HIGH RISK PREGNANCIES OF COVID POSITIVE PATIENTS Successfully Managed at Malla Reddy Narayana Multispecialty Hospital

As per World Health Organization (WHO), Pregnant women or recently pregnant women who are older, overweight, and have pre-existing medical conditions such as hypertension and diabetes seem to have an increased risk of developing severe COVID-19. When pregnant women develop severe disease, they also seem to more often require care in intensive care units than non-pregnant women of reproductive age. Due to changes in their bodies and immune systems, pregnant women can be badly affected by some respiratory infections. Complexities are definitely higher to manage the deliveries of Covid Positive women. Recently, at Malla Reddy Narayana Multispecialty Hospitals, there are numerous such cases which has been successfully handled by Dr. Pranathi Reddy, Sr Consultant & HOD Obstetrics & Gynaecology, Malla Reddy Narayana Multispeciality Hospital.

Dr. Pranathi Reddy, Sr. Consultant & HOD Obstetrics & Gynaecology, Department of Obstetrics & Gynaecology, Malla Reddy Narayana Multispeciality Hospital. A lady with 2 Months Pregnancy, came to casuality with bleeding and pain. She was diagnosed as covid positive and had Ectopic pregnancy. Emergency Laparotomy was done with 3 units of blood given intraoperatively. Her covid markers were highly raised. She was in ICU for 1 week, and treated with the support of physician. As her saturation were dropping she was kept on NIV. She recovered after 10 days and discharged.

Another lady admitted for delivery on 2^nd May. She was positive on 10^th April, quarantined for 15 days, later on 25^th April she again became positive, again isolated for 1 week, and taken for caesarean. As post covid sequelae, all her liver function test

were alerted. Explained the high risk and taken for emergency section. Intraoperatively bleeding was more and 2 units of blood and 2 units FFP’S was given. She & the baby recovered well & discharged from the hospital.

A pregnant lady with H/O Wound discharge issue admitted into the hospital. she was kept in MICU, dressing was done twice a day. Her-d-dimer, CRP, total count values were elevated at the time of admission, but RT PCR was negative. She was posted next day for laparotomy with blood in hand under S.A. patient suddenly developed SOB, saturation dropped, so connected to ventilator after taking consent. Patient was in ICU, blood and blood products transfusion done. General physician consultation taken in view of septicemia. RT PCR done it was positive patient shifted to Covid ICU, treatment or covid pneumonia started. Patient weaned off ventilator, vitals were stable. She was shifted to covid ward and managed with regular daily dressings.

Malla Reddy Narayana MultiSpeciality Hospital is a NABH & NABL accredited corporate hospital in Hyderabad which provides world-class healthcare services at affordable prices. The hospital comprises of highly committed 110 professional consultant doctors, over 800 paramedical staff and other supporting sections and workers who strive constantly to provide the best of patient care and leave no stone unturned in fulfilling the requirements of people seeking medical attention and care. It is a 750 bedded Hospital which includes 7 ICUs comprising of 200 beds. The Emergency Medicine Department is a 30 bedded unit operating round the clock catering to people who are in need of emergency medical & surgical intervention. The hospital boasts of two Cath Lab units, 30 dialysis units, and 12 Modular operation theatres.