Research Article

COVID-19 Pandemic and Its Impact on Perinatal Outcomes between Symptomatic and Asymptomatic Women

Table 2

Maternal characteristics, investigations, and pregnancy outcomes.

All 209 (100%)Asymptomatic 147 (70%)Symptomatic 62 (30%) value

Age31 ± 6.130 ± 5.9 (19–47)32 ± 6.4 (20–45)0.044
Age >3568 (33)41 (28)27 (44)0.035
Age >4020 (10)10 (7)10 (16)0.043
Para 056 (27)45 (31)11 (18)0.019
Para 147 (23)31 (21)16 (26)
Para >1104 (50)69 (48)35 (56)
BMI32.5 ± 6.5732.44 ± 6.7832.64 ± 6.060.865
Overweight53 (33)39 (33)14 (33)0.973
Obese112 (68.3)82 (68.3)30 (68)0.985
Hypertension4 (2)04 (7)0.002
Diabetes13 (6)6 (4)7 (12)0.045
Bronchial Asthma6 (3)2 (1)4 (7)0.041
Composite medical disease40 (19)23 (16)17 (28)0.036

Trimester at diagnosis
1st3 (1)2 (1)1 (2)0.112
2nd15 (7)7 (5)8 (13)
3rd191 (91)138 (94)53 (86)
Gestation at diagnosis (weeks ± days)36 ± 536 ± 534 ± 50.028
Duration of symptoms (days)1 ± 3 (0–30)5 ± 4.4 (0–30)

Labs
WBC10 (3.1–23.3)10 (4.6–23.3)8.7 (3.1–16.0)0.067
HB11 (6.5–14.6)10.93 (6.5–13.9)11.1 (7.5–14.6)0.788
PLT268 (126–582)267 (126–492)268 (152–582)0.690
AST17 (5–151)17 (5–151)17 (5–66)0.296
ALT13 (.7–111)18.9 (1.92–111)6.5 (0.67–12)0.590

Perinatal outcomes
Gestation at delivery (weeks) (min-max)37 ± 3 (11–42)37 ± 2 (11–42)37 ± 3 (16-41)0.415
Duration diagnosis-delivery (days)12 (0–233)7 (0–219)22 (0–233)0.001
Preterm birth$39 (19)30 (20)9 (15)0.075
Vaginal delivery$120 (58)88 (61)32 (54)0.366 0.380
CS (all)83 (40)56 (39)27 (46)
Elective CS30 (36)20 (36)10 (37)
Emergency CS (all)53 (64)36 (64)17 (63)
NRFH21 (40)16 (44)5 (29)
FTP9 (17)4 (11)5 (29)
Other^23 (43)16 (18)7 (41)
Male gender95 (47)66 (46)29 (49)0.698
Birth weight (g)2973 ± 5752980 ± 5802955 ± 5670.831
APGAR at 1 min8 (1–9)8 (2–9)8 (1–9)0.114
APGAR at 5 min9 (1–10)9 (3–10)9 (1–9)0.097
Positive findings on Ob ultrasound^^8 (5)4 (3)4 (8)0.208

Overweight defined as BMI >25, obese defined as BMI> 30, and composite medical disease defined as one or more medical diseases such as hypertension, diabetes, bronchial asthma, systemic lupus erythematosus, and thyroid disease. $Excluded deliveries <24 weeks gestation. ^Other reasons for an emergency cesarean section such as abruptio placentae, preeclampsia, or labor with a malpresentation. ^^Abnormal fetal growth or amniotic fluid, cervical shortening, or placental abnormalities. t-test was used for the analysis of independent variables. Chi-Square and Fisher exact test were used for categorical variables and expressed as frequencies + percentages (%). Percentages are calculated using rounded counts.