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The Effect of Covid-19 on Outcomes of Maternal and Neonatal | 96240

Journal of Research in Medical and Dental Science
eISSN No. 2347-2367 pISSN No. 2347-2545

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The Effect of Covid-19 on Outcomes of Maternal and Neonatal Health

Author(s): Ankita Nair, Deepika Dewani* and Arpita Jaiswal Singham

Abstract

Background: The rapidity with which the coronavirus has been increasing and spreading means that there would be difficulty in catching up with how to control it , so whatever knowledge that has been gathered must be shared concisely. The data’s reporting on the outcomes of maternal and neonatal health affected with coronavirus is highly limited since sample size is less and findings have been varied across the world. Since the management policies for dealing the massive pandemic is ever changing in every country, it leads to difficulties in understanding the reliability and interpretation. Objective: To understand and evaluate the effects of COVID-19 or SARS-CoV-2 on the maternal and neonatal outcomes. This was done by conducting a systematic review of all available literature regarding the pregnancy affected by SARS-CoV-2. Methods: A systematic review has been conducted to understand and evaluate the outcome of maternal and neonatal health when affected by coronavirus or SARS-CoV-2. A comprehensive literature search was done on PubMed using keywords such as 'covid 19', 'SARS-CoV-2', ' pregnancy', 'maternal mortality', 'neonatal mortality', ' vertical transmission', 'treatment modality', ' gestational age ', 'delivery method'. Eligibility criteria have been all confirmed cases with laboratory findings and clinically diagnosed cases, patient being pregnant when admitted to the hospital and available features or symptoms and outcomes. The exclusion criteria has been all reports with unspecified date and location, incomplete data and unpublished reports. Results: From all data collected the maternal age ranged from 20-44 years and the gestational age of pregnancy at time admission was 5-41 weeks which was tabulated from laboratory confirmed and clinically diagnosed cases. The most common symptoms seen were fever, cough, dyspnea, myalgia and fatigue. The severe pneumonia has the rate of occurrence of 0% to 14%, most of which had required intervention al medical care. CT findings were positive in all of these cases. Conclusion: there has been reporting of high maternal and neonatal mortality even though majority of the women who had been affected with covid were discharged without any complications. But we haven't been able to completely rule out occurrence of vertical transmission hence a careful follow up and monitoring of all pregnancy with covid 19 is warranted.

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