Covid19 Pregnancy: A Retrospective Comparative Study

Abstract

Introduction: COVID-19 is caused by SARS-CoV-2, a member of the genus Beta coronavirus. As of March 2021, 11.5 million confirmed cases were reported in India, with 1 lakh 60 thousand deaths so far. Pregnant women with risk factors like overweight, hypertension and diabetes have an increased risk of developing severe COVID-19 disease which may lead to adverse fetomaternal outcome.Aim and objectives: To compare the fetomaternal outcome among COVID -19 positive and negative pregnant women.Material and methods: This is a retrospective observational study done at a tertiary care institute Jharkhand. All laboratory confirmed COVID-19 positive (215) pregnant women admitted between 1^stApril 2020 to 28^th February 2021 were included in the study, while control group (215) was randomly selected from labour room. Result: Out of 215 women 112 (52.09%) were asymptomatic at time of admission and were admitted for quarantine. 4(1.86%) women presented with severe symptoms. Mean age was 26.09 ± 5.12 years in COVID positive group and was similar to that of COVID 19 negative who had a mean age of 25.32 ± 4.96 years. Parity was comparable between two groups. There were 18(11.11%) preterm neonates in COVID 19 positive group where as there were 33(18.03%) p value was significant (p=0.035). In COVID positive group 93(43.25%) underwent LSCS where as in COVID 19 negative group 82(38.13%) underwent LSCS. On comparing the mode of delivery it was statistically highly significant (p = 0.000).Conclusion: There is no evidence to suggest that there is significant difference in fetomaternal outcome due to COVID 19. Further study with higher sample size is required. Outcomes need to be further studied among women getting infected with newer strains.