Clinical Profile of Pregnant Women with COVID-19 Hospitalized in Regional Referral Hospital

Objective: To determine the clinical profile of pregnant women with COVID-19 who hospitalized in a referral hospital. Methods: This was a descriptive study conducted on pregnant women with COVID-19 who were hospitalized at Regional Hospital of Bau-Bau and Bahteramas Hospital in Southeast Sulawesi fr...

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Main Authors: Juminten Saimin, Steven Ridwan, Irawaty Irawaty, Arimaswati Arimaswati, Sadly Salman, Wawan Hermawan
Format: Article
Language:English
Published: Indonesian Society of Obstetrics and Gynecology 2021-01-01
Series:Indonesian Journal of Obstetrics and Gynecology
Online Access:http://inajog.com/index.php/journal/article/view/1466
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author Juminten Saimin
Steven Ridwan
Irawaty Irawaty
Arimaswati Arimaswati
Sadly Salman
Wawan Hermawan
author_facet Juminten Saimin
Steven Ridwan
Irawaty Irawaty
Arimaswati Arimaswati
Sadly Salman
Wawan Hermawan
author_sort Juminten Saimin
collection DOAJ
description Objective: To determine the clinical profile of pregnant women with COVID-19 who hospitalized in a referral hospital. Methods: This was a descriptive study conducted on pregnant women with COVID-19 who were hospitalized at Regional Hospital of Bau-Bau and Bahteramas Hospital in Southeast Sulawesi from May to July 2020. The confirmation of COVID-19 was based on RT-PCR. Data including characteristics, clinical profile, laboratory test, imaging, management, and outcomes. Results: There were 41 pregnant women with COVID-19 and no maternal death cases. Maternal age was approximately 19 to 39 years, had middle education levels, and was a housewife. Most of them did not know their closed contacts, had no comorbidities, and referrals from other hospitals. They were 3rd-trimester and hospitalized with complaints related to pregnancy. Only 3 cases had complaints related to COVID-19, namely fever and cough. The majority of laboratory tests were leucocytosis. Chest X-ray shows bronchopneumonia, pneumonia, and normal imaging. Obstetrics management was performed according to the condition of the mother and fetus, including vaginal delivery, cesarean section, and curettage. The treatment was using broad-spectrum antibiotics and antiviral. Complications in the fetus/infant were abortion, fetal distress, LBW, and asphyxia. Conclusion: Pregnant women with COVID-19 have mild or asymptomatic symptoms, hospitalized with complaints related to their pregnancy, and treatment according to the condition of the mother and fetus. There are no complications in the mother, while complications in the baby are not clear. Keywords: COVID-19, pregnant women, referral hospital.   Abstrak Tujuan: Mengetahui gambaran klinis ibu hamil dengan COVID-19 yang masuk di rumah sakit rujukan COVID-19. Metode: Penelitian ini bersifat deskriptif yang dilakukan pada ibu hamil dengan COVID-19 yang dirawat di rumah sakit rujukan di Sulawesi Tenggara, yaitu RSUD Bau-Bau dan RSU Bahteramas di Kendari, pada bulan Mei sampai Juli 2020. Konfirmasi positif COVID-19 berdasarkan hasil pemeriksaan RT-PCR. Data berupa karakteristik, gambaran klinis, pemeriksaan penunjang, penatalaksanaan, dan luaran. Hasil: Terdapat 41 ibu hamil dengan COVID-19 dan tidak ada kasus kematian ibu. Usia ibu berkisar 19-39 tahun, tingkat pendidikan menengah, dan sebagai ibu rumah tangga. Sebagian besar kasus pada trimester-3, tidak tahu memiliki kontak erat, tidak memiliki komorbid, dan rujukan dari RS lain. Sebagian besar dirawat dengan keluhan terkait kehamilannya dan hanya 3 kasus dengan keluhan terkait COVID-19, yaitu demam dan batuk. Pemeriksaan laboratorium menunjukkan lekositosis. Gambaran foto toraks menunjukkan bronkopneumonia, pneumonia, dan normal. Tindakan obstetri dilakukan atas indikasi ibu dan janin, yaitu persalinan normal, seksio sesarea, dan kuretase. Terapi yang digunakan adalah antibiotic spectrum luas dan antivirus. Komplikasi pada janin/bayi berupa abortus, gawat janin, BBLR, dan asfiksia. Kesimpulan: Ibu hamil dengan COVID-19 memiliki gejala ringan atau asimtomatik, dirawat dengan keluhan terkait kehamilannya, dan dilakukan tindakan obstetri sesuai dengan indikasi ibu dan janin. Tidak ada komplikasi pada ibu, sedangkan komplikasi pada bayi belum jelas. Kata kunci: COVID-19, ibu hamil, rumah sakit rujukan
