SARS CoV2 INFECTION IN PREGNANT WOMEN: Clinical Features and Outcome


Covid 19 in Pregnancy: Clinical Features and Outcome

Dr Sudhir Kumar  MD DM

drsudhirkumar@yahoo.com

Covid 19, caused by SARS CoV2 virus is a global pandemic, which has infected more than 2.2 million people worldwide and resulted in death of about 1,50,000 people. Data regarding the effects of Covid 19 in pregnant women are lacking.

A recent case series of Covid 19 affecting pregnant women was reported from Wuhan, China. Following are the salient features:

  1. 118 pregnant women with SARS CoV 2 infection, with median age 31 years (range 28 to 34), were included,
  2. 52% were nulliparous,
  3. 64% got the infection in 3rd trimester,
  4. Most common symptoms were fever and cough,
  5. Lymphopenia was noted in 44%,
  6. CT chest showed infiltrates in both lungs in 79%,
  7. 92% had mild disease and 8% had severe disease with hypoxemia,
  8. One patient required noninvasive mechanical ventilation after delivery,
  9. 94% were discharged,
  10. There were no deaths,
  11. 68 women delivered 70 babies (2 sets of twins) during the study period,
  12. 93% underwent caesarian section.
  13. There were 3 spontaneous abortions and 2 ectopic pregnancies. 4 had induced abortion (due to concerns about Covid 19),
  14. No babies had neonatal asphyxia,
  15. Testing for SARS CoV2 was performed on neonatal throat swabs of 8 newborns and breast milk samples of 3 mothers- all were negative.

Conclusions

  1. Pregnant women tend to have lesser risk of severe Covid-19 disease as compared to general population (8% vs 16%).
  2. Pregnancy outcomes are generally good.
  3. Covid 19 does not seem to be transmitted from mothers to babies.

(Reference: NEJM, April 17, 2020)

Published by Dr Sudhir Kumar MD (Medicine) DM (Neurology)

I am a doctor with 25 years experience. I have worked as a neurologist for about 20 years. Educating public and healthcare professionals is very dear to me. This is possible due to my interactions with thousands of patients and their caregivers. I salute the patients who suffer and it is our duty to minimise suffering by preventing diseases and ensuring prompt diagnosis and treatment of those already affected.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.

%d bloggers like this: