COVID-19 Infection in Pregnancy Increases Length of Hospitalization and Need for Postpartum Intermediate Care

Slamet Susanto; Zulvayanti Zulvayanti; Windi Nurdiawan; Djamhoer Martaadisoebrata; Hadi Susiarno

doi:10.24198/obgynia.v6i2.528

COVID-19 Infection in Pregnancy Increases Length of Hospitalization and Need for Postpartum Intermediate Care

Slamet Susanto, Zulvayanti Zulvayanti, Windi Nurdiawan, Djamhoer Martaadisoebrata, Hadi Susiarno

Abstract

Objective: To find the prevalence and the outcomes of pregnant women with COVID-19 infection.
Method: This was a cross-sectional study. The subjects were selected by total sampling. All pregnant women with COVID-19 infection and without COVID-19 infection who gave birth at Harapan Mulia Hospital from June 1, 2020 to August 31, 2021 with complete medical record data were recruited.
Results: The average age of the patients with COVID-19 was 29.10 ± 7.325 years and the average age of the patients without COVID-19 was 29.24 ± 7.021 years. The average gestational age of pregnant women with COVID-19 was 37.52 ± 1.978 weeks and without COVID-19 was 38.14 ± 1.718 weeks. From the results of the statistical test of maternal outcomes, it was obtained that the P value for the length of hospitalization and type of treatment room after delivery was < 0.05, while the other variables were >0.05. For perinatal outcome analysis, from the results of statistical tests, it was obtained that P values for all variables were >0.05.
Conclusion: There are differences in maternal outcomes and no differences in perinatal outcomes between pregnant women with COVID-19 and pregnant women without COVID-19 infection.

Infeksi COVID-19 pada Kehamilan Meningkatkan Lama Rawat Inap dan Kebutuhan Ruang Intermediate Pasca Persalinan

Abstrak
Tujuan: Mengetahui besarnya prevalensi dari ibu hamil dengan infeksi COVID-19 serta luarannya di RS Harapan Mulia Bekasi
Metode: analitik cross-sectional
Hasil: Perbandingan demografi kelompok Ibu hamil dengan COVID-19, rata-rata usia pasien adalah 29,10 ± 7,325 tahun dan non COVID-19 29,24 ± 7,021 tahun. Rata-rata usia kehamilan ibu hamil dengan COVID-19 adalah 37,52 ± 1,978 minggu dan non COVID-19 adalah 38,14 ± 1,718 minggu. Dari hasil uji statistik luaran maternal, diperoleh nilai P pada lama perawatan dan jenis perawatan setelah persalinan lebih kecil dari 0,05 (nilai p < 0,05), sementara variabel lainnya lebih besar dari 0,05 (nilai p>0,05). Untuk analisis luaran perinatal, dari hasil uji statistik diperoleh nilai P pada semua variabel lebih besar dari 0,05 (nilai >0,05).
Kesimpulan: Terdapat perbedaan luaran maternal dan tidak didapatkan perbedaan luaran perinatal antara kelompok ibu hamil dengan COVID-19 dan non COVID-19.

Kata kunci: infeksi COVID-19, luaran maternal, luaran perinatal

Keywords

Covid-19 infection, maternal outcomes, perinatal outcomes

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References

Khan S, Jun L, Nawsherwan, et al. Association of COVID-19 with pregnancy outcomes in health-care workers and general women. Clin Microbiol Infect. 2020;26(6):788-790.

WHO. WHO Coronavirus (COVID-19) Dashboard. https://covid19.who.int/. Published 2021. Accessed 20 September, 2021.

Peta Sebaran COVID-19. https://covid19.go.id/peta-sebaran-covid19. Accessed 20 September, 2021.

CDC. Data on COVID-19 during Pregnancy: Severity of Maternal Illness. https://covid.cdc.gov/covid-data-tracker/#pregnant-population. Accessed 16 September 2021.

Vousden N, Bunch K, Morris E, et al. The incidence, characteristics and outcomes of pregnant women hospitalized with symptomatic and asymptomatic SARS-CoV-2 infection in the UK from March to September 2020: A national cohort study using the UK Obstetric Surveillance System (UKOSS). PLOS ONE. 2021;16(5):e0251123.

POGI: 536 Ibu Hamil Positif Covid, 3 Persen Meninggal. CNN Indonesia. https://www.cnnindonesia.com/nasional/20210702133914-20-662272/pogi-536-ibu-hamil-positif-covid-3-persen-meninggal. Accessed 27 Oktober 2021.

Roberton T, Carter ED, Chou VB, et al. Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study. Lancet Global Health. 2020;8:e901-908.

Pant S, Koirala S, Subedi M. Access to Maternal Health Services during COVID-19. Europasian J Med Sci. 2020;2(2):48-52.

Direct and indirect effects of the COVID-19 pandemic and response in South Asia. In. Kath-mandu: UNICEF; 2021.

Smith V, Seo D, Warty R, et al. Maternal and neonatal outcomes associated with COVID-19 infection: A systematic review. PLOS ONE. 2020;15(6):e0234187.

Zaigham M, Andersson O. Maternal and perinatal outcomes with COVID-19: A systematic re-view of 108 pregnancies. Acta Obstet Gynecol Scand. 2020;99:823-829.

Villar J, Ariff S, Gunier RB, et al. Maternal and Neonatal Morbidity and Mortality Among PregnantWomen With and Without COVID-19 Infection The INTERCOVID Multinational Cohort Study. JAMA Pediatr. 2021;175(8):817-826.

Cardona-Pérez JA, Villegas-Mota I, Helguera-Repetto AC, et al. Prevalence, clinical features, and outcomes of SARS-CoV-2 infection in pregnant women with or without mild/moderate symptoms: Results from universal screening in a tertiary care center in Mexico City, Mexico. PLOS ONE. 2021;16(4):e0249584.

Wei SQ, Bilodeau-Bertrand M, Liu S, Auger N. The impact of COVID-19 on pregnancy out-comes: a systematic review and meta-analysis. CMAJ. 2021;193(16):E540-E548.

Mascio DD, Khalil A, Saccone G, et al. Outcome of coronavirus spectrum infections (SARS, MERS, COVID-19) during pregnancy: a systematic review and meta-analysis. AJOG. 2020;2(2).

DOI: http://dx.doi.org/10.24198/obgynia.v6i2.528