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Feto-maternal outcome of COVID-19 positive pregnant patients in Bangladesh: a comparative study
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  • Umme Ruman,
  • Khondoker Karim,
  • Mir Masudur Rhaman,
  • Ferdousi Begum
Umme Ruman
Bangladesh Army

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Khondoker Karim
Bangladesh Army
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Mir Masudur Rhaman
College of Staten Island Department of Biology
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Ferdousi Begum
BIRDEM
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Abstract

Objective: Study the effect of COVID-19 on pregnancy and neonatal outcomes. Design & Setting: Prospective cohort study in Combined Military Hospital (CMH) Bogura, Obstetrics and Gynaecology department. Methods: Collected and analysed data of 29 pregnant ladies positive for COVID-19 between June to October 2020 inclusive to assess the effect of COVID-19 on pregnancy, and neonatal outcomes. Control group was COVID negative pregnant patients. Nasopharyngeal swab was taken for real time polymerase chain reaction for detection of COVID-19. Main outcome measures: Compared age, symptoms, any complication in mother and fetus, mode of termination, and duration of hospital stay. Results: Mean age was 27.45 years in case and 28.10 years in control group (P value <0.503). Only six were asymptomatic (10.3%). Fifteen (25.9%) had fever, six had weakness (10.3%), five (8.6%) had sore throat, three (5.2%) had nausea and five (8.6%) presented with loss of smell. Among twenty-nine patients, five (8.6%) delivered normally, twenty four (41.4%) were delivered through caesarean section which was significantly higher than control group (P value <0.001) No mother became critical or expired, neonatal death was also absent. Mean duration of hospital stay was 14.13± 6.192 days in case and 5.18±4.99 in control which was significantly (P value <0.001) higher. Breast feeding was significantly higher in control group (P value <0.001). Conclusion: Present study shows feto-maternal outcome of COVID pregnancy does not vary to a great extent in comparison with normal pregnancy. Funding: No funding was required. Keywords: COVID-19, Maternal morbidity, Pneumonia, Pregnancy, COVID-19 in pregnancy