THE EFFECT OF COVID 19 INFECTION ON PREGNANCY AND FOETAL OUTCOME

Farhana Islam*, S.H.M. Nur Afzal, Rina Haider, Ruma Akhter and Farzana Yasmin

ABSTRACT

Background: There is no doubt that corona virus brings so much devastation worldwide. Like other countries, in Bangladesh covid-19 effect was worse and which affected vulnerable people like pregnant women and their newborns. Objective: In this study our main goal is to evaluate the effect of covid-19 infection in pregnant women and fetus outcome. Method: This cross-sectional study was done at tertiary hospital Dhaka, from June 2020 to June 2021. All covid positive obstetric patients admitted to the hospital were sampled consecutively. There were 100 patients in all. The patients received both covid and obstetric care at the same time. The maternal and fetal outcomes were recorded. Results: During the study, 72.58% of the patients belonged to the age groups of <30 years and 69.35% cases were multipara. On admission fever seen in 20% cases followed by mild respiratory distress seen in 7%, moderate respiratory distress 8% cases, severe respiratory distress 11% cases, only cough seen in 30% cases of pregnant women. 21% cases ICU was needed after postdelivery, followed by 80% delivery were cesarean section where wound infection seen in 21% and maternal mortality seen in 15% cases. IUD cases seen in 21% cases and neonatal mortality seen in 22% cases. Conclusion: According to our findings, the maternal outcome was poor due to covid infection. Prematurity with significant perinatal mortality is also a major problem. As a result, for infected moms, early medical attention and the availability of an ICU in severe condition are required for a successful pregnancy outcome.

Keywords: covid-19, Pregnancy, Fetus outcome.