Adverse Effects of COVID-19 Infection on Pregnant Females Admitted to Zagazig Isolation Hospitals

ABSTRACT

Background: COVID-19 caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly across the world. As pregnant women are at greater risk of complications, they were advised to take additional precautions as the COVID-19 pandemic unfolded. Objective: The aim of the present study was to provide an efficient and robust local database regarding the maternal and neonatal outcomes for the pregnant cases. Patients and methods: An observational retrospective cohort study included 50 pregnant women, infected with COVID-19. They were admitted to Zagazig Isolation Hospitals during the study period, either aborted or in labor. All women were also subjected to detailed history taking, thorough investigations and medical examination. The patients were monitored during delivery and prior to it, with evaluating the respiratory symptoms. The maternal and neonatal outcomes were assessed. Results: There was statistically significant relation between maternal outcome and duration of ICU stay. There was statistically significant relation between maternal outcome and result of CT chest. There was statistically non-significant relation between maternal outcome and neonatal gender or mode of delivery. There was statistically significant relation between maternal outcome and fetal weight, gestational age (higher with good outcome). There was statistically significant relation between need for NICU admission and fetal weight (lower in babies needed NICU admission). Conclusion: Pregnant women, who are infected with COVID-19 doubly, require extra care. There was currently insufficient evidence on COVID-19 and pregnancy, with the majority of cases occurring late in pregnancy, which poses a really potential danger for the mother and her baby. Keywords. © 2022, Ain Shams University Faculty of Medicine. All rights reserved.