Maternal Deaths caused by COVID-19 Infection in the First Year of the Pandemic Wave
Highlights: • These cases of maternal deaths caused by COVID-19 infections illustrated the significant risk factors for maternal mortality during the early phases of the pandemic, while studies had not extensively reported this. • COVID-19 infections increase the risk of maternal and neonatal mor...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Universitas Airlangga
2023-06-01
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| Series: | Folia Medica Indonesiana |
| Subjects: | |
| Online Access: | https://e-journal.unair.ac.id/FMI/article/view/45226 |
| _version_ | 1827820024474107904 |
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| author | Muhammad Ilham Aldika Akbar Pungky Mulawardhana Manggala Pasca Wardhana Khanisyah Erza Gumilar Ecccita Raheestyningtyas Muhammad Ardian Cahya Laksana Jimmy Yanuar Anas Ernawati Hermanto Tri Joewono Muhammad Adrianes Bachnas Brahmana Askandar Tjokroprawiro |
| author_facet | Muhammad Ilham Aldika Akbar Pungky Mulawardhana Manggala Pasca Wardhana Khanisyah Erza Gumilar Ecccita Raheestyningtyas Muhammad Ardian Cahya Laksana Jimmy Yanuar Anas Ernawati Hermanto Tri Joewono Muhammad Adrianes Bachnas Brahmana Askandar Tjokroprawiro |
| author_sort | Muhammad Ilham Aldika Akbar |
| collection | DOAJ |
| description | Highlights:
• These cases of maternal deaths caused by COVID-19 infections illustrated the significant risk factors for maternal mortality during the early phases of the pandemic, while studies had not extensively reported this.
• COVID-19 infections increase the risk of maternal and neonatal mortality, with infants having a lower chance of survival even if they are delivered.
• Respiratory support, antiviral medications, antibiotics, anticoagulants, and supportive care are the primary treatments for severe COVID-19 in pregnancy.
Abstract
This article presents seven cases of maternal deaths attributed to COVID-19 during the first year of the pandemic wave. These cases provide insights into the natural progression of COVID-19 in pregnant women who were not vaccinated. This study showed that COVID-19 significantly increased maternal and neonatal mortality and morbidity. All of the patients exhibited symptoms of fever, cough, and dyspnea upon admission to the hospital. They were admitted with elevated respiratory rates (26–32 times/minute) and low oxygen saturation (<95%). Four patients had obesity, while one patient had pregestational diabetes. The COVID-19 diagnosis was established using a rapid antibody or antigen test and chest X-ray, which indicated pneumonia. Medical interventions administered to the patients included antiviral therapy (5 patients), antibiotics (6 patients), and anticoagulants (4 patients). From a total of five babies delivered, four babies were delivered via cesarean section. Two babies were not delivered due to previability and maternal deaths before delivery. The patients passed away within 3–10 days of hospital admission. In conclusion, adequate and early intervention and management of pregnant women infected with COVID-19 are crucial in preventing maternal and neonatal deaths, especially in unvaccinated women. |
| first_indexed | 2024-03-12T01:22:23Z |
| format | Article |
| id | doaj.art-56d298df41544aa197f88e1a584ffa4b |
| institution | Directory Open Access Journal |
| issn | 2355-8393 2599-056X |
| language | English |
| last_indexed | 2024-03-12T01:22:23Z |
| publishDate | 2023-06-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Folia Medica Indonesiana |
| spelling | doaj.art-56d298df41544aa197f88e1a584ffa4b2023-09-13T01:58:09ZengUniversitas AirlanggaFolia Medica Indonesiana2355-83932599-056X2023-06-0159218719610.20473/fmi.v59i2.4522643311Maternal Deaths caused by COVID-19 Infection in the First Year of the Pandemic WaveMuhammad Ilham Aldika Akbar0https://orcid.org/0000-0002-2003-9282Pungky Mulawardhana1https://orcid.org/0000-0001-7650-1053Manggala Pasca Wardhana2https://orcid.org/0000-0001-8013-4639Khanisyah Erza Gumilar3https://orcid.org/0000-0002-5050-2370Ecccita Raheestyningtyas4Muhammad Ardian Cahya Laksana5https://orcid.org/0000-0001-8585-5240Jimmy Yanuar Anas6https://orcid.org/0000-0002-3589-4177Ernawati7https://orcid.org/0000-0002-9344-3606Hermanto Tri Joewono8https://orcid.org/0000-0003-4943-6369Muhammad Adrianes Bachnas9https://orcid.org/0000-0002-1710-3909Brahmana Askandar Tjokroprawiro10https://orcid.org/0000-0003-1658-3477Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Indonesian Society of Obstetricians and GynecologistsDepartment of Obstetrics and Gynaecology, Rumah Sakit Universitas