hospital, a tertiary care centre in Telangana. 100 women were taken into the study based on COVID19 test status.

RESULTS
Among 100 covid patients who were admitted into maternal intensive care unit, were in the range of 17 to 35years. Most (64%) of the patients were primigravida and majority (64%) of them were admitted in third trimester. 36 patients were without any co-morbidity, 38 patients belong to hypertensive disorders, 12 patients had anemia. High sugars and heart disease complicating pregnancy cases were also admitted.Inflammatory markers were raised in covid patients. All the patients had elevated CRP. Serum ferritin was raised in 53patients, LDH was raised in 46patients and 24patients were having raised D-Dimer.70% patients were managed with NIV.38% patient’s babies were admitted into NICU due to respiratory distress, low birth weight and seizures. Among 100 patients, 62% patients were discharged with good outcome and 38% patients were died.
CONCLUSION
Covid 19 during pregnancy may happen without identifiable risk factors. Although the risk of poor maternal and perinatal outcome increases when intensive care unit admission is required, adequate respiratory support adapted to the clinical status and interdisciplinary management of critical cases may not only lead to maternal recovery, but also an improvement in neonatal outcomes.