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spelling doaj.art-ee814d7a57384c0b869d50483ca9f9b32022-12-21T22:51:51ZengIndonesian Society of Obstetrics and GynecologyIndonesian Journal of Obstetrics and Gynecology2338-64012338-73352021-01-015910.32771/inajog.v9i1.14661466Clinical Profile of Pregnant Women with COVID-19 Hospitalized in Regional Referral HospitalJuminten Saimin0Steven Ridwan1Irawaty Irawaty2Arimaswati Arimaswati3Sadly Salman4Wawan Hermawan5Faculty of Medicine Halu Oleo University KendariHalu Oleo UniversityHalu Oleo UniversityHalu Oleo UniversityBau-Bau Regional HospitalBau-Bau Regional HospitalObjective: To determine the clinical profile of pregnant women with COVID-19 who hospitalized in a referral hospital. Methods: This was a descriptive study conducted on pregnant women with COVID-19 who were hospitalized at Regional Hospital of Bau-Bau and Bahteramas Hospital in Southeast Sulawesi from May to July 2020. The confirmation of COVID-19 was based on RT-PCR. Data including characteristics, clinical profile, laboratory test, imaging, management, and outcomes. Results: There were 41 pregnant women with COVID-19 and no maternal death cases. Maternal age was approximately 19 to 39 years, had middle education levels, and was a housewife. Most of them did not know their closed contacts, had no comorbidities, and referrals from other hospitals. They were 3rd-trimester and hospitalized with complaints related to pregnancy. Only 3 cases had complaints related to COVID-19, namely fever and cough. The majority of laboratory tests were leucocytosis. Chest X-ray shows bronchopneumonia, pneumonia, and normal imaging. Obstetrics management was performed according to the condition of the mother and fetus, including vaginal delivery, cesarean section, and curettage. The treatment was using broad-spectrum antibiotics and antiviral. Complications in the fetus/infant were abortion, fetal distress, LBW, and asphyxia. Conclusion: Pregnant women with COVID-19 have mild or asymptomatic symptoms, hospitalized with complaints related to their pregnancy, and treatment according to the condition of the mother and fetus. There are no complications in the mother, while complications in the baby are not clear. Keywords: COVID-19, pregnant women, referral hospital.   Abstrak Tujuan: Mengetahui gambaran klinis ibu hamil dengan COVID-19 yang masuk di rumah sakit rujukan COVID-19. Metode: Penelitian ini bersifat deskriptif yang dilakukan pada ibu hamil dengan COVID-19 yang dirawat di rumah sakit rujukan di Sulawesi Tenggara, yaitu RSUD Bau-Bau dan RSU Bahteramas di Kendari, pada bulan Mei sampai Juli 2020. Konfirmasi positif COVID-19 berdasarkan hasil pemeriksaan RT-PCR. Data berupa karakteristik, gambaran klinis, pemeriksaan penunjang, penatalaksanaan, dan luaran. Hasil: Terdapat 41 ibu hamil dengan COVID-19 dan tidak ada kasus kematian ibu. Usia ibu berkisar 19-39 tahun, tingkat pendidikan menengah, dan sebagai ibu rumah tangga. Sebagian besar kasus pada trimester-3, tidak tahu memiliki kontak erat, tidak memiliki komorbid, dan rujukan dari RS lain. Sebagian besar dirawat dengan keluhan terkait kehamilannya dan hanya 3 kasus dengan keluhan terkait COVID-19, yaitu demam dan batuk. Pemeriksaan laboratorium menunjukkan lekositosis. Gambaran foto toraks menunjukkan bronkopneumonia, pneumonia, dan normal. Tindakan obstetri dilakukan atas indikasi ibu dan janin, yaitu persalinan normal, seksio sesarea, dan kuretase. Terapi yang digunakan adalah antibiotic spectrum luas dan antivirus. Komplikasi pada janin/bayi berupa abortus, gawat janin, BBLR, dan asfiksia. Kesimpulan: Ibu hamil dengan COVID-19 memiliki gejala ringan atau asimtomatik, dirawat dengan keluhan terkait kehamilannya, dan dilakukan tindakan obstetri sesuai dengan indikasi ibu dan janin. Tidak ada komplikasi pada ibu, sedangkan komplikasi pada bayi belum jelas. Kata kunci: COVID-19, ibu hamil, rumah sakit rujukanhttp://inajog.com/index.php/journal/article/view/1466
spellingShingle Juminten Saimin
Steven Ridwan
Irawaty Irawaty
Arimaswati Arimaswati
Sadly Salman
Wawan Hermawan
Clinical Profile of Pregnant Women with COVID-19 Hospitalized in Regional Referral Hospital
Indonesian Journal of Obstetrics and Gynecology
title Clinical Profile of Pregnant Women with COVID-19 Hospitalized in Regional Referral Hospital
title_full Clinical Profile of Pregnant Women with COVID-19 Hospitalized in Regional Referral Hospital
title_fullStr Clinical Profile of Pregnant Women with COVID-19 Hospitalized in Regional Referral Hospital
title_full_unstemmed Clinical Profile of Pregnant Women with COVID-19 Hospitalized in Regional Referral Hospital
title_short Clinical Profile of Pregnant Women with COVID-19 Hospitalized in Regional Referral Hospital
title_sort clinical profile of pregnant women with covid 19 hospitalized in regional referral hospital
url http://inajog.com/index.php/journal/article/view/1466
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