Clinical Characteristics, Laboratory, Maternal and Fetal Outcomes in Pregnancy with Covid-19 at RSUP dr. M. Djamil Padang
(1) Sub Division of Fetomaternal, Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
(2) Department of Obstetrics and Gynecology, Dr. M. Djamil General Hospital, Padang, Indonesia
(3) Department of Obstetrics and Gynecology, Dr. M. Djamil General Hospital, Padang, Indonesia
(*) Corresponding Author
DOI: https://doi.org/10.25077/aoj.8.1.575-584.2024
Abstract
hospitals in the world are currently considered not sufficient to provide a clinical picture that
occurs in pregnancies with Covid-19 infection. The aims to provide an overview of the clinical,
laboratory, maternal and fetal outcomes in pregnancy with Covid-19 infection at dr. M. Djamil
Padang.
Methods: This study used a descriptive design with data collection starting from March 01,
2020 - March 31, 2021 based on medical record data. Carried out in a single center at RSUP
dr. M. Djamil Padang in pregnant patients with confirmed Covid-19 by PCR examination.
Results: Total 136 pregnant patients confirmed Covid-19 by PCR examination. Most of the
symptoms were asymptomatic (47.1%) and without any comorbidities (76.5%). There were 3
patients who experienced critical symptoms (2.2%). Maternal mortality was found at 2.3% and
fetal death 4.7%. The values of d-dimer and NLR were found increasing significantly,
2025.35±1392.18 for d-dimer and 6.39±4.43 for NLR. Pregnancy terminations done for 77.9%
patients with cesarean section is the most method (83%). There were 4 cases (3.8%) of babies
infected with Covid-19 from mothers who had pregnancy terminations.
Conclusions: Most cases had asymptomatic clinical symptoms (47.1%). There are 2.3%
cases of maternal death and 4.7% cases of fetal death. Most of the pregnancy terminations
were performed by cesarean section (88%). On laboratory examination, there was a significant
increase in maternal d-dimer (2,025.35±1.392.18) and NLR (6.39±4.43) in pregnancies with
Covid-19.
Keywords
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