Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 14 , ISSUE 5 ( September-October, 2022 ) > List of Articles

Original Article

Analysis of Maternal Mortality in COVID-positive Pregnant Mothers at Tertiary Care Hospital

KM Umashankar, Suresh Kanakannavar, Ashok Devoor, B Tejashree

Keywords : COVID-19, Maternal mortality, Viral pneumonia

Citation Information : Umashankar K, Kanakannavar S, Devoor A, Tejashree B. Analysis of Maternal Mortality in COVID-positive Pregnant Mothers at Tertiary Care Hospital. J South Asian Feder Obs Gynae 2022; 14 (5):534-540.

DOI: 10.5005/jp-journals-10006-2127

License: CC BY-NC 4.0

Published Online: 16-11-2022

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


Abstract

Introduction: COVID-19 infection is a pandemic health emergency with significant mortality in human population. The course of infection in pregnancy is not well-known. The understanding is fogged by the changes in the pulmonary and immunological systems during pregnancy. Initially, the COVID-19 infections among pregnant mothers were assumed to be having benign course. Recent investigations from Sweden have indicated that pregnant and postpartum women are at increased risk of severe complications associated with COVID-19 infections. Methodology: This prospective study was conducted at Department of Obstetrics and Gynecology BMCRI and Bowring Lady Curzon Medical College. All pregnant women diagnosed to have COVID-19 infection who died during treatment were included in the study. The details of clinical evaluation are entered in structured format. Cases were studied in detail to fulfill the study objectives. Aims and objective: To analyze the maternal mortality cases due to COVID-19 infection. To estimate the prevalence of maternal mortality due to COVID-19 infection. Results: Among 1070 COVID-19 cases diagnosed during pregnancy, 37 (3.45%) patients had maternal mortality due to COVID infection. The prevalence of maternal mortality was 0.6 (3.45%). Maternal mortality were mostly in 3rd trimester (51.4%). Saturation was below 90% in all cases, 90.8% of patients are antepartum, maximum gestational age 37 weeks, and minimum gestational age 12 weeks. Conclusions: COVID-19 pneumonia is an additional toll for maternal mortality. Obstetric patients in the 2nd and 3rd trimester having COVID-19 infection with late presentation to hospital, moderate-to-severe disease (RR >30 minutes), with raised inflammatory markers, and having bilateral lung affection are indicative of poor maternal outcome.


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