COVID-19 in pregnancy: A preliminary 50-day review from India

Background: This retrospective review was done to gauge the preliminary experience of COVID-19 in pregnancy during first 50 days of lockdown in a tertiary care hospital of India. Methods: This was a single-centered study, wherein all the suspected women (as defined by ICMR guidelines) who were teste...

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Published in:Journal of family medicine and primary care 2021-02, Vol.10 (2), p.883-892
Main Authors: Arora, Renu, Marwah, Sheeba, Dhama, Versha, Dabral, Anjali, Gupta, Nitesh, Arora, Balvinder
Format: Article
Language:English
Subjects:
clinical features
covid-19 suspects
feto-maternal outcome
Health aspects
Infection
Obstetrics
Original
Pregnancy
Pregnant women
Risk factors
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Summary:Background: This retrospective review was done to gauge the preliminary experience of COVID-19 in pregnancy during first 50 days of lockdown in a tertiary care hospital of India. Methods: This was a single-centered study, wherein all the suspected women (as defined by ICMR guidelines) who were tested for SARS-CoV 2 infection by nasopharyngeal/oropharyngeal swabs, and rendered to RT-PCR, were included. Parallel evaluation was performed for women in both groups for sociodemographic and obstetric attributes, risk factors, clinical presentation and feto-maternal outcome. Categorical variables were presented in number and percentage. Qualitative variables were equated using Chi-Square test/Fisher's exact test. A P value of < 0.05 was counted as significant. Results: Amongst 112 suspected cases, seven (6.25%) were found to be positive for SARS COV2. Majority of COVID-19 positive women hailed from urban hotspot areas (57.7%) and were un-booked (57.1%). Most were mild cases, and symptomatic (85.7%), with fever (57.1%) being predominant feature in all suspects; no adverse effects seen on pregnancy and fetus, with uneventful postpartum period. Conclusion: No adverse outcome in mother and baby after acquiring SARS-COV2 infection was observed, with maximum cases being mild; fever was the predominant symptom in all suspects, with significantly higher percentage in COVID-19 positives.
ISSN:2249-4863
2278-7135
DOI:10.4103/jfmpc.jfmpc_1471_20