Article ; Online: COVID‑19 in pregnant women in South Africa: A retrospective review.
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
2022 Volume 112, Issue 12, Page(s) 911–918
Abstract: Background: The majority of maternal deaths in South Africa (SA) occur as a result of non-pregnancy-related infections (NPRI). Pregnancy is a known risk factor in severe COVID‑19, increasing the burden of NPRI in SA. In this study, we describe the ... ...
Abstract | Background: The majority of maternal deaths in South Africa (SA) occur as a result of non-pregnancy-related infections (NPRI). Pregnancy is a known risk factor in severe COVID‑19, increasing the burden of NPRI in SA. In this study, we describe the prevalence, profile and clinical outcomes of pregnant women with COVID‑19 admitted to a tertiary facility. Objectives: To describe the prevalence, profile and clinical outcomes of pregnant women with COVID‑19 admitted to a tertiary facility in Gauteng, SA. Methods: We performed a retrospective review of all pregnant women with COVID‑19 admitted to Charlotte Maxeke Johannesburg Academic Hospital between 6 March and 30 August 2020. Data collected included demographics, medical history, obstetric history, clinical findings and laboratory variables. Outcomes assessed were mortality, admission to intensive care unit (ICU), symptomatic v. asymptomatic disease, maternal and fetal outcome and mode of delivery. Results: A total of 204 pregnant women were included in the study. Of these, 33 (16.2%) women were critically ill, with 21 (10.3%) admitted to the ICU and 3 (1.5%) deaths related to COVID‑19. The median gestational age was 37 weeks and median birthweight 2 940 g. Sixty-seven women (33%) were HIV-positive, in keeping with national statistics regarding HIV in pregnancy. Caesarean section was the most common mode of delivery (n=105, 60%). However, no women underwent caesarean section for indications related to COVID‑19. Conclusion: COVID‑19-related mortality in our cohort was higher than that seen internationally, likely due to differences in background maternal mortality rates and difficulty in accessing care. |
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Language | English |
Publishing date | 2022-12-01 |
Publishing country | South Africa |
Document type | Journal Article |
ZDB-ID | 390968-2 |
ISSN | 2078-5135 ; 0038-2469 ; 0256-9574 |
ISSN (online) | 2078-5135 |
ISSN | 0038-2469 ; 0256-9574 |
DOI | 10.7196/SAMJ.2022.v112i12.16552 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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