Martadiansyah, Abarham
Division Of Maternal Fetal Medicine, Department Of Obstetrics And Gynecology, Faculty Of Medicine, Universitas Sriwijaya / Mohammad Hoesin General Hospital, Palembang, Indonesia

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Journal : Majalah Obstetri dan Ginekologi

COVID-19 in pregnancy: Maternal and perinatal outcomes at Dr. Mohammad Hoesin Hospital, Palembang, Indonesia Martadiansyah, Abarham; Mirani, Putri; Ridwan, Metta Rania; Hartati; Andriyani Liberty, Iche; Stevanny, Bella
Majalah Obstetri & Ginekologi Vol. 33 No. 1 (2025): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V33I12025.11-20

Abstract

HIGHLIGHTS COVID-19 increases the likelihood of adverse maternal outcomes throughout pregnancy, including pneumonia, cesarean section, and ICU admission. Prompt diagnosis and treatment of COVID-19 may improve maternal outcomes. COVID-19 does not increase the likelihood of adverse perinatal outcomes. Reassurance can be provided to expectant mothers.   ABSTRACT Objective: The objective of this study was to analyze the maternal and perinatal outcomes of COVID-19 in pregnancy at Dr. Mohammad Hoesin Hospital, Palembang, Indonesia. Materials and Methods: This retrospective cohort study was carried using medical records of pregnant mothers who delivered at Dr. Mohammad Hoesin Hospital Palembang from March 2020 to August 2021. The subjects were into two groups: pregnant women with and without COVID-19. Pearson Chi-Square test was used for bivariate analysis to determine the associations between COVID-19 and maternal as well as neonatal outcomes. The data were analysed using the Stata 15 statistical software. Multivariate analysis was done using the cox regression test to determine whether maternal characteristics affected those associations. P-value of < 0.05 were considered statistically significant. Results: The study analyzed 220 subjects, including 62 COVID-19-positive (28.18%) and 158 COVID-19-negative (71.82%) patients. Among expectant mothers with COVID-19, caesarean sections were the most common maternal outcome (82.26%), while fetal distress was the most frequent perinatal outcome (12.13%). Significant associations were found between COVID-19 and maternal outcomes, including pneumonia (RR = 12.76), caesarean section (RR = 2.74), and ICU hospitalization (RR = 6.90). These associations remained significant after adjusting for maternal characteristics. However, no significant association was found between COVID-19 and perinatal outcomes. Conclusion: COVID-19 increases the likelihood of adverse maternal outcomes throughout pregnancy.
Co-Authors A. Kurdi Syamsuri Adnan Abadi Agustria, Rizky Al Farisi Sutrisno, Muhammad Alia Desmalia Anang Ansyori Andriyani Liberty, Iche Ansyori, Muhammad Hatta Ardesy Melizah Kurniati Arjanggi, Kiagus Irawan Satria Azhari, Dalilah Bernolian, N Bernolian, N Beumaputra, Adyatma Utama Budi Santoso Chairil Anwar Cindy Kesty Citra Dewi Dwi Budi Santoso Dwi Handayani Erwin Sukandi Fatimah , Nyimas Febi Stevi Aryani Feisal Moulana Firmansyah Basir Gita Dwi Prasasty HARTATI Heni Yusnita, Heni Iche Andriani Liberty Izzulhaq, Muhammad Agung Jhonatan, Senna Moca Kesty, Cindy Kesuma, Putri Zalika Kusuma, Hadrians M. Hatta Ansyori Maharsi, Rahma Maulani, H Maulani, H Murwani Emasrissa Latifah Muwarni Emasrissa Latifah Nahrani, Ulya Ni Made Dyah Gayatri Nisfita, Rizania Raudhah Nurwany, Raissa Nuswil Bernolian Pangemanan, W T Pangemanan, W T Pangemanan, Wim Theodorus Peby M. Lestari Peby Maulina Peby Maulina Lestari, Peby Maulina Purnamasari, Septi Purnomo, Abdul Harits Puspitasari, Dwi Cahya Putra, Hadrians Kesuma Putri Maya Sari Putri Mirani Putri Mirani Putri Mirani Putri Mirani Putri Mirani Putri, Asri Indriyani Qalbi, Anugrah Qalbi, Anugrah Rasyid, Riana Sari Puspita Rasyid, Riana Sari Puspita Riana Sari Puspita Rasyid Ridwan, Metta Rania Rizky Agustria Shiddiq, Abdul Halim Stevanny, Bella Sugianto Mukmin Syamsuri, Ahmad Kurdi Syarif Husin Syifa, Syifa Theodorus Theodorus Theodorus Theodorus Theodorus Tia Kaprianti tian kaprianti Trisa, Yusdela Trisa, Yusdela Wim T. Pangemanan Wim T. Pangemanan Win T. Pangemanan Yulistiana, Sisca Yusdela Trisa