A Clinical Study on Initial Experience of COVID-19 ARDS in Obstetric Patients at a Tertiary Care Centre in India
Table 1
S no
Studies
Study population
Type of study
Study centre
Observations
1.
Chen et al.
118 pregnant women
Epidemiological review
China
(i) 8%—severe disease (ii) 0.008%—required NIV (iii) Mortality—nil
2.
San-Juan et al.
52 pregnant women with COVID-19
Single-centred cohort study
Spain
(i) Pneumonia—61.5% (>50% required supplemental oxygen) (ii) Most common radiological findings were bilateral ground-glass opacities (46.8%) followed by bilateral or unilateral alveolar infiltrates (40.6%) (iii) ARDS—25% (iv) IMV—6.2%
3.
Knight et al.
427 pregnant women with COVID-19
Prospective population-based cohort study
All obstetric unit in UK
(i) Needed critical care—10% (ii) ECMO—1% (iii) Pneumonia on imaging—24%
4.
Kayem et al.
617 pregnant women with COVID-19
Case series
France
(i) Typical chest CT features of pneumonia—8.3% (ii) Nasal oxygen therapy—13.5% (iii) NIV—1.6% (iv) Invasive mechanical ventilation—4.7% (v) ECMO—1% (vi) Association with hypertensive disorders—3.4%
5.
Present case series
4 pregnant women with COVID-19-related ARDS
Case series
India
(i) Typical chest radiograph features of pneumonia—25% (ii) NIV—25% (iii) NRBM—25% (iv) Invasive ventilation—50% (v) Association with hypertensive disorders—50%