A retrospective study of COVID during pregnancy and the outcome of vaginal delivery. (December 2022)

• Record Type: Journal Article
• Authors: Sunuwar, Neela; Jaishi, Prakash Poudel; Twayana, Anu Radha; Neupane, Prabhat Kiran; Neupane, Sandhya Kiran
• Is Part Of: Annals of medicine and surgery. Volume 84(2022)
• Publication Date: 2022-12
• Subjects: COVID-19 -- Pregnancy -- Neonatal outcome; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2022.104880
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Introduction: SARS-CoV, MERS-CoV, and SARS-CoV-2, later named coronavirus disease 2019 (COVID-19), are three highly pathogenic and lethal human coronaviruses that have arisen in the last two decades. Pregnant women have a higher risk due to a special state of immunosuppression. However, there is no proof that pregnant women and their babies are more vulnerable to infection, as data is limited.The primary goal of this retrospective study is to examine the effects of early COVID-19 diagnosis and to address the best method of delivery based on medical records of neonatal and maternal outcomes observed at Nepal's Paropakar Maternity Hospital. This retrospective research will determine whether vaginal delivery is healthy compared to cesarean delivery and whether the outcome of a COVID-19 pregnancy in both mother and the baby is independent of the disease's status of the mother. Methods: Study design: The proposed study is a retrospective cross-sectional study. Patients population: 104 cases of COVID positive pregnancy with vaginal delivery or caesarean section. Results: The neonatal outcomes of COVID pregnancy revealed at least 51% baby born with Low APGAR score, 18% born prematurely, 19% with low birth weight, 7% requiring NICU admission, 3% Neonatal asphyxia, and 2% Neonatal death. Furthermore, when normal vaginal delivery and Cesarean section were compared there was no significant between the differences found in the outcomes Conclusion: The COVID positive status had no association with the perinatal outcomes. Moreover, COVID status rarely affected the course of pregnancy. Guideline: STROCSS 2021. Highlights: Pregnant women have a higher risk of COVID-19 infection due to a special state of immunosuppression. There is very little possibility of intrauterine and intrapartum transmission of COVID. When normal vaginal delivery and Cesarean section were compared there was no significant between the differences found in the outcomes. COVID status rarely affected the course of pregnancy.