Fetomaternal Outcome in Asymptomatic and Symptomatic Covid-19 Positive Women at term Pregnancies

Abstract

Background: The SARS –COV-2 has quickly swept the globe due to strong infectivity. (1) Pregnant women are at higher risk of being infected and developing more complicated events.

Objective: To determine the fetomaternal outcome in COVID-19 positive pregnant women at term in order to improve the awareness and management of this obstetric population.

Methodology: This Retrospective descriptive case series study was conducted in the Obstetrics and Gynaecology department of FG polyclinic Islamabad, from June 2020 to May 2021. A total of 23 pregnant women who were found positive for Covid viral rRT-PCR of nasopharyngeal specimens, were included in the study. Data regarding their age, parity, gestational age, symptoms and signs related to labor and covid 19 pneumonia, mode of delivery, APGAR score at one and five minutes after birth, NICU admission and stay was collected on structured proformas, analyzed by SPSS version 20, and presented in the form of mean values and percentages.

Results: The mean maternal age was 28.26 years. All of them were term pregnancies, 82.61% having gestational age between 37-40 weeks. Multigravidas were 91.3% and primigravida 8.7%. Among 21 multigravidas, 6 were having a previous 1 cesarean section and 5 had previous 2 cesarean sections. Covid -19 symptoms were present in 8 (34.78%) women. Vaginal delivery was conducted in 39.13%. One was intra uterine fetal death. Three newborns were admitted to NICU due to respiratory distress syndrome (RDS). Neonatal nasopharyngeal swabs were not taken. Vertical transmission was not tested.

Conclusion: All women were discharged without any serious morbidity. Majority of neonates were healthy and those who were admitted to the neonatal care unit were discharged without any major complication. 

Key words: Pregnancy, COVID­-19, clinical features, maternal morbidity, neonatal morbidity