Feto-maternal outcome in COVID-19 positive patients with hyp
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In a recent study, investigators suggest that pregnant women are not at increased risk of infection than the general population but the doctors should be more careful with high-risk pregnant women.

In the current study, the relation of COVID-19 and its effect on pregnant women with hypertensive disorders in pregnancy, including symptoms and fetomaternal outcome were studied.

Women with hypertensive disorders in pregnancy consecutively admitted for delivery and tested via nasopharyngeal swab for SARS-CoV-2 using reverse transcriptase-polymerase chain reaction (RT-PCR) from 1 April 2020 to 30 September 2020 were included in the study.

--In the study, 56 women having hypertensive disorders in pregnancy with COVID-19 infections delivering 60 babies, 46.43% were in the age group of <25 years, 51.78 % were <37 weeks gestation.

--Delivery was by cesarean section in 76.78%. Out of these, 33.92% of patients required ICU admission.

--40% of babies delivered had a birth weight of <2.5 kg out of which 13.33% had IUGR and 26.66% were preterm.

--There were 13.33% stillbirth and 6.66% neonatal deaths. 4 maternal death has been reported.

With the current data available it does not appear that pregnant women are at increased risk of severe infection than the general population, but clinicians should be aware of high-risk groups. Women will need to be monitored in their booking maternity units and should be transferred to centers with appropriate neonatal intensive care facilities for delivery. In pregnant women with COVID-19 infection, if the maternal illness is not severe, the considerations should be based more on obstetric indications for delivery.

International Journal of Reproduction, Contraception,
Obstetrics and Gynecology
Source: http://dx.doi.org/10.18203/2320-1770.ijrcog20211499