TY  - BOOK
AU  -    Gloria V. kanimba
AU  -      Fridolini F. Mujuni
AU  - Felix Tarimo
TI  - Outcome of Viral Pneumonia among Pregnant Women Attending Bugando Medical Centre in Mwanza-Tanzania  
PY  - 2023///
CY  - Mwanza, Tanzania: 
PB  - Catholic University of Health and Allied Sciences [CUHAS – Bugando] : 
KW  -  
N2  - Abstract:

Introduction: Viral pneumonia during pregnancy has been associated with high mortality and morbidity to both pregnant women as well as the carried fetus. In Sub-Saharan Africa the mortality due different viral causes of pneumonia in pregnancy has been documented to be around 11.4%. Apart from that, viral pneumonia during pregnancy has been reported to be associated with detrimental effects such as fetal death and systemic related condition such as diabetic mellitus.

Study objective: The main objective was to determine the outcomes and factors associated with obstetric patients admitted with viral pneumonia at Bugando medical center between January 2020 and January 2022.

Methodology: A retrospective cross section study was conducted, focusing on obstetric patients who have been admitted at BMC in Mwanza-Tanzania from January 2020 to January 2022. Data was collected from the ward’s register books and the computer database of the BMC from the respective wards, and analyzed using SPSS version 20.

Results: Most of the patients were in their late second or third trimester. Most of the patient’s outcome was death (n=28, 56%) while others succumbed septic shock and severe PE (n=6, 12%), renal failure 9(n=4, 8%), ARDS, liver failure as well as heart failure (n=2, 4%). Delayed diagnoses were not uncommon. 28 mothers died in our series, resulting in a mortality rate of 56%. Viral pneumonia was again found to have adverse outcome in the fetus as 44% (n=22) was Intrauterine fetal death, 32% (n=16) had neonatal death. Others had preterm death and asphyxia while only 8% (n=4) had a good outcome

Conclusion: Anemia, advanced gestational age, and preeclampsia might be associated with the severity of pneumonia. Chest radiographs should be taken as soon as pneumonia is highly suspected to facilitate an early diagnosis. High incidences of adverse fetal outcomes were observed; thus, termination of the pregnancy is recommended for patients in their third trimester when respiratory function deteriorates progressively. However, it might be reasonable to continue pregnancy for those in their first or second trimester

ER  -