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- Title
COVID-19 infection in symptomatic pregnant women at the midpoint of the pandemic in Spain: a retrospