Lesson from Indonesia: Covid-19 testing strategy in obstetric emergency cases at low-resource health care setting

Manggala Pasca Wardhana, Aditiawarman, Nareswari Cininta Maniora, Rozi Aditya, Khanisyah Erza Gumilar, Budi Wicaksono, Muhammad Ilham Aldika Akbar, Ernawati, Agus Sulistyono, Hermanto Tri Juwono, Erry Gumilar Dachlan

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Background: COVID-19 identification in obstetric emergency cases with limited resources is problematic, particularly in asymptomatic cases. Aim: To examine the screening strategies of COVID-19 obstetric emergency cases in low-resource health care settings. Method: A retrospective cohort design was carried out on patients with COVID-19 positive screening results. It was assessed based on symptoms, contact history, lymphocytopenia, chest X-rays, and rapid antibody tests compared to RT-PCR results SARS-COV-2. Result: Out of the 190 cases that came to the delivery room, the staff suspected 69 COVID-19 cases (36.3%) through the first screening protocol. Positive SARS-COV-2 RT-PCR was found in 23 cases with a majority asymptomatic (52.2%). The percentages of sensitivity and specificity from the parameters as follow: 48% and 74% in COVID-19 symptoms (febris or respiratory symptoms); 9% and 100% in contact history; 22% and 83% in lymphocytopenia; 52% and 48% in chest x-ray; 78% and 30% in rapid antibody test. Rapid antibody tests have the highest sensitivity to increase the identification of 12 asymptomatic cases. Conclusion: Other screening beyond symptoms and contact history such as lymphocytopenia, chest x-ray, and rapid antibody test can improve the identification, especially for asymptomatic cases in areas with the limited testing ability and high Covid-19 transmission.

Original languageEnglish
Pages (from-to)508-513
Number of pages6
JournalPakistan Journal of Medical and Health Sciences
Issue number2
Publication statusPublished - Feb 2021


  • Covid-19
  • Low-resource health care
  • Obstetric emergency
  • Screening


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