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Impact of COVID-19 on Maternal and Neonatal Outcomes in Pregnancy: A Prospective Study

机译:Covid-19对怀孕孕产妇和新生儿结果的影响:一个前瞻性研究

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The Coronavirus Disease-2019 (COVID19), caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), is a global public health crisis.Pregnant women are known to be disproportionately affected by respiratory illnesses, which are associated with increased infectious morbidity and high maternal mortality rates.Aim: To study the management of COVID-19 in pregnancy and its perinatal outcome.Materials and Methods: This prospective observational study was conducted in the Obstetrics and Gynaecology Department from March 2020 to September 2020.To evaluate the effects of COVID-19 in pregnancy and to determine the maternal and fetal outcomes in COVID-19 positive patients.In order to evaluate the pattern of caesarean and vaginal deliveries in COVID-19 and non COVID-19 patients, chisquare test was done.Results: A total of 150 COVID-19 positive patients were admitted to the COVID-19 labour room and out of them 142 (94.67%) were antenatal and 8 (5.33%) were postnatal.Total number of the deliveries in this period was 80 (53.33%) and out of them vaginal deliveries were 35 (23.33%) and caesarean section were 45 (30%).A 6 (7.50%) babies with poor Appearance, Pulse, Grimace, Activity, Respiration (APGAR) score were admitted to the Neonatal Intensive Care Unit (NICU) and 70 (87.50%) had good APGAR after delivery, four had Intrauterine Death (IUD).Conclusion: The pregnant women with suspected COVID-19 who need medical care should be transferred to a hospital equipped with sufficient health facilities and fully trained clinicians to take proper care of critically ill obstetric patients for effective management.
机译:由严重急性呼吸综合征冠状病毒2(SARS-COV-2)引起的冠状病毒疾病 - 2019(Covid19)是全球公共卫生危机。已知孕妇受呼吸道疾病的影响,这与增加有关感染性发病率和高孕产妇死亡率。论妊娠的Covid-19管理及其围产期结果。材料和方法:这项前瞻性观察研究在2020年3月至2020年9月的妇产科部门进行。 Covid-19在怀孕中的影响和确定Covid-19阳性患者的母亲和胎儿结果。为了评估Covid-19和非Covid-19患者的剖腹产和阴道递送模式,完成了Chisquare试验。结果:共有150名Covid-19阳性患者进入Covid-19劳动室,其中142(94.67%)是产前的,8(5.33%)产后。这一时期的递送为80(53.33%),除了阴道递送中,阴道递送为35(23.33%),剖腹产部分为45(30%)。出现差,脉搏,鬼脸,活动,脉搏,鬼脸,活动,呼吸(APGAR)得分被录取为新生儿重症监护病房(NICU)和70(87.50%)交付后有良好的APGAR,四次宫内死亡(IUD)。结论:怀疑妇女有疑似Covid-19谁需要医疗保健应转移到配备有足够的健康设施和全面培训的临床医生的医院,以适当地照顾批判性的产科患者的有效管理。

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