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    Impact of COVID-19 on the outcome of pregnancy
    (Maltepe Üniversitesi, 2021) Tarin, Falak; Muskan, Sadiyah; Zh.N, Amiraeva; Ch.A, Stakeeva
    Introduction: In December 2019 a series of unexplained pneumonia cases have been reported in China. Subsequent studies have identified a new strain of coronavirus, SARS-CoV-2, which has raised immediate concerns about the e ects of the infection on a pregnant woman. Social distancing, home isolation, and reduced outpatient visits, as a necessity during the SARS-CoV-2 pandemic, have been accompanied by disruptions to services for pregnant women. Purpose of work: To study the course of pregnancy and childbirth during the COVID-19 pandemic at the Bagdam District Hospital, Kashmir State, India. Materials and methods: The study design included comparative analysis the course of labor that took place during the period of complete isolation associated with coronavirus infection (May-July 2020), in the district hospital of Bagdam, Kashmir state, India, where women with and without Covid-19 were hospitalized. A total of 3300 birth histories were retrospectively analyzed for the period May - June 2020. (main group). The data obtained were compared with the course of childbirth for the same period of 2019, outside the COVID-19 pandemic (3304 birth histories - control group). Results: The incidence of COVID-19 during the study period was 3% (100 pregnant / parturient women with laboratory-confirmed or clinically confirmed SARS-CoV-2). Most o en, coronavirus infection was observed at the age of <30-35 years old (%75 ± 1.2%, p0.01), at the age of 25-30 years, the frequency of COVID-19 was detected in 20 ± 1.5% of cases, 35- 40-year-olds - in 5% ± 0.9% of cases. During the isolation period, premature birth was noted in 25 ± 2.5% (825 patients) of cases, while for the same period in 2019. premature birth was noted only in 12.5 ± 1.2% (413) cases (p0.001); premature rupture of amniotic fluid in the main group was 25.3 ± 1.2% (834) of cases, while in the control - 17 ± 1.0% (550); diseases of the genitourinary system in the main group were detected in 14 ± 0.9% (462) cases, which was 3.6% more than in the control group - 10.6 ± 0.7% (350). Besides, Conclusion: The prevalence of COVID-19 among pregnant / parturient / postpartum women admitted to the Bagdam District Hospital (Kashmir State, India) was 3%. The incidence of COVID-19 had a statistically significant impact on the rate of preterm birth and pregnancy complications such as severe preeclampsia and premature rupture of amniotic fluid.