NEONATAL OUTCOMES OF MOTHERS WITH COVID-19 INFECTION IN TAK
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Abstract
BACKGROUND: Coronavirus disease 2019 (COVID-19) has spread out among people worldwide. COVID-19 has created serious adverse effects. There are limited data on pregnant women and neonatal outcomes of pregnant women with COVID-19 infected.
OBJECTIVE: To study the clinical manifestations of maternal and neonate, neonatal outcomes of pregnant women with COVID-19 in Tak Province.
METHODS: This research was a retrospective descriptive study conducted in 10 hospitals in Tak during the period from January 1, 2020 to August 31, 2021. Data were collected from the available medical records of pregnant women diagnosed with COVID-19 and their newborns. Descriptive statistics were presented as frequencies, percentages, mean and median as appropriate using SPSS 24.0 software.
RESULTS: 107 pregnant women with confirmed COVID-19 infection over the study period of a median age of 27.58 years. The adverse pregnancy outcomes were preterm labor 5.61% and 4.67% for fetal distress. Clinical characteristics of pregnant women were dyspnea 8.41%, fever 7.48% and cough 4.67%. Maternal ICU admission was 4.67% and needed respiratory support was 8.41%. Sixty (56.07%) pregnant women had cesarean sections. The most frequent maternal treatments were favipiravir 62.62% and corticosteroid 57.94%. One hundred and seven neonates, median gestational age at delivery was 38.50 weeks. The clinical symptoms of neonate were respiratory distress 31.78%, desaturation 21.50% and feeding intolerance 16.82%. Approximately 7.48% were admitted to the NICU and 21.50% required respiratory support. No infants died and no vertical transmission was detected.
CONCLUSIONS AND RECOMMENDATIONS: The majority of pregnant women with COVID-19 infected had asymptomatic. The clinical symptoms of neonate were respiratory distress, desaturation and feeding intolerance. This study did not find any evidence of possible vertical transmission. However, pregnant women with COVID-19 and her neonates should be intensive monitor and health care providers should receive strengthened in knowledge and competence in monitoring of these patients.
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