Maternal Characteristics, Maternal Outcomes, and Perinatal Outcomes on COVID-19 Maternal Patients

Amillia Siddiq,(1*) Zulvayanti Zulvayanti,(2) Andhika Yudi Hartono,(3)

(1) Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Padjadjaran
(2) Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Padjadjaran
(3) Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Padjadjaran
(*) Corresponding Author

Abstract


Objective: To determine maternal and perinatal outcomes on COVID-19 pregnancy at the Central General Hospital (RSUP) dr. Hasan Sadikin Bandung.
Methods: This is a descriptive study with a cross-sectional approach using secondary data from the medical records between January-June 2021. The research subjects were all maternal patients diagnosed with COVID-19 and grouped based on their sociodemographic and clinical characteristics.
Result: Around 205 subjects were recruited. The results showed that there was a 2.1-fold increase in cases from May to June. The majority of the patients were asymptomatic (78.91%) with chest X-ray results showing no signs of pneumonia (87.75%). Most patients had preterm delivery (31.29%) with live birth (77.55%). After COVID-19 treatment, patients who were declared to be able to self-isolate were around 65.31%, but around 6.12% passed away.
Conclusion: The majority of COVID-19 obstetric patients are pregnant women aged 20-35 years with primiparity, term gestational age, high school educated, housewives and having asymptomatic COVID-19 cases without comorbidities. Maternal clinical characteristics of COVID-19 cases mostly showed no signs of pneumonia on chest X-ray, had term babies, mostly were live births, and most can safely self-isolate.

Karakteristik dan Luaran Maternal, serta Luaran Perinatal Ibu Hamil
dengan Covid-19

Abstrak
Tujuan: Mengetahui luaran maternal dan perinatal kehamilan dengan COVID-19 di Rumah Sakit Umum Pusat (RSUP) dr. Hasan Sadikin Bandung.
Metode: Penelitian deskriptif kuantitatif dengan pendekatan potong lintang ini menggunakan data sekunder dari rekam medis subjek penelitian selama pengamatan pada Januari-Juni 2021. Subjek penelitian adalah seluruh pasien maternal yang terdiagnosis COVID-19 dan dikelompokkan berdasarkan karakteristik klinis.
Hasil: Selama periode pengamatan didapatkan 205 subjek penelitian. Hasil pengamatan menunjukkan terjadi kenaikan kasus pada bulan Mei ke Juni sebanyak 2,1 kali. Karakteristik klinis pasien menunjukkan mayoritas asimtomatik (78,91%) dengan gambaran klinis rontgen thoraks menunjukkan gambaran tanpa pneumonia (87,75%). Subjek penelitian selama perawatan paling banyak mengalami persalinan prematurus (31,29%) dengan luaran perinatal lahir hidup (77,55%). Setelah perawatan COVID-19, subjek yang dinyatakan dapat isolasi mandiri sebanyak 65,31%, namun 6,12% pasien meninggal dunia.
Kesimpulan: Pasien obstetrik pada penelitian ini mayoritas adalah wanita hamil usia 20-35 tahun dan memiliki derajat COVID-19 asimtomatik tanpa komorbid. Mayoritas subjek memiliki gambaran rontgen thoraks tanpa pneumonia, menjalani proses persalinan prematurus, memiliki luaran perinatal lahir hidup, dan mayoritas menjalani isolasi mandiri.

Kata kunci: COVID-19, karakteristik, maternal


Keywords


Characteristics;COVID-19;maternal

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DOI: http://dx.doi.org/10.24198/obgynia/v6n1.436

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