Pregnancy outcome after COVID-19 infection in different trimesters

Document Type : Original Research

Authors

1 Obstetrics and Gynecology department ,Armed forces collage of medicine ,Cairo , Egypt .

2 Obstetrics and Gynecology department ,Cairo University ,Cairo ,Egypt .

3 Obstetrics and Gynecology department ,Cairo university ,Cairo ,Egypt .

Abstract

Background: ‎

Coronavirus disease of 2019 (COVID-19) infection during pregnancy could lead to worse pregnancy ‎outcomes, whether maternal or fetal. Studies have associated COVID-19 with an increased risk of ‎premature birth, premature membrane rupture (PROM), and cesarean section (CS) delivery, together with ‎preterm delivery. Given the paucity of studies on the effect of COVID-19 on pregnancy outcomes, this ‎study was conducted to determine the pregnancy outcomes among pregnant COVID-19 women in an ‎Egyptian population.‎

Methods:‎

This retrospective study was conducted at Masr El Gedida Military Hospital on 100 pregnant women with ‎confirmed COVID-19 infection from March of 2020 to December of 2021. Women had been followed ‎through their medical records and investigations for the different pregnancy outcomes (maternal or fetal).‎

Results: ‎

Sixty-two percent of COVID-19 pregnant women delivered by elective CS, 19% by emergency CS, and ‎‎12% by normal vaginal delivery. The mean GA at delivery was 35.7 weeks. Moreover, 70% of pregnant ‎COVID-19 women continued their pregnancy; 7% had an abortion; 8% had intrauterine growth restriction; ‎‎5% had intrauterine fetal demise; 5% had preterm labour and PROM; 4% had preterm labour; and 1% ‎had antepartum hemorrhage. The mean APGAR scores at 1 and 5 minutes were 8.5 and 9.5, respectively. ‎The mean birth weight was 3054 grams. It was noticed that 22 neonates were COVID-19 positive, and 18 ‎neonates needed NICU admission

Conclusion: ‎

Women who had COVID-19 at any point during their pregnancies might be more likely to experience ‎adverse maternal and newborn outcomes. ‎

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ARCADEs of MEDICINE
Volume 1, Issue 1
December 2023
Pages 82-90

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