Demographic profile and outcomes of pregnant patients admitted with Covid-19 infection in a tertiarycare hospital in Himachal Pradesh, Indiaduring the first wave

ABSTRACT

Aim: To determine the demographic profile of pregnant females with COVID-19 infection. The outcome and prognosis in pregnant women with COVID-19 infection was also evaluated. Method and material:The study included 38 pregnant women with COVID-19 infection and hospital admission for at least 24 hours. Cause of admission was classified as obstetric and COVID-19-related. All the patients were COVID positive and were referred from other centres/ hospital to this facility andwas admitted to this hospital for delivery. Primary outcomes included maternal admission to intensive care unit (ICU), COVID-19 pneumonia, maternal mortality. The information on socio-demographic factors, pre-gestational chronic diseases (including cardiac, renal, endocrine, psychiatric, hematologic and autoimmune disease, cancer and HIV)and mode of delivery was collected. Results:The mean age of the patients was 28.8±6.2 years. The mode of delivery for 60.5%patients(23) was normal vaginal delivery and lower segmentcaesarean section in 39.5%(15) patients.94.7%(36) patients were asymptomatic in the present study. Maximum patients in the present studywere hospitalized for 3-5 days. Conclusion: COVID-19 infection was associated with higher rates of caesarean section in pregnant women. However, COVID-19 cannot be considered as an indication for caesareansectiondelivery. Patients with increased age have more days of hospitalization than younger patient.