Evaluation of maternal and neonatal outcomes of pregnant women with COVID-19 at Sayad Shirazi Hospital, Gorgan, in 2020-2022

The coronavirus disease 2019 (COVID-19) can have a variety of effects on pregnant women, from mild symptoms to severe complications. Those with underlying medical conditions are at an increased risk for severe disease and adverse pregnancy outcomes. This study was designed to investigate the maternal and neonatal outcomes of pregnant mothers infected with COVID-19 who were referred to Sayad Shirazi Hospital, Gorgan (Iran), in 2019-2022.

This cross-sectional study was conducted on 160 pregnant women. The women who had just given birth were either suspected of having coronavirus or had a definite diagnosis of coronavirus either during hospitalization or during hospitalization who were included by the simple census. The data were collected from medical records and through telephone interviews. The chi-square test was used to compare categorical variables between the groups. The qualitative data were evaluated with quantitative variables by the analysis of variance. The significance level was less than 0.05.

The difference in the access of minorities to medical and health service centers affected the pregnancy results (P=019 (. A high rate of Cesarean delivery (58.1%), a high prevalence of gestational diabetes (19.3%) and hypothyroidism (21.2%), and the need for high insulin injections during the COVID-19 infection (39.37%) were also found, which were independent of the patients. Diabetes and previous gestational diabetes showed high statistics.

This study demonstrated a high concentration in people with hypothyroidism and patients who need insulin due to hyperglycemia after contracting COVID-19 during pregnancy. According to this study, contracting COVID-19 increases the level of maternal and fetal problems, and women with hypothyroidism should be considered as a risk factor for contracting this disease and having a more serious condition, hyperglycemia, and the need for insulin, except for the remaining complications of this disease is expected.