Abstract

COVID-19 is an infectious disease caused by a newly discovered coronavirus and a global burden. The disease was first reported in Wuhan city, China in December 2019. It initially considered to be spread by zoonotic transmission with high rate of human to human transmission and rapidly spread to rest of the world and declared as pandemic by WHO on 11 March 2020. Materials and methods: This was a cross sectional prospective observational study, conducted at Gynae and Obstetric Department, in Narayana Medical College, Nellore between July 2020 to August 2021. All standard antenatal screenings, including Ultrasonography (USG), corona-specific tests for Interleukin-6 (IL-6), C-reactive protein (CRP), D-Dimer, and serum ferritin, were performed at the time of admission. Modified biophysical profile, Non-Stress Test (NST) and Amniotic fluid index (AFI) were used for fetal surveillance, and individuals were monitored all the way through delivery. Results: Most of the patients 58 (38.7%) were aged 25-29 years and followed by 48 (32%) were aged 20-24 years, 26 (17.3%) aged 30-34 years and 18 (12%) aged 35-39 years. Among the all 150 patients, 52% (78) were un-booked while 48% (72) were booked. The mode of delivery among the study patients is depicted in (table 5). Among the 150 pregnant women delivery was done in 124 patients (15% NVD and 85% LSCS). 72% of the patients, or 96%, were asymptomatic; the remaining 4% of cases had cough symptoms. Based on our data, 94.7% (142) of the instances were antenatal, 4% (6) were postnatal, and 1.3% (2) were abortions. 30.7% (46) of the total antenatal cases were 37 weeks POG. Multigravida and Primigravida instances made up 65.3% (98) and 34.7% (52) of all observed cases, respectively. Conclusion: We found that the majority of COVID-19-positive women had moderate or no symptoms. The majority of the patients had radiographic evidence of pneumonitic alterations while being asymptomatic. Enoxaparin was initially administered combined with antibiotic and antiviral medications to treat the symptoms. When covid-19 obstetric patients received this rigorous treatment, they needed less acute care, recovered well after giving birth, and were discharged in satisfactory condition.

Description