Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 14 , ISSUE 3 ( May-June, 2022 ) > List of Articles

Original Article

Shadow of Pandemic: An Analysis of Maternal and Neonatal Outcomes before, during, and after the First and Second COVID-19 Waves

Swati Angadrao Badgire, Shrinivas Gadappa, Sonali Deshpande

Keywords : COVID, Maternal outcome, Pandemic

Citation Information : Badgire SA, Gadappa S, Deshpande S. Shadow of Pandemic: An Analysis of Maternal and Neonatal Outcomes before, during, and after the First and Second COVID-19 Waves. J South Asian Feder Obs Gynae 2022; 14 (3):238-241.

DOI: 10.5005/jp-journals-10006-2070

License: CC BY-NC 4.0

Published Online: 30-07-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Objective: India reported its first case of coronavirus in Kerala on 30th January, 2020. On March 24, 2020, the Government of India announced the first complete lockdown of the entire nation for 21 days for the containment of the virus. The immediate effect of the lockdown was that the cases and COVID-19-related deaths were significantly controlled. Besides the direct effects, the indirect impact of the pandemic and pandemic-control policies on healthcare services, communities, and the global economy may also affect vulnerable groups like pregnant women. The objective is to explore trends in maternal or neonatal outcomes during this pandemic by comparing the same in pre-pandemic, pandemic, and post-pandemic phases. Materials and Methods: This was a retrospective analysis of maternal and neonatal outcomes over the period from January 2020 to August 2021. The monthly statistics from the pre-pandemic period (2018 and 2019) were combined and then analyzed against the statistics from 2020 and 2021 using the Fisher's exact test or Chi-squared analysis as appropriate. Results: There was positive correlation between the monthly number of COVID-19-related deaths with the monthly number of stillbirths (p = 0.153). The diagnosis of antenatal complications such as hypertension in pregnancy occurred at the same rate pre-pandemic as in the months during the pandemic. There was a strong positive correlation between maternal mortality and the number of COVID-19-related deaths (p = 0.016). Conclusion: Women's healthcare is often adversely affected in humanitarian disasters, and our study highlights the importance of planning for powerfully built maternal services in any emergency services.


PDF Share
  1. Pradhan A, Olsson P-E. Sex differences in severity and mortality from COVID-19: are males more vulnerable? Biol Sex Differ 2020;11(1):53. DOI: 10.1186/s13293-020-00330-7.
  2. Zorrila CD, Garcia IG, Fragoso LG, et al. Zika virus infection in pregnancy: maternal, fetal, and neonatal Considerations, J Infect Dis 2017;216(Suppl 10):S891–S896, DOI: 10.1093/infdis/jix448.
  3. McDonnell S, McNamee E, Lindow SW, et al. The impact of the COVID-19 pandemic on maternity services: a review of maternal and neonatal outcomes before, during and after the pandemic. Eur J Obstet Gynecol Reprod Biol 2020;255:172–176. DOI: 10.1016/j.ejogrb.2020.10.023.
  4. Khalil A, von Dadelszen P, Draycott T, et al. Change in the incidence of stillbirth and preterm delivery during the COVID-19 pandemic. JAMA 2020;324(7):705–706. DOI: 10.1001/jama.2020.12746.
  5. Townsend R, Chmielewska B, Barratt I, et al. Global changes in maternity care provision during the COVID-19 pandemic: a systematic review and meta-analysis. eClinicalMedicine 2021;37:100947. DOI: 10.1016/j.eclinm.2021.100947.
  6. Lumbreras-Marquez MI, Campos-Zamora M, Seifert SM, et al. Excess maternal deaths associated with coronavirus disease 2019 (COVID-19) in Mexico. Obstet Gynecol 2020;136(6):1114–1116. DOI: 10.1097/AOG.0000000000004140.
  7. Knight M, Bunch K, Cairns A, et al. Saving lives, improving mothers’ care rapid report: learning from SARS-CoV-2-related and associated maternal deaths in the UK March–May 2020. MBRRACE-UK. 2020, vol. 31. https://www.npeu.ox.ac.uk/news/2013-mbrrace-uk-release-saving-lives-improving-mothers-care-rapidreport [Accessed 28.03.2021].
  8. Agarwal N, Garg R, Singh S, et al. Coronavirus disease 2019 in pregnancy: maternal and perinatal outcome. J Educ Health Promot 2021;10(1):194. DOI: 10.4103/jehp.jehp_954_20.
  9. Malhotra J, Garg R. Corona virus disease (COVID-19) and pregnancy: what obstetrician should know. JSAFOG 2019;11(6):337–339. DOI: 10.5005/jp-journals-10006-1744.
  10. Malhotra N, Garg R, Singh S, et al. Pregnancy management in coronavirus disease–challenges in developing countries. J Reprod Healthc Med 2021;2:18. DOI: 10.25259/JRHM_58_2020.
  11. Malhotra N, Garg R. COVID and Women's Health in India. J Indian Med Assoc 2022;120(3).
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.