Biopsychosocial Aspects Associated with Covid-19 of Pregnant Women who Delivered in Cipto Mangunkusumo General Hospital

Abstract

Introduction. The current outbreak of the novel coronavirus disease 2019 (COVID-19) has spread rapidly and become pandemic.  This study aims to analyze the biopsychosocial aspects associated with COVID-19 who delivered in Cipto Mangunkusumo General Hospital (RSCM).

Methods. This is a descriptive observational cross-sectional study, included all pregnant women with confirmed COVID-19 who delivered in RSCM from March to December 2020. Data were collected from medical records and interviewing the subjects. Cases were analyzed for demographic, biophysical, psychological, and social aspects associated with COVID-19.

Result. We collected 183 patients with suspected COVID-19, and 37 patients were confirmed for COVID-19. Most pregnant women with COVID-19 infection have no comorbid before testing positive (65%). The outcome of both mothers and neonates was good with only 2.7% of mortality. From the psychological aspects, most subjects had sleep disturbance (53%), and 1 subject admitted suicide desire. From a social aspect, we observe the source of transmission through contact history and application of health protocols, only 30% of the subjects were known to have had contact with suspected or confirmed cases of COVID-19, and most of the subjects followed health protocol (72.2%).

Conclusion. The most common method of delivery was a cesarean section, with good clinical outcomes.  Neonatal outcomes also had good clinical outcomes with most of the PCR results being negative. From the psychological aspects, most subjects had sleep disturbance. From the social aspect, most have not known to have contact with a suspected or confirmed case of COVID-19 and most of the subjects followed health protocol consistently.