Outcome of Covid -19 in twenty pregnant women- A case Series Studies

Abstract

Objective: to quantify the maternal and fetal outcomes and to assess vertical transmission of COVID-19 in pregnant women. Study Design: A case series. Place and Duration of Study: Isra University Hospital, Hyderabad, from Dec 2020 to May 2021. Methodology: In this case series clinical record of 20 consecutive pregnant women was reviewed who presented with COVID-19 in the Gynae & Obstetrics department of Isra University Hospital, Hyderabad ,Pakistan. The demographic and clinical details were noted. The maternal outcomes in terms of mode of delivery, signs like shortness of breath, oxygen saturation, ventilator support etc. were noted. For fetal outcomes vertical transmission, APGAR score, birth weight, and admission to Neonatal Intensive Care Unit were analyzed. Result : No fetal morbidity and mortality were noted, However in terms of maternal morbidity and mortality 1 patient died due to severe Covid -19 infection with respiratory failure .there were five patients who were symptomatic for Covid -19 infection (cough and fever=3) and( bodyache and flu like symptoms in =2 ). All 20 neonates were observed in the nursery/Neonatal Intensive Care Unit for 24 hours after birth. None of them developed any complication. No vertical transmission of COVID-19 was found on the basis of PCR conducted 1 week apart after delivery. Conclusion: Only one patient were died due to severe Covid-19 infection .However no vertical transmission is seen in twenty pregnant women’s which could be due to that majority of patients were asymptomatic.