Treatment Outcomes of Pregnant Women with COVID-19 Infection in Roi Et Hospital

Main Article Content

ศิริกัญญา สมศรี

Abstract

Background and Objective: Pregnant women with severe symptoms of COVID-19 infection are associated with an increased risk of perinatal complications. This study was undertaken to determine the treatment outcomes of pregnant women infected with COVID-19.


Methods: This study was a retrospective descriptive study collecting data from medical records of 68 pregnant women with RT-PCR confirmed for COVID-19 and delivered 18 cases, including data of 19 newborns at Roi Et Hospital during January-September 2021. Data were analyzed using descriptive statistics.


Results: During January-September 2021, there were 68 pregnant women infected with COVID-19 admitted in Roi Et Hospital, 50 cases undelivered and 18 cases delivered. The pneumonia was found 80% in the undelivered group, as for 83.34% in the delivered group. The most common clinical symptoms were fever (66.76%), cough (55.56%) and pneumonia (83.34%). In the delivered group had 17 newborns delivery by cesarean, 17 newborns were cured and one died. There were 19 newborns, as one mother twins delivered. The mean gestational age was 37.26 weeks (S.D.2.91), mean birth weight was 3,058.94 g. There were no cases of COVID-19 infection among these newborns but one case was birth asphyxia and one newborns died after birth.


Conclusion: A total of 68 pregnant women were found infected with COVID-19 and most of them were cured with only one case has severe infection and died. The results of treatment included 18 delivered, 19 newborns and 1 neonatal death.

Article Details

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1.
สมศรี ศ. Treatment Outcomes of Pregnant Women with COVID-19 Infection in Roi Et Hospital. SRIMEDJ [Internet]. 2022 Feb. 28 [cited 2024 Mar. 29];37(1):13-22. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/253693
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Original Articles

References

Acter T, Uddin N, Das J, Akhter A, Choudhury TR, Kim S. Evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) as coronavirus disease 2019 (COVID-19) pandemic: A global health emergency. Sci Total Environ 2020;730:138996.

Riou J, Althaus CL. Pattern of early human-to-human transmission of Wuhan 2019 novel coronavirus (2019-nCoV), December 2019 to January 2020. Eurosurveillance 2020;25(4):2000058.

Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV) [Internet]. 2020 [cited 2021 Nov 1]. Available from: https://web.archive.org/web/20200131005904/https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov)

WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020 [Internet]. [cited 2021 Nov 1]. Available from: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020

COVID Live Update: 247,483,942 Cases and 5,015,400 Deaths from the Coronavirus - Worldometer [Internet]. [cited 2021 Nov 1]. Available from: https://www.worldometers.info/coronavirus/

การระบาดทั่วของโควิด-19. In: วิกิพีเดีย [Internet]. 2021 [cited 2021 Nov 1]. Available from: https://th.wikipedia.org/w/index.php?title

Alfaraj SH, Al-Tawfiq JA, Memish ZA. Middle East Respiratory Syndrome Coronavirus (MERS-CoV) infection during pregnancy: Report of two cases & review of the literature. J Microbiol Immunol Infect 2019;52(3):501–3.

Wong SF, Chow KM, Leung TN, Ng WF, Ng TK, Shek CC, et al. Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol 2004;191(1):292–7.

Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet Lond Engl 2020;395(10226):809–15.

Liu D, Li L, Wu X, Zheng D, Wang J, Yang L, et al. Pregnancy and Perinatal Outcomes of Women With Coronavirus Disease (COVID-19) Pneumonia: A Preliminary Analysis. Am J Roentgenol 2020;215(1):127–32.

Jamieson DJ, Theiler RN, Rasmussen SA. Emerging Infections and Pregnancy. Emerg Infect Dis 2006;12(11):1638–43.

Favre G, Pomar L, Musso D, Baud D. 2019-nCoV epidemic: what about pregnancies? Lancet Lond Engl 2020;395(10224):e40.

Schwartz DA, Graham AL. Potential Maternal and Infant Outcomes from Coronavirus 2019-nCoV (SARS-CoV-2) Infecting Pregnant Women: Lessons from SARS, MERS, and Other Human Coronavirus Infections. Viruses 2020;12(2):194.

Zaigham M, Andersson O. Maternal and perinatal outcomes with COVID‐19: A systematic review of 108 pregnancies. Acta Obstet Gynecol Scand 2020;10.1111/aogs.13867.

Yang J, Zheng Y, Gou X, Pu K, Chen Z, Guo Q, et al. Prevalence of comorbidities and its effects in patients infected with SARS-CoV-2: a systematic review and meta-analysis. Int J Infect Dis 2020;94:91–5.

Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19) - China [Internet]. ReliefWeb. [cited 2021 Dec 9]. Available from: https://reliefweb.int/report/china/report-who-china-joint-mission-coronavirus-disease-2019-covid-19

Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA 2020;323(13):1239–42.

Henry BM, Vikse J. Clinical Characteristics of Covid-19 in China. N Engl J Med 2020;382(19):1860–1.

Wang C-L, liu Y-Y, Wu C-H, Wang C-Y, Wang C-H, Long C-Y. Impact of COVID-19 on Pregnancy. Int J Med Sci 2021;18(3):763–7.

Li Y, Zhao R, Zheng S, Chen X, Wang J, Sheng X, et al. Lack of Vertical Transmission of Severe Acute Respiratory Syndrome Coronavirus 2, China. Emerg Infect Dis 2020;26(6):1335–6.

Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet Lond Engl 2020;395(10226):809–15.

Zhu H, Wang L, Fang C, Peng S, Zhang L, Chang G, et al. Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia. Transl Pediatr 2020;9(1):51–60.

Hong H, Wang Y, Chung H-T, Chen C-J. Clinical characteristics of novel coronavirus disease 2019 (COVID-19) in newborns, infants and children. Pediatr Neonatol 2020;61(2):131–2.

Patil UP, Maru S, Krishnan P, Carroll-Bennett R, Sanchez J, Noble L, et al. Newborns of COVID-19 mothers: short-term outcomes of colocating and breastfeeding from the pandemic’s epicenter. J Perinatol 2020;1–4.

Kyle MH, Glassman ME, Khan A, Fernández CR, Hanft E, Emeruwa UN, et al. A review of newborn outcomes during the COVID-19 pandemic. Semin Perinatol 2020;44(7):151286.