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Impact of Mode of Birth and Type of Anesthesia on Clinical Outcomes of Pregnant Women with COVID-19 in a Referral Pandemic Hospital: An Analytical Study
Received: 29 Mar 2023 | Accepted: 14 Jun 2023 | Available online: 16 Jun 2023Gül ÇAVUŞOĞLUa , Arzu Bilge TEKİNa , Murat YASSAb , Bilge DOĞAN TAYMURa , Pınar BİROL İLTERa , Kübra KARAKOÇa , İlkyaz AKARSU BAŞOĞLUa , Doğuş BUDAKa , Emre YAVUZa , Güldeniz TOKLUCUa , Niyazi TUĞa
aDepartment of Obstetrics and Gynecology, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, İstanbul, Türkiye
bDepartment of Obstetrics and Gynecology, Bahçeşehir University Faculty of Medicine, VM Medical Park Maltepe Hospital, İstanbul, Türkiye
JCOG. 2023;33(3):133-42
DOI: 10.5336/jcog.2023-96995
Article Language: EN
Copyright Ⓒ 2024 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (
http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: During the pandemic, pregnant women were more likely to develop severe illness, necessitating critical care, and require mechanical ventilation. Birth of the pregnant women can be necessary for the rapid decline in mother's clinical situation or for obstetric indication. This study aimed to investigate the clinical outcomes of pregnant women who gave birth during coronavirus disease-2019 (COVID-19) isolation period with regard to mode of birth and type of anesthesia in cesarean delivery. Material and Methods: The clinical outcomes of pregnant women who were admitted to the hospital, confirmed to be infected with severe acute respiratory syndrome-coronavirus-2, and gave birth during the hospitalization for COVID-19 treatment or isolation period between March, 2020 and November, 2021were analyzed according to mode of birth and type of anesthesia, retrospectively. Results: Among all pregnant women, 106 (%35.45) gave birth vaginally while 193 (64.55%) underwent cesarean section. Out of all cesarean births, 55 (28.5%) and out of all vaginal births, 2 (1.9%) had indication of birth as deterioration of maternal clinical status. Intensive care unit admission rate was 23.3%, maternal mortality rate was 11.9%, and preterm birth rate (
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