Abstract :
Background: With exponential increase in the severe acute respiratory syndrome coronavirus 2 (SARS-CoV- 2/COVID-19) worldwide Pregnant women and their fetuses are more susceptible to infection and poor outcomes. The risks to the mother appear to increase during the last trimester. The aim of this study was to summarize the maternal and neonatal outcomes of pregnant women infected with COVID-19 during labour.
Materials and Methods: Eligibility criteria includes pregnant women positive for COVID-19 during the time of labour as detected by real-time polymerase chain reaction (PCR) or dual fluorescence PCR-confirmed SARS-CoV-2 infection.
Results: A total of 30 pregnant women positive for COVID-19 as confirmed by RT-PCR, were included in the study. 14 cases (46.6%) had preterm deliveries and LSCS was the preferred mode of delivery in 12 of 30 i.e., 40% cases. There was a tendency for low Apgar score at birth, higher rates of IUD, fetal distress, NICU admissions. There was 5 IUD and one neonatal death.
Conclusions: This study confirms that COVID-19 infection during pregnancy increases the risk of several adverse outcomes, including slightly higher rates of caesarean section, low birth weight, Preterm birth, IUGR, fetal distress, NICU admissions. Proper antenatal care, vaccination against COVID-19 for pregnant and lactating mothers should be encouraged to Prevent further spread of infection. Early diagnosis, referral and emergency management should be done to safeguard both mother and fetus.
Keyword :
COVID- 19, Polymerase chain reaction, Pregnant women, Vaccination.