A study on obstetric management in term pregnancies infected with SARS-COV-2 and fetomaternal outcomes.
DOI:
https://doi.org/10.51168/fkj59696Keywords:
COVID19, pregnant women, infant, respiratory disease, neonatal, Morbidity, MortalityAbstract
Background
Pregnant women with SARS-CoV-2 infection may be at increased risk of adverse maternal and neonatal outcomes because of physiological and immunological changes during pregnancy. This study aimed to evaluate the obstetric management, maternal outcomes, and neonatal outcomes in term pregnancies complicated by COVID-19 infection.
Materials and Methods
A retrospective observational cohort study was conducted among 200 term pregnant women with laboratory-confirmed COVID-19 admitted to a tertiary care hospital between June 2020 and May 2021. Maternal clinical profile, laboratory parameters, mode of delivery, maternal complications, and neonatal outcomes were analyzed from hospital records.
Results
The mean maternal age was 25.6 ± 3.94 years. Most women were asymptomatic (78%), while cough was the most common presenting symptom among symptomatic women. Common comorbidities included anemia (3%), hypertensive disorders (12%), and hypothyroidism (5.5%). Spontaneous labour occurred in 41.5% of women, while 50% underwent cesarean delivery. Five women (2.5%) required intensive care admission, and two maternal deaths occurred due to acute respiratory distress syndrome. Mean gestational age at delivery was 38.47 ± 0.83 weeks, and mean birth weight was 2810 ± 431 g. Two neonates (1%) tested positive for SARS-CoV-2 and remained clinically stable. One intrauterine death, one stillbirth, and one neonatal death were reported.
Conclusion
Most pregnant women with COVID-19 had mild disease and favorable maternal and neonatal outcomes. Severe maternal morbidity and mortality were more common in women with associated comorbidities.
Recommendation
Early identification of high-risk pregnant women with COVID-19 and close multidisciplinary monitoring may help reduce adverse fetomaternal outcomes.
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Copyright (c) 2026 Dr .Sindhukavi P, Dr. Parvathananeni Divya, Dr .Sornalatha.C.L, Dr .Ramnivas R4 (Author)
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