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Research Article | Volume 13 Issue:1 (, 2023) | Pages 1431 - 1434
Incidence of Maternal and Perinatal Morbidity and Mortality among Obstetrics Patients Who Tested Positive for COVID-19 in a Tertiary Care Hospital
Under a Creative Commons license
Open Access
DOI : 10.5083/ejcm
Published
March 31, 2023
Abstract

Background- In the wake of the Covid-19 Pandemic, it is probable that specific facets of the public health infrastructure, such as healthcare services for women and children, may encounter a reduction in operational effectiveness. The corona virus is classified as a virus with a single-stranded RNA genome. The condition has the potential to induce respiratory ailments that span from minor nasal obstruction to respiratory infections that pose a threat to life.  Material and Methods- A retrospective study was conducted at the Department of Obstetrics and Gynaecology from June 2020 to September 2021, involving the participation of 100 mothers. The study aimed to evaluate the effects of COVID-19 on maternal and perinatal outcomes.  Results- The study revealed that a mere 20% of the patients were above the age of 30, while the remaining 80% belonged to the age group below 30 years. Among the sample of 100  patients, it was observed that 10 individuals were asymptomatic. A majority of 57% of the patients exhibited fever, while 53% presented with cough. A smaller proportion of 24% experienced difficulty in breathing, 7.14% reported headache, and 14% had anosmia. Of the total sample, 51 patients (51%) presented with pneumonia accompanied by pleural effusion, 9 patients (9%) exhibited ground glass opacity with consolidation, and 40 patients (40%) displayed minimal ground glass opacity. The study revealed that the maternal mortality rate was 13%. Additionally, it was found that 41 of the mothers, accounting for 41% of the sample, required ventilator support or high flow oxygen exceeding 12 litres. Among the sample of infants, 26 had a weight exceeding 3 kg, 34 infants had a weight ranging between 2.6 and 3 kg, and 26 infants had a weight below 2.5 kg.  Conclusion-Based on our research, it can be inferred that our tertiary care institution provided medical attention to all patients who were deemed high-risk. A significant proportion of the patient cohort exhibited radiologic pneumonitis changes, which required intensive care intervention. However, following delivery, the patients demonstrated a favourable recovery trajectory. The outcome in the neonatal period exhibited a highly favourable trend.

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