Impact of COVID-19 infection on maternal near miss cases in tertiary care centre

Authors

  • Niranjan Chavan Department of Obstetrics and Gynecology, Lokmanya Tilak Municipal Medical College and Hospital, Mumbai, Maharashtra, India
  • Shalini Mahapatra Department of Obstetrics and Gynecology, Lokmanya Tilak Municipal Medical College and Hospital, Mumbai, Maharashtra, India
  • Sneha Venkateswaran Department of Obstetrics and Gynecology, Lokmanya Tilak Municipal Medical College and Hospital, Mumbai, Maharashtra, India
  • Jui Ponkshe Department of Obstetrics and Gynecology, Lokmanya Tilak Municipal Medical College and Hospital, Mumbai, Maharashtra, India
  • Arun H. Nayak Department of Obstetrics and Gynecology, Lokmanya Tilak Municipal Medical College and Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20212649

Keywords:

COVID-19, Maternal Morbidity and Mortality, Pandemic, ARDS, Fever, Virus

Abstract

Background: The pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has exposed vulnerable populations to a health crisis. Since the beginning of the severe acute respiratory syndrome (SARS-CoV-2) or COVID-19 outbreak, it has been argued whether pregnant women are at increased risk of severe infection.1 The objective of this study was to summarize the effect of COVID-19 on maternal near miss cases.

Methods: This single-centre prospective observational study, included all consecutive pregnant women with COVID-19 infection admitted to Lokmanya Tilak Municipal Medical College and General Hospital (Mumbai, India), a tertiary referral hospital, from 1 April 2020, to 20 December 2020. In this study, a total of 46 patients were included in near miss cases, who required ICU admission with severe morbidity. Of these, 8 patients were COVID-19 positive and remaining 38 patients were included in control group (COVID-19 negative). The course of each of their stay in ward was noted and findings were compared in both the groups.

 Results: During their course in ICU it was found that 6 COVID-19 patients had maternal death representing 75% and 12 non-COVID-19 patients had maternal death representing 31.57%.  

Conclusions: The mortality rate from the above results concludes that in this study mortality appeared to be higher in COVID-19 infection. Multi-centre retrospective analysis with larger population size is required in order for this to be statistically significant.

References

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Published

2021-06-28

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Original Research Articles