Feto-maternal outcome of COVID-19 positive pregnant patients in
Bangladesh: a comparative study
Abstract
Objective: Study the effect of COVID-19 on pregnancy and
neonatal outcomes. Design & Setting: Prospective cohort study
in Combined Military Hospital (CMH) Bogura, Obstetrics and Gynaecology
department. Methods: Collected and analysed data of 29 pregnant
ladies positive for COVID-19 between June to October 2020 inclusive to
assess the effect of COVID-19 on pregnancy, and neonatal outcomes.
Control group was COVID negative pregnant patients. Nasopharyngeal swab
was taken for real time polymerase chain reaction for detection of
COVID-19. Main outcome measures: Compared age, symptoms, any
complication in mother and fetus, mode of termination, and duration of
hospital stay. Results: Mean age was 27.45 years in case and
28.10 years in control group (P value <0.503). Only six were
asymptomatic (10.3%). Fifteen (25.9%) had fever, six had weakness
(10.3%), five (8.6%) had sore throat, three (5.2%) had nausea and
five (8.6%) presented with loss of smell. Among twenty-nine patients,
five (8.6%) delivered normally, twenty four (41.4%) were delivered
through caesarean section which was significantly higher than control
group (P value <0.001) No mother became critical or expired,
neonatal death was also absent. Mean duration of hospital stay was
14.13± 6.192 days in case and 5.18±4.99 in control which was
significantly (P value <0.001) higher. Breast feeding was
significantly higher in control group (P value <0.001).
Conclusion: Present study shows feto-maternal outcome of COVID
pregnancy does not vary to a great extent in comparison with normal
pregnancy. Funding: No funding was required. Keywords:
COVID-19, Maternal morbidity, Pneumonia, Pregnancy, COVID-19 in
pregnancy