Comparison of pregnancy outcomes in pregnant women using a cesarean section protocol for COVID-19 infection versus the standard cesarean section protocol
DOI:
https://doi.org/10.14456/dcj.2024.2Keywords:
COVID-19, cesarean section, pregnant womenAbstract
Pregnant women with COVID-19 are at a higher risk of death. This study aimed to compare the outcomes in pregnant women undergoing cesarean section using guidelines for people with COVID-19 versus standard practices. Pregnant women who underwent cesarean section at Ramathibodi Chakri Naruebodindra Hospital were recruited retrospectively: 100 cases of COVID-19 infection and 130 non-infectious cases. Findings reveal that pregnant women with COVID-19 had an average gestational age at cesarean section of 36.63±2.88 weeks, while non-infectious pregnant women had an average gestational age of 37.53±2.58 weeks. The differences were statistically insignificant (p>0.05). However, it was found that pregnant women with COVID-19 had a statistically significant longer length of hospital stay than the non-infectious group. The study also revealed that the neonatal outcomes for births to mothers with COVID-19 were at a higher risk of requiring continuing care at intensive care units (p<0.001). In summary, the study highlighted that COVID-19 infection in pregnant women affects gestational age, hospital stay, and newborn health. Therefore, priority should be given to infection control, care for babies born to mothers infected with COVID-19 and improving safety practices for patients and staff at Ramathibodi Chakri Naruebodindra Hospital. Careful consideration is necessary to avoid unwanted consequences. Proper preparation and practice are crucial for the healthcare team.
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