Maternal and perinatal outcome of covid-19 in obstetric cases: 9 months experience from east java tert iary referral hospital
Abstract Background: Covid-19 infection in vulnerable obstetric patients still requires a lot of research, especially in developing countries to help determine the best policy to manage it. Objective: To analyze the characteristic of Covid-19 infection in obstetric patients. Methods: In an East J...
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| Main Authors: | , , , , , , , , , , , |
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| Format: | Article PeerReviewed |
| Language: | English Indonesian English |
| Published: |
F1000Research Ltd
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| Subjects: | |
| Online Access: | https://repository.unair.ac.id/133105/1/04.%20artikel.pdf https://repository.unair.ac.id/133105/2/4%20karil.pdf https://repository.unair.ac.id/133105/3/04.Turnitin.pdf https://repository.unair.ac.id/133105/ https://ysmu.am/journal/nor-haykakan-bzhshkakan-handes/archive/?volume=141994&item=1 |
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| Institution: | Universitas Airlangga |
| Language: | English Indonesian English |
| Summary: | Abstract
Background: Covid-19 infection in vulnerable obstetric patients still requires a lot of research, especially in developing countries to help determine the best policy to manage it.
Objective: To analyze the characteristic of Covid-19 infection in obstetric patients.
Methods: In an East Java tertiary Covid-19 referral hospital, a case control analysis was conducted
using medical records on obstetric cases of Covid-19 infection from March until November 2021.
Results: Covid-19 was identified in 109 cases (9.3%) from 1170 patients who came to our obstetric
room. Majority came in pregnancy state with 76% and had delivered 93.6%. Most patients were asymptomatic (68.8%) with minimal contact history (2.8%). Comorbidity found in 41.3% cases, obesity
and hypertension in pregnancy dominated the cases. Symptomatic cases were associated with lower
gestational age (p=0,005) and birthweight (p=0,015), low lymphocyte count (p=0,006), abnormal
chest X-Ray (p<0,001), intensive care admission (p=0,002) and maternal death (p<0,001), while
asymptomatic cases were associated with more reactive antibody test (p=0,002).
Conclusion: There were a high number of Covid-19 obstetric cases with the majority asymptomatic and came for delivery. Significantly higher reactive antibody tests in asymptomatic
cases may aid Covid-19 identification. Covid-19 symptoms should be given more consideration,
because they are linked to a lower gestational age, birth weight, poor clinical parameters, the
need for intensive care, and maternal mortality. |
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