Covid-19 Positive Antenatal Patients in Obstetrics and Gynea Unit, Peshawar
DOI:
https://doi.org/10.37762/jgmds.8-2.163Keywords:
Asymptomatic, COVID-19 Positive, Antenatal Patients, Obstetrics & Gynecology,, InfectionAbstract
OBJECTIVES:
The study aimed to determine the frequency of COVID-19 positive antenatal patients admitted in Obstetrics & Gynecology unit Hayatabad Medical Complex Peshawar with the concerns that pregnant women may be more susceptible to COVID-19 as they may be more vulnerable to respiratory infection.
METHODOLOGY:
This was a descriptive cross-sectional study conducted at Obstetrics & Gynecology units Hayatabad Medical Complex Peshawar from May 12th, 2020, to November 29th, 2020, screening and testing of patients admitted for childbirth was in HMC. Screening consisted of questions related to travel, contacts, and symptoms of COVID-19. All patients without a prior diagnosis of COVID-19 underwent SARS-CoV-2 polymerase chain reaction (PCR) testing of nasopharyngeal swabs, with rapid testing available. Patients scheduled for cesarean birth were screened and tested at preoperative visits
RESULTS:
One hundred eighty-two patients presenting for antenatal visits were screened; 6.5% (12 out of 182) were previously diagnosed with COVID-19. The remaining 170 patients were tested at admission, and 17.6% (30 out of 170) tested positive for SARS-CoV-2. Twenty-two of the 30 who tested positive for SARS-CoV-2 (73.3%) were asymptomatic. The overall prevalence of positive test results among asymptomatic patients was 14.1% (22 out of 156). The prevalence of positive test results among asymptomatic patients increased from 1.29% (2 out of 155).
CONCLUSION:
The evidence on this novel infection is changing almost daily, although it will likely be many months before, we can determine the true impact it will have on both maternal and fetal well‐being. In the interim, our primary responsibility is to ensure all women have access to safe maternity services.
KEYWORDS: Asymptomatic, COVID-19 Positive, Antenatal Patients, Obstetrics & Gynecology, Infection
Downloads
Metrics
References
WHO. Rolling updates on coronavirus disease (COVID-19):Coronavirus disease (COVID-19) outbreak situation. 2020. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen
FIGO. Safe motherhood and COVID-19. 2020. Available from: https://www.figo.org/safe-motherhood-and-covid-19
RCOG. Coronavirus (COVID-19) infection in pregnancy. 2020. Available from: https://www.rcog.org.uk/globalassets/documents/guidelines/2020-07-24-coronavirus-covid-19-infection-in-pregnancy.pdf
ACOG. Novel coronavirus 2019 (COVID-19). 2020. Available from: https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/03/novel-coronavirus-2019
Rasmussen SA, Jamieson DJ. Coronavirus disease 2019 (COVID-19) and pregnancy: responding to a rapidly evolving situation. Obstetrics and gynecology. 2020 May 1 DOI: https://doi.org/10.1097/01.aoa.0000719468.41380.a2
Centers for Disease Control and Prevention. Centers for Disease Control and Prevention Coronavirus disease 2019 (COVID-19) 2020
Qin C, Zhou L, Hu Z, Zhang S, Yang S, Tao Y, et al. Dysregulation of immune response in patients with COVID-19 in Wuhan, China. Clin Infect Dis. 2020;71(15):762-8 DOI: https://doi.org/10.1093/cid/ciaa248
Fujisaki S, Mori N, Sasaki T, Maeyama M. Cell-mediated immunity in human pregnancy: changes in lymphocyte reactivity during pregnancy and postpartum. Microbiol Immunol. 1979;23(9):899-907 DOI: https://doi.org/10.1111/j.1348-0421.1979.tb02823.x
Dashraath P, Wong JL, Lim MX, Lim LM, Li S, Biswas A, et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol. 2020;222(6):521-31 DOI: https://doi.org/10.1016/j.ajog.2020.03.021
Yu N, Li W, Kang Q, Xiong Z, Wang S, Lin X, et al. Clinical features and obstetric and neonatal outcomes of pregnant patients with COVID-19 in Wuhan, China: a retrospective, single-centre, descriptive study. Lancet Infect Dis. 2020;20(5):559-64 DOI: https://doi.org/10.1016/S1473-3099(20)30176-6
American College of Obstetricians and Gynecologists. Outpatient assessment and management for pregnant women with suspected or confirmed novel coronavirus (COVID-19)
Elshafeey F, Magdi R, Hindi N, Elshebiny M, Farrag N, Mahdy S, et al. A systematic scoping review of COVID‐19 during pregnancy and childbirth. Int J Gynecol Obstet. 2020;150(1):47-52 DOI: https://doi.org/10.1002/ijgo.13182
Ferrazzi E, Frigerio L, Savasi V, Vergani P, Prefumo F, Barresi S, et al. Vaginal delivery in SARS‐CoV‐2‐infected pregnant women in Northern Italy: a retrospective analysis. BJOG: Int J Obstet Gynaecol. 2020;127(9):1116-21. DOI: https://doi.org/10.1111/1471-0528.16278
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. 2020;395(10226):809-15. DOI: https://doi.org/10.1016/S0140-6736(20)30360-3
Ashokka B, Loh MH, Tan CH, Su LL, Young BE, Lye DC, et al. Care of the pregnant woman with COVID-19 in labor and delivery: anesthesia, emergency cesarean delivery, differential diagnosis in the acutely ill parturient, care of the newborn, and protection of the healthcare personnel. Am J Obstet Gynecol. 2020;223(1):66-74 DOI: https://doi.org/10.1016/j.ajog.2020.04.005
Abdollahpour S, Khadivzadeh T. Improving the quality of care in pregnancy and childbirth with coronavirus (COVID-19): a systematic review. The Journal of Maternal-Fetal & Neonatal Medicine. 2020 May 14:1-9 DOI: https://doi.org/10.1080/14767058.2020.1759540
Ryan GA, Purandare NC, McAuliffe FM, Hod M, Purandare CN. Clinical update on COVID‐19 in pregnancy: A review article. Journal of Obstetrics and Gynaecology Research. 2020 Aug;46(8):1235-45 DOI: https://doi.org/10.1111/jog.14321
Noelle B, Caitlin B, Cynthia GB, Russell M, Rebecca M, Kyra B, et al. COVID-19 infection among asymptomatic and symptomatic pregnant women: two weeks of confirmed presentations to an affiliated pair of New York City hospitals. Am J Obstet Gynecol MFM. 2020:1-7
Wu X, Sun R, Chen J, Xie Y, Zhang S, Wang X. Radiological findings and clinical characteristics of pregnant women with COVID-19 pneumonia. Int J Gynecol Obstet. 2020;150(1):58-63 DOI: https://doi.org/10.1002/ijgo.13165
Arentz M, Yim E, Klaff L, Lokhandwala S, Riedo FX, Chong M, et al. Characteristics and outcomes of 21 critically ill patients with COVID-19 in Washington State. Jama. 2020;323(16):1612-4 DOI: https://doi.org/10.1001/jama.2020.4326
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Rabeea Sadaf, Muhammed Zahid, Nasreen Kishwar, Umaiyma Farhad, Behzad Khan Khalil
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.