Clinical Profile and Outcome of Covid Positive Obstetric Patients in a Tertiary Care Hospital - A Retrospective Study

Objective: To study clinical profile, maternal and fetal outcome in covid positive pregnancies. Methods: A retrospective observational study was done at Lalla Ded hospital, Kashmir, a tertiary care centre. 70 covid positive pregnant women who were admitted from May 2020 to January 2021 were included in the study. Results: The incidence of Covid positive patients in our study was 11.47%. 60% of patients in our study belonged to 26-30 years age group. 50% patients were primigravida, 20% were second gravida. Among the study population, 31(44.3%) patients were term while 22 (31.4%) were preterm. Most patients were asymptomatic (61.4%). Among symptomatic patients, maximum had fever (17.1%) followed by cough (10%) and shortness of breath (4.3%). Associated comorbidity was seen in 33 patients (47.1%). Hypertensive disorders of pregnancy were seen in majority i.e.15.7%, followed by anaemia (11.4%), GDM (8.5%) and hypothyroidism (7.1%). Out of total study population of 70, emergency caesarean delivery (LSCS) was done in 29 patients (41.5%). 21 patients delivered vaginally (30%). Two post-LSCS patients were shifted to designated Covid Intensive care unit (ICU). One patient from the study group died. There were total of 50 deliveries, 10 babies had Neonatal ICU admission (20%), Low birth weight in 9 (18%). Low APGAR score was in 6 (12%). There were 2 stillbirths in the study population. Conclusion: Covid presents as milder disease in pregnancy, but it may be severe in those with associated comorbidities. More studies on susceptibility of pregnant women to infection by Covid-19 are required © 2021,Online Journal of Health and Allied Sciences.All Rights Reserved

Comparison of Psychological Disorders between Vaccinated and Non-Vaccinated Covid-19 Patients

Objective: To compare the psychological disorders between vaccinated and unvaccinated patients with covid-19 disease. Study Design: Retrospective/observational Place and Duration: The study was conducted at Psychiatry department of Qazi Hussain Ahmed Medical Complex, Nowshera during the period of six months from December 2020 to May 2021. Methods: Total 120 patients of both genders presented with covid-19 were included in this study. Patients detailed demographics including age, sex, BMI, vaccination status, and clinical presentation were recorded after taking written informed consent. Patients were aged between 15-60 years. Patients were equally divided into two groups. Group A (Vaccinated) had 60 and group B (Unvaccinated) contains 60 patients with covid-19 disease. Prevalence of depression and anxiety were measured by DASH-21 scale among both groups. Complete data was analyzed by SPSS 24.0 version. Results: There were 40 (66.67%) males and 20 (33.33%) patients were females in group A. In group B 42 (70%) were males while 18 (30%) were females. Mean age of the patients in group A was 40.66 ±10.22 years with mean BMI 27.28±2.34 kg/m2 and in group B, mean age was 41.16 ±9.42 years with mean BMI 28.14±2.48 kg/m2. Frequency of depression and anxiety were high in unvaccinated patients 35 (58.33%) and 19 (31.67%) as compared to vaccinated patients, found in 20 (33.33%) and 10 (16.67%) patients. A significant difference was observed regarding depression and anxiety between vaccinated and unvaccinated patients. (P-value 0.05) Conclusion: Psychological disorders such as depression and anxiety were significantly associated with unvaccinated patients with covid-19 disease.

Compare the frequency of depression and anxiety in patients with covid-19 and non-covid patients

Aim: To determine the frequency of depression and anxiety among COVID-19 patients and without COVID-19. Study design: Cross-sectional Place and duration of study: Department of Psychiatry Balochistan Institute of Psychiatry & Behavioural Sciences, Quetta from 1st April 2020 to 30th November 2020. Methodology: Two hundred and forty patients of both genders were presented in this study. Patients detailed demographics age, gender and body mass index were recorded after taking written consent. Patients aged between 15-60 years of age. Patients were equally divided into two groups. Group A had 120 patients of COVID 19 and group B was without COVID-19. Prevalence of depression and anxiety were measured among both groups. Results: Mean age of the patients in group A was 25.96 ±6.22 years with mean BMI 24.14±3.43 kg/m2 and in group B was 26.96±7.22 years with mean BMI 23.14±3.34 kg/m2. The frequency of anxiety in group A was 35% and in group B was observed 18.33%. Conclusion: The frequency of anxiety and depression among the COVID-19 patients was frequently high as compared to non-COVID 19.

A cross-sectional study to assess the quality of life, depression, anxiety and stress levels after 45 days covid-19 lockdown

Rationale: The COVID-19 or the coronavirus is a highly contagious viral disease which spread from humans to humans through small droplets via Nose, Mouth, Cough, or exhales infected more than 3.76 million peopleacross 185 countries. Objective: We aim to assess the Quality of life, depression, anxiety, stress levels in the Indian population due to COVID-19 and to find out the demographic groups which need more attention for the prevention of mental illness. Methods: Participants were recruited through proliferative approach with aid of social media platforms and an online survey was conducted to assess knowledge about covid-19, Quality of life (WHQOL), Depression, Anxiety and Stress Scale (DASS-21). Statistical analysis by SPSS-2 was done and unpaired t-test was used to analyse the influence of lockdown on quality of life, depression and anxiety in the participants. Results: 847 participants filled the questionnaire 64.1% participants have some knowledge and 35.9% have full knowledge about COVID-19. We found a significant difference in the WHOQOL & DASS-21 between the male and female participants (p=0.0001) and age (18-39 years & 40-64 years) (p=0.0001). There was significant difference in the WHOQOL(p= 0.0002)& DASS-21(p=0.0001)with education level (bachelors and above or without bachelors) and occupation (government job/ private job) WHOQOL (p=0.0001) DASS-21(0.0001). There was no significant difference between the average monthly family income groups (p > 0.05). Participants of majority and other religious groups showed a significant difference in WHOQOL (p=0.0001) and DASS-21 score (p=0.0001). Conclusion: The government should focus on encouraging people for stress-free lifestyle by taking care of their livelihood, daily needs and social messages focusing on family support. Necessary measures need to be taken to increase awareness about covid-19 prevention and removing misconception regarding the association of the disease with any community. © IJCRR.