Maternal characteristics and pregnancy outcomes during the global pandemic Covid-19 in indonesian tertiary referral hospital

Aim Analyse differences in intervention and pregnancy outcomes characteristics in obstetric patients with a diagnosis of COVID-19 and non-COVID-19 at one of the Indonesia tertiary referral hospital in East Java. Design This was cross sectional study. Methods This study was performed 694 obstetric patients, the data for these patients were obtained from the hospital medical records Sampling was used simple random. This study used Mann-Whitney test to analyse the differences between the variables. Results There was a significant difference in the Length Of Stay (LOS), LOS of COVID-19 patients tends to be longer than that of non-COVID-19 patients. More than half of the patients gave birth by caesarean delivery, 83 for COVID-19 and 283 for Non COVID-19. Some of the most common complications among COVID-19 patients were maternal infectious and parasitic diseases (1.3% vs 0.0%), abnormalities of forces of labour (12.3% vs 9.6%), complication of puerperium (0.6 % vs 0.0%). 40.9% COVID-19 patient suffered Acute Respiratory Distress Syndrome (ARDS). COVID-19 infection had no significant effect on pregnancy outcomes. Conclusion Several interventions need to be re-evaluated, such as cesarean delivery in COVID-19 and non-COVID-19 patients. The health-care delivery system must also be re-evaluated, and the tiered referral system must be strengthened.