Nine Maternal Mortalities in 2 Weeks of Second COVID-19 Surge in Indonesia: A Case Series from One Large Tertiary Center

Authors

  • Manggala Pasca Wardhana Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Obstetrics and Gynaecology, Academic dr. Soetomo General Hospital, Surabaya, Indonesia; Department of Medical Science, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
  • Shabrina Avi Wulandari Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
  • Salsabila Nabilah Rifdah Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
  • Ifan Ali Wafa Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia
  • Agus Sulistyono Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Obstetrics and Gynaecology, Academic dr. Soetomo General Hospital, Surabaya, Indonesia
  • Aditiawarman Aditiawarman Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Obstetrics and Gynaecology, Academic dr. Soetomo General Hospital, Surabaya, Indonesia
  • Hermanto Tri Joewono Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Obstetrics and Gynaecology, Academic dr. Soetomo General Hospital, Surabaya, Indonesia
  • Erry Gumilar Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Department of Obstetrics and Gynaecology, Academic dr. Soetomo General Hospital, Surabaya, Indonesia; Department of Medical Science, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9415

Keywords:

Case series, COVID-19, Obstetric, Maternal mortality, Health services

Abstract

BACKGROUND: The fluctuating COVID-19 cases among the pregnant women’s population encountered increased of cases and maternal mortality.

AIM: This research aimed to describe the case of maternal deaths caused by COVID-19.

CASE REPORT: We present nine serial cases of maternal death caused by COVID-19 who were admitted to Dr. Soetomo General Academic Hospital for 14 days in June. We found 32 positive COVID-19 obstetric cases and reported nine maternal deaths with a fatality rate of up to 28%. Seven of nine patients had reverse transcription-polymerase chain reaction–confirmed SARS-CoV-2 infection, while two had a positive antigen swab. Half of the patients ≥35 years old, and five of nine patients had Class I obesity as preexisting comorbidity. This study reported the death of pregnant woman at their 2nd trimester and 3rd trimester presenting infected by severe COVID-19. The usual symptoms are dyspnea, cough, fever, and decreased consciousness. The result of chest X-ray examination among eight patients showed bilateral pneumonia. Most of cases were referrals from a secondary hospital due to overload hospital capacity. Three patients were directly transferred to the tertiary hospital without receiving initial treatment. Eight of 9 patients (88.9%) were transferred to intensive care unit and intubated due to low oxygen saturation.

CONCLUSION: In conclusion, the limited hospital facility and lack of intensive care capacity for obstetric cases during the second wave of the COVID-19 pandemic may enhance the probability of mortality and morbidity in pregnant women infected by COVID-19.

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Published

2022-04-11

How to Cite

1.
Wardhana MP, Wulandari SA, Rifdah SN, Wafa IA, Sulistyono A, Aditiawarman A, Joewono HT, Gumilar E. Nine Maternal Mortalities in 2 Weeks of Second COVID-19 Surge in Indonesia: A Case Series from One Large Tertiary Center. Open Access Maced J Med Sci [Internet]. 2022 Apr. 11 [cited 2024 Mar. 28];10(B):1914-21. Available from: https://oamjms.eu/index.php/mjms/article/view/9415

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Gynecology and Obstetrics

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