Deakin University
Browse

File(s) stored somewhere else

Please note: Linked content is NOT stored on Deakin University and we can't guarantee its availability, quality, security or accept any liability.

Maternal characteristics and pregnancy outcomes of hospitalized pregnant women with SARS-CoV-2 infection in South Africa: An International Network of Obstetric Survey Systems-based cohort study

Version 2 2024-05-31, 00:57
Version 1 2023-08-09, 03:31
journal contribution
posted on 2023-08-09, 03:31 authored by S Budhram, V Vannevel, T Botha, L Chauke, S Bhoora, GM Balie, N Odell, H Lombaard, A Wise, C Georgiou, N Ngxola, E Wynne, U Mbewu, M Mabenge, S Phinzi, N Gubu-Ntaba, G Goldman, K Tunkyi, S Prithipal, K Naidoo, S Venkatachalam, T Moodley, S Mould, M Hlabisa, L Govender, C Maistry, JP Habineza, P Israel, S Foolchand, NV Tsibiyane, M Panday, P Soma-Pillay, S Adam, F Molokoane, MS Mojela, EJ van Rensburg, T Mashamba, M Matjila, S Fawcus, A Osman, M Venter, G Petro, A Fakier, E Langenegger, CA Cluver, A Bekker, L de Waard, C Stewart, NC Ngene, O Lunda, S N.Cebekhulu, S Moodley, MA Koranteng-Peprah, EMC Ati, S Maswime, LM Yates
Objective: To describe risk factors and outcomes of pregnant women infected with SARS-CoV-2 admitted to South African healthcare facilities. Methods: A population-based cohort study was conducted utilizing an amended International Obstetric Surveillance System protocol. Data on pregnant women with SARS-CoV-2 infection, hospitalized between April 14, 2020, and November 24, 2020, were analyzed. Results: A total of 36 hospitals submitted data on 673 infected hospitalized pregnant women; 217 (32.2%) were admitted for COVID-19 illness and 456 for other indications. There were 39 deaths with a case fatality rate of 6.3%: 32 (14.7%) deaths occurred in women admitted for COVID-19 illness compared to 7 (1.8%) in women admitted for other indications. Of the women, 106 (15.9%) required critical care. Maternal tuberculosis, but not HIV co-infection or other co-morbidities, was associated with admission for COVID-19 illness. Rates of cesarean delivery did not differ significantly between women admitted for COVID-19 and those admitted for other indications. There were 179 (35.4%) preterm births, 25 (4.7%) stillbirths, 12 (2.3%) neonatal deaths, and 162 (30.8%) neonatal admissions. Neonatal outcomes did not differ significantly from those of infected women admitted for other indications. Conclusion: The maternal mortality rate was high among women admitted with SARS-CoV-2 infection and higher in women admitted primarily for COVID-19 illness with tuberculosis being the only co-morbidity associated with admission.

History

Journal

International Journal of Gynecology and Obstetrics

Volume

155

Pagination

455-465

Location

United States

ISSN

0020-7292

eISSN

1879-3479

Language

en

Issue

3

Publisher

Wiley