Abinaya, C P (2022) Outcome of Pregnancy in COVID Positive Pregnant Women. Masters thesis, Kilpauk Medical College, Chennai.
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Abstract
A total of 380 pregnant patients with laboratory-confirmed COVID-19 were included in the study. • Majority 322 (84.7%) women had asymptomatic or mild disease which is comparable to Ayed [et al.] study, observed 88% of the women had mild form of disease. • Of all total 380 deliveries conducted, 229 (60%) women delivered by Cesarean section, 37.9% had vaginal delivery and the remaining 2% had instrumental delivery. In our study all cesarean sections were done in view of obstetric indication and not due to COVID-19 perse, similarly study by venkateshwarlu vardhelli [et al.] showed similar results of 64%. • 55 (14.5%) women had gestational diabetes mellitus showing that maximum percentage of the disease affecting patients with gestational diabetes mellitus. Meta-analysis by Yang [et al.], observed that Diabetes mellitus (14%) is the most common comorbidity observed in SARS-CoV-2 patients. There were 2 unexplained still births (1.1%) reported among mothers without co-morbidities. Retrospective Cohort study by Prakesh.S.Shah showed mean still birth rate of 0.56%. The overall Fetal outcome was good in our study. We observed 1 (0.3%) baby’s swab was positive which is incontrast to Rasmussen et al study, showed 8%. • 76 (20%) women had foetal distress during labour, showing that there is an increase in fetal distress in COVID-19 comparing to Non-COVID population, where the rate was only 8.1%, relatable to study by Mohammed Ali [et al.], showed that there is an increase in incidence of Fetal distress of about 17%. • About 71 (18.7%) preterm deliveries conducted of which, 23 (62%) had spontaneous labour while 14 (37%) were induced in view of obstetric indication. • There is no significant association in terms of severity of disease and Gravida status in relation to preterm deliveries. CONCLUSION: The study on outcome of pregnancy in covid positive pregnant women concludes that 1. The overall fetomaternal outcome was good in COVID 19 affected pregnant women. 2. Nearly 84.7% of patients had mild / asymptomatic disease, with Cough (28.6%) being the most predominant symptom, approximately 15% patients had moderate disease, with shortness of breath (25.8%) being the most common symptom. 3. The most common co-morbid condition associated with SARS-CoV-2 was Gestational Diabetes mellitus accounting to nearly 55 (14.5%) patients. 4. Studying the Mode of delivery in COVID 19 pregnant women - 60% had delivered through cesarean section (all being obstetric indication), 37.9% through vaginal route and 2% delivered through instrumental delivery.Incidence of COVID-19 does not increase cesarean section rate. 5. There is an increase in incidence (20%) of fetal distress among covid-19 pregnant women non COVID population (8%). Fetal distress has no relationship with severity of the disease. 6. There is no significant change in incidence of preterm deliveries in COVID-19 positive pregnant women (18.7%) comparing to non covid population (12%).
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221916152 |
| Uncontrolled Keywords: | Outcome, Pregnancy, COVID Positive Pregnant Women. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology > MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 16 Apr 2022 11:21 |
| Last Modified: | 03 Dec 2023 12:28 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/19292 |
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