COVID-19 in Pregnancy: Experience at a Dedicated Tertiary Care COVID Facility in Western Uttar Pradesh

Introduction: COVID-19 in pregnancy has put all perinatal services at a slog pace due to restricted movement and fear associated with the unknown challenges that the entire world is facing. At tertiary care centre, where majority of the cases are referred from adjoining areas, the incidence of complications encountered were more. The present study discusses the impact of COVID-19 in pregnant females and subsequent perinatal outcome. Aims: To study the perinatal outcome in COVID-19 diagnosed pregnancy. Type of study: Observational analytical study. Methodology: All the pregnant females with COVID-19 diagnosed pregnancy were studied for their demographic profile, symptomatology, laboratory results, obstetric outcome and neonatal performance between 18th June 2020 to 30th September 2020. Results: A total of 114 obstetric patients were admitted at this particular Level two facility centre. Out of this 21 were symptomatic, 22 delivered by cesarean, two cases of ruptured tubal ectopic pregnancy were seen, two cases of ruptured uterus were there, 9 cases were received in obstructed labour, 4 cases of incomplete abortion and three still births were reported at our centre. None of the neonate was tested positive for COVID-19. Oligohydramnios was seen in 25.4% of cases and thrombocytopenia was a significant finding in 33.3% of the patients. Conclusion: COVID-19 has affected obstetric population with varied outcomes all throughout pregnancy. Even in asymptomatic patients complications like Oligohydramnios and thrombocytopenia was seen. Obstetric services were poorly catered at periphery as many patients were received in emergency as cases of obstructed labor and ruptured uterus. COVID-19 has negatively affected each dimension of service care provisions and health and outcome of obstetric population.