Maternal and fetal complications during COVID-19 pandemic- A study of Combined Military Hospital (CMH), Peshawar Pakistan.

Authors

  • Sadaf Shafique Combined Military Hospital (CMH) Peshawar, Pakistan.
  • Tahira Riaz Combined Military Hospital (CMH) Peshawar, Pakistan.
  • Elishba Maryam Combined Military Hospital (CMH) Nowshera, Pakistan.
  • Nadeem Ibrahim Combined Military Hospital (CMH) Peshawar, Pakistan.
  • Huma Shehzadi Military Hospital Rawalpindi.
  • Sana Riaz Rawalpindi Medical University, Rawalpindi.
  • Muhammad Ahsan Government General Hospital, Faisalabad.

DOI:

https://doi.org/10.29309/TPMJ/2022.29.06.6940

Keywords:

COVID-19, Maternal Complications, Neonatal Complications

Abstract

Objectives: To assess the association of maternal and neonatal complications from COVID-19 severity. Study Design: Case-series. Setting: Department of Obstetrics and Gynecology, Combined Military Hospital (CMH), Peshawar Pakistan. Period: June 2020 to Dec 2020. Material & Methods: 50 pregnant patients with COVID-19 were included. Clinical information on COVID-19 exposures and information on maternal and neonatal complications were noted through a pre-designed proforma. The Kendall’s tau (τ) test was applied between maternal complications and neonatal complications, COVID-19 severity (in mothers) & maternal/neonatal complications. Results: More women (52%) were asymptomatic in COVID-19 exposure. Mild symptoms with no shortness of breath were reported in 44% of women, whereas only 4% required ventilator support. 80% of women were in postpartum when they turned COVID-19 negative. In the majority (72%) of women, no maternal complications were noted. In 14% of them, oligohydramnios was reported. Preterm labor and PROM/PPROM were reported in 6% of mothers. Preterm birth was reported 10%, fetal, the APGAR score was 7-9 out of 10. In the majority of neonates (94%), no early death was reported. 42% of distress/meconium was 8%, intrauterine growth restriction (IUGR) was 6%, and stillbirth was 5%. In 82% of neonates were COVID-19 negative on PCR. A strong correlation existed between maternal complications and neonatal complications. However, a weak correlation was observed between COVID-19 severity (in mothers) and maternal & neonatal complications. Conclusion: Although maternal and neonatal complications were strongly linked to each other, these complications had a weak association with the presence of COVID-19.

Author Biographies

Sadaf Shafique, Combined Military Hospital (CMH) Peshawar, Pakistan.

MBBS, FCPS, Senior Registrar Obstetrics and Gynecology, 

Tahira Riaz, Combined Military Hospital (CMH) Peshawar, Pakistan.

MBBS, FCPS, Senior Registrar Obstetrics and Gynecology, 

Elishba Maryam, Combined Military Hospital (CMH) Nowshera, Pakistan.

MBBS, FCPS, Senior Registrar Obstetrics and Gynecology, 

Nadeem Ibrahim, Combined Military Hospital (CMH) Peshawar, Pakistan.

MBBS, FCPS, Consultant Radiology, 

Huma Shehzadi, Military Hospital Rawalpindi.

MBBS, Postgraduate Resident Obstetrics and Gynecology, 

Sana Riaz, Rawalpindi Medical University, Rawalpindi.

MBBS Student, 

Muhammad Ahsan, Government General Hospital, Faisalabad.

MBBS, Post Graduate Pediatric Nutrition PGPN (Boston), Medical Officer Pediatrics, 

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Published

2022-05-31