An Overview of COVID Positive Obstetric Cases at a Tertiary Care Centre in Western Uttar Pradesh, India

Abstract

Background: COVID-19 infection was declared pandemic infection on March 11, 2020 by the World Health Organisation. Pregnant women have a high propensity to acquire this infection due to their altered physiological and immunological function. Objective: To know the overall incidence of COVID positive obstetric patients and assess the presence of any co-morbidity or obstetric complications as well as maternal and perinatal outcomes at our institute. Methods: This retrospective observational study was conducted at the Saraswathi Institute of medical sciences (SIMS), Hapur Uttar Pradesh, India from April 2020 to December 2020. All Covid positive obstetric patients, antenatal and postnatal upto 6weeks postpartum were included from the hospital records. Their socio-demographic characters, period of gestation at the time of admission, presenting symptoms, any medical or obstetric complications as well as maternal and perinatal outcome were studied in the form of the severity of symptoms, ICU admissions, requirement of mechanical ventilatory support and NICU admissions. Results: Total 95 obstetric patients were admitted, out of which 83 (87.36 %) were antenatal and 12 (12.63 %) were postnatal. Sixteen patients delivered at SIMS, out of which 9 (56.25 %) had cesarean delivery and 7 (43.75 %) had vaginal delivery and 9 had preterm deliveries (56.25 %). Among the 12 postnatal patients, 5 (41.66 %) undergone cesarean delivery and 7 (58.33 %) had vaginal delivery. Twenty (21.05 %) patients needed ICU admission and 3 (3.15 %) patients required ventilatory support. There were 2 (2.10 %) maternal deaths and 2 (2.10 %) neonatal deaths. Conclusion: The course of COVID-19 obstetric patients was mild in majority of cases, however, increased rates of pregnancy complications and caesarean delivery was observed.