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COVID-19 has led on to a global healthcare crisis, similar to none in the recent past. Special emphasis must be laid on the status of pregnant women amid this outbreak, considering the vulnerability seen in pregnant women toward previous coronavirus diseases. In this review, we will try to elicit the correlation between the complications of previous coronavirus diseases (Severe Acute Respiratory Syndrome and Middle East Respiratory Syndrome) and COVID-19, the possibility of materno-fetal vertical transmission and the obstetric management protocol.

BACKGROUND The objective of this study is to study the correlation between spirometry and CAT score in patients of COPD. MATERIALS AND METHODS All the patients attending the OPD within the study period with history of breathlessness on exertion were evaluated. The diagnosis of COPD was made after spirometry and patients were accordingly classified on the basis of GOLD Guideline. CAT (COPD assessment test) questionnaire were being filled up by these patients who made the study group and classified into four groups according to their scores. The correlation between the two were analysed using various statistical tests. RESULTS Out of all the patients, total 90 patients of COPD were enrolled in the study. Among these, the mean age of the patients were 61.52 ± 6.4 (48-72), 77 (85.5%) were males and 13 (14.4%) were females; 85.5% had smoking history and 14.4% had history of biomass exposure. Majority of the patients (63.7%) were falling in Group 2 of CAT score indicating medium airflow obstruction. Patients with severe COPD (Stage III and IV) had similarly higher CAT scores showing a direct correlation, which was significant (p < 0.001). Patients in whom post bronchodilator FEV1% was significantly decreased had significantly increased CAT scores (p < 0.001), showing an inverse correlation between the two. CONCLUSION Incorporation of CAT score can help in early detection and proper management of COPD patients, especially in resource poor setting, where spirometry is not feasible.

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