COVID 19 in pregnancy: our experience amidst second wave of COVID-19 at a teaching institute

Abstract

To analyse the obstetrical outcome during second wave of coronavirus disease 2019 (COVID-19) at Level 2 facility. This is a hospital based analytical study conducted at Raj Shree medical and research institute Bareilly. During second wave a total 87 patients presenting to obstetric emergency department, over a period of one month (April 2021 to May 2021). A total of 26 patients were admitted in the hospital. 20 patients were COVID-19 positive and 6 patients were symptomatic with RT-PCR negative report. Out of 20 patients 19 were antenatal case and 1 case was postnatal. There were 2 mortalities among all positive patients. In all COVID-19 positive patients’ majority of the patients were in 26 to 30 years of age (46%). A High proportion presented in third trimester, at the gestation period between 37 to 40 weeks (54%). Around 23% patients had severe symptoms and there were 4 ICU admissions. 65% patients required supplemental oxygen at a rate of >12 l/min. There were a total 2 mortalities; both were in severe category with rapid deterioration. The significant laboratory derangement observed was coagulation profile deranged in 40% cases. COVID-19 second wave was deleterious for obstetric population in an unprecedented manner. A high morbidity and mortality were seen in this duration. Data and evidence which is continuously evolving needs to be shared for global references and knowledge sharing amongst peers.