Clinical profile of pregnant women with COVID-19 hospitalized in regional referral hospital

Abstract

Objective: To determine the clinical profile of pregnant women with COVID-19 who hospitalized in a referral hospital. Methods: This was a descriptive study conducted on pregnant women with COVID-19 who were hospitalized at Regional Hospital of Bau-Bau and Bahteramas Hospital in Southeast Sulawesi from May to July 2020. The confirmation of COVID-19 was based on RT-PCR. Data including characteristics, clinical profile, laboratory test, imaging, management, and outcomes. Results: There were 41 pregnant women with COVID-19 and no maternal death cases. Maternal age was approximately 19 to 39 years, had middle education levels, and was a housewife. Most of them did not know their closed contacts, had no comorbidities, and referrals from other hospitals. They were 3rd-trimester and hospitalized with complaints related to pregnancy. Only 3 cases had complaints related to COVID-19, namely fever and cough. The majority of laboratory tests were leucocytosis. Chest X-ray shows bronchopneumonia, pneumonia, and normal imaging. Obstetrics management was performed according to the condition of the mother and fetus, including dilatation and curretage vaginal delivery, cesarean section, and curettage. The treatment was using broad-spectrum antibiotics and antiviral. Adverse pregnancy outcome were miscarriage, fetal distress, LBW, and asphyxia. Conclusions: Pregnant women with COVID-19 have mild or asymptomatic symptoms, hospitalized with complaints related to their pregnancy, and treatment according to the condition of the mother and fetus. There are no maternal complications, while fetal complications are not clear.