Evaluation of neonatal and maternal outcomes in pregnant women with Covid 19 in southern Iran: An academic tertiary referral center's experience

Abstract

Abstract Introduction : In the pandemic infectious disease, pregnant women and their fetuses are considered as a high-risk population. considering that pregnant mothers and babies are vulnerable groups during the covid-19 pandemic, the purpose of the present study is to determine the maternal-neonatal outcome among Covid-19 pregnant mothers. Methods The present study is a descriptive, analytical, retrospective study, which was conducted as a case-control study in pregnant covid-19 mothers referred to hospitals covered by Shiraz University of Medical Sciences-– the main referral center in southern Iran from march2021 to march2022. The necessary data was collected by a pre-designed checklist that includes questions on demographic information, maternal and neonatal outcomes, and the study results were analyzed by SPSS ver. 25. P-value < 0.05 was considered as the significance level in this study. Results The present study showed significant differences in variables related to maternal and neonatal outcomes in terms of vaginal bleeding and fetal distress, premature birth, intrauterine death, ICU admission, low birth weight and NICU admission(P-value < 0.05). Although the incidence rate of neonatal transient tachypnea and pneumonia in infants of covid-19 mothers was more than twice that of the control group, there was no significant relationship between the two groups in this respect((P-value > 0.0)). Also, although abnormal findings such as abnormal lung X-ray, thrombocytopenia and positive CRP were slightly more common in infants of mothers infected with Covid-19, there was no significant relationship between the two groups(P-value > 0.05). Conclusion Current data increase the risk of short-term and long-term maternal and fetal outcomes of covid-19 during pregnancy.