Causes of Intrauterine Fetal Death during COVID-19 outbreak in a Tertiary Care Hospital in Lahore, Pakistan
Objective: To assess the frequency of IUDs and their possible causes since the Covid-19 pandemic. Material and Methods: Study design: Cross-sectional study Setting: Department of Obstetrics and Gynaecology, Shalamar Hospital, Medical and Dental College, Lahore, Pakistan. Duration of study: 15/03/202...
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| Format: | Article |
| Language: | English |
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Rawalpindi Medical University
2021-08-01
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| Series: | Journal of Rawalpindi Medical College |
| Subjects: | |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/1640 |
| _version_ | 1818298694221430784 |
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| author | Mahwish Saif Arfa Bin Saqib |
| author_facet | Mahwish Saif Arfa Bin Saqib |
| author_sort | Mahwish Saif |
| collection | DOAJ |
| description | Objective: To assess the frequency of IUDs and their possible causes since the Covid-19 pandemic.
Material and Methods:
Study design: Cross-sectional study
Setting: Department of Obstetrics and Gynaecology, Shalamar Hospital, Medical and Dental College, Lahore, Pakistan.
Duration of study: 15/03/2020 to 15/06/2020
This is a cross-sectional single-center study. The relevant details about IUDs like age, parity, social status, booked status, comorbidities, and social status were entered into a Performa and the data analyzed.
Results: The Intrauterine death rate from the study was 41.99 fetal deaths per 1000 live births (Total births: 643, IUDs: 27) while the mean age of the mothers was 29.67 with a minimum age of 22 years and a maximum of 37 years. According to the risk factors associated with the IUD, 11.1% had Pregnancy Induced hypertension, 11.1% had Pre-Eclampsia, 22.2% had Gestational Diabetes Mellitus and 22.2% Pregnancy Induced Hypertension and Gestational Diabetes Mellitus and 33.3% had no comorbidities. Amongst all the patients 33.3% of cases were unbooked.
Conclusion: We conclude that in the last one year the fetal deaths per 1000 at Shalamar Hospital were around 28.57 per 1000 live births, during the last 3 months they gone up to 41.99 fetal deaths per 1000 live births. The leading cause(s) for IUDs in Pregnancy during the Covid-19 were pandemic Induced Hypertension and Gestational Diabetes Mellitus, which cumulatively account for 44.4% cases but 33.3% cases had no co-morbidities and still ended up in an Intra-Uterine death, which may or may not have been influenced by a Covid-19 infection. From the looks of it, Non-clinical reasons seem to have a higher probability of increasing the IUD rate but clinical effects of the Covid-19 infection can also not be ruled out completely, further studies are required into the pathogenesis and the effect of Covid-19 on pregnancy. |
| first_indexed | 2024-12-13T04:39:24Z |
| format | Article |
| id | doaj.art-648b95410c71455a829b6439bb6f0fb4 |
| institution | Directory Open Access Journal |
| issn | 1683-3562 1683-3570 |
| language | English |
| last_indexed | 2024-12-13T04:39:24Z |
| publishDate | 2021-08-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj.art-648b95410c71455a829b6439bb6f0fb42022-12-21T23:59:22ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702021-08-0125110.37939/jrmc.v25i1.1640Causes of Intrauterine Fetal Death during COVID-19 outbreak in a Tertiary Care Hospital in Lahore, PakistanMahwish Saif0Arfa Bin SaqibcpspObjective: To assess the frequency of IUDs and their possible causes since the Covid-19 pandemic. Material and Methods: Study design: Cross-sectional study Setting: Department of Obstetrics and Gynaecology, Shalamar Hospital, Medical and Dental College, Lahore, Pakistan. Duration of study: 15/03/2020 to 15/06/2020 This is a cross-sectional single-center study. The relevant details about IUDs like age, parity, social status, booked status, comorbidities, and social status were entered into a Performa and the data analyzed. Results: The Intrauterine death rate from the study was 41.99 fetal deaths per 1000 live births (Total births: 643, IUDs: 27) while the mean age of the mothers was 29.67 with a minimum age of 22 years and a maximum of 37 years. According to the risk factors associated with the IUD, 11.1% had Pregnancy Induced hypertension, 11.1% had Pre-Eclampsia, 22.2% had Gestational Diabetes Mellitus and 22.2% Pregnancy Induced Hypertension and Gestational Diabetes Mellitus and 33.3% had no comorbidities. Amongst all the patients 33.3% of cases were unbooked. Conclusion: We conclude that in the last one year the fetal deaths per 1000 at Shalamar Hospital were around 28.57 per 1000 live births, during the last 3 months they gone up to 41.99 fetal deaths per 1000 live births. The leading cause(s) for IUDs in Pregnancy during the Covid-19 were pandemic Induced Hypertension and Gestational Diabetes Mellitus, which cumulatively account for 44.4% cases but 33.3% cases had no co-morbidities and still ended up in an Intra-Uterine death, which may or may not have been influenced by a Covid-19 infection. From the looks of it, Non-clinical reasons seem to have a higher probability of increasing the IUD rate but clinical effects of the Covid-19 infection can also not be ruled out completely, further studies are required into the pathogenesis and the effect of Covid-19 on pregnancy.https://www.journalrmc.com/index.php/JRMC/article/view/1640Intrauterine death, Intrauterine Growth retardation, Fetal death, Stillbirth, Pregnancy Induced Hypertension, Gestational Diabetes Mellitus, Covid-19, Fetal Hydrops, Amniotic Fluid Index, Placental Abruption. |
| spellingShingle | Mahwish Saif Arfa Bin Saqib Causes of Intrauterine Fetal Death during COVID-19 outbreak in a Tertiary Care Hospital in Lahore, Pakistan Journal of Rawalpindi Medical College Intrauterine death, Intrauterine Growth retardation, Fetal death, Stillbirth, Pregnancy Induced Hypertension, Gestational Diabetes Mellitus, Covid-19, Fetal Hydrops, Amniotic Fluid Index, Placental Abruption. |
| title | Causes of Intrauterine Fetal Death during COVID-19 outbreak in a Tertiary Care Hospital in Lahore, Pakistan |
| title_full | Causes of Intrauterine Fetal Death during COVID-19 outbreak in a Tertiary Care Hospital in Lahore, Pakistan |
| title_fullStr | Causes of Intrauterine Fetal Death during COVID-19 outbreak in a Tertiary Care Hospital in Lahore, Pakistan |
| title_full_unstemmed | Causes of Intrauterine Fetal Death during COVID-19 outbreak in a Tertiary Care Hospital in Lahore, Pakistan |
| title_short | Causes of Intrauterine Fetal Death during COVID-19 outbreak in a Tertiary Care Hospital in Lahore, Pakistan |
| title_sort | causes of intrauterine fetal death during covid 19 outbreak in a tertiary care hospital in lahore pakistan |
| topic | Intrauterine death, Intrauterine Growth retardation, Fetal death, Stillbirth, Pregnancy Induced Hypertension, Gestational Diabetes Mellitus, Covid-19, Fetal Hydrops, Amniotic Fluid Index, Placental Abruption. |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/1640 |
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