Airlangga, Surabaya, Indonesia; Indonesian Society of Obstetricians and GynecologistsDepartment of Obstetrics and Gynaecology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia; Indonesian Society of Obstetricians and GynecologistsDepartment of Obstetrics and Gynaecology, Rumah Sakit Universitas Airlangga, Surabaya, Indonesia ; Indonesian Society of Obstetricians and Gynecologists Department of Obstetrics and Gynaecology, Rumah Sakit Universitas Airlangga, Surabaya, Indonesia; Indonesian Society of Obstetricians and GynecologistsDepartment of Obstetrics and Gynaecology, Rumah Sakit Universitas Airlangga, Surabaya, Indonesia; Indonesian Society of Obstetricians and GynecologistsDepartment of Obstetrics and Gynaecology, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia ; Indonesian Society of Obstetricians and GynecologistsDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga; Dr. Soetomo General Academic Hospital, Surabaya, Indonesia; Indonesian Society of Obstetricians and GynecologistsDepartment of Obstetrics and Gynaecology, Rumah Sakit Universitas Airlangga, Surabaya, Indonesia ; Indonesian Society of Obstetricians and GynecologistsDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Dr. Moewardi General Hospital, Surakarta, Indonesia; Indonesian Society of Obstetricians and GynecologistsDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia; Dr. Soetomo General Academic Hospital, Surabaya, Indonesia ; Indonesian Society of Obstetricians and GynecologistsHighlights: • These cases of maternal deaths caused by COVID-19 infections illustrated the significant risk factors for maternal mortality during the early phases of the pandemic, while studies had not extensively reported this. • COVID-19 infections increase the risk of maternal and neonatal mortality, with infants having a lower chance of survival even if they are delivered. • Respiratory support, antiviral medications, antibiotics, anticoagulants, and supportive care are the primary treatments for severe COVID-19 in pregnancy. Abstract This article presents seven cases of maternal deaths attributed to COVID-19 during the first year of the pandemic wave. These cases provide insights into the natural progression of COVID-19 in pregnant women who were not vaccinated. This study showed that COVID-19 significantly increased maternal and neonatal mortality and morbidity. All of the patients exhibited symptoms of fever, cough, and dyspnea upon admission to the hospital. They were admitted with elevated respiratory rates (26–32 times/minute) and low oxygen saturation (<95%). Four patients had obesity, while one patient had pregestational diabetes. The COVID-19 diagnosis was established using a rapid antibody or antigen test and chest X-ray, which indicated pneumonia. Medical interventions administered to the patients included antiviral therapy (5 patients), antibiotics (6 patients), and anticoagulants (4 patients). From a total of five babies delivered, four babies were delivered via cesarean section. Two babies were not delivered due to previability and maternal deaths before delivery. The patients passed away within 3–10 days of hospital admission. In conclusion, adequate and early intervention and management of pregnant women infected with COVID-19 are crucial in preventing maternal and neonatal deaths, especially in unvaccinated women.https://e-journal.unair.ac.id/FMI/article/view/45226covid-19maternal healthmaternal mortalitypregnancy |
| spellingShingle | Muhammad Ilham Aldika Akbar Pungky Mulawardhana Manggala Pasca Wardhana Khanisyah Erza Gumilar Ecccita Raheestyningtyas Muhammad Ardian Cahya Laksana Jimmy Yanuar Anas Ernawati Hermanto Tri Joewono Muhammad Adrianes Bachnas Brahmana Askandar Tjokroprawiro Maternal Deaths caused by COVID-19 Infection in the First Year of the Pandemic Wave Folia Medica Indonesiana covid-19 maternal health maternal mortality pregnancy |
| title | Maternal Deaths caused by COVID-19 Infection in the First Year of the Pandemic Wave |
| title_full | Maternal Deaths caused by COVID-19 Infection in the First Year of the Pandemic Wave |
| title_fullStr | Maternal Deaths caused by COVID-19 Infection in the First Year of the Pandemic Wave |
| title_full_unstemmed | Maternal Deaths caused by COVID-19 Infection in the First Year of the Pandemic Wave |
| title_short | Maternal Deaths caused by COVID-19 Infection in the First Year of the Pandemic Wave |
| title_sort | maternal deaths caused by covid 19 infection in the first year of the pandemic wave |
| topic | covid-19 maternal health maternal mortality pregnancy |
| url | https://e-journal.unair.ac.id/FMI/article/view/45226 |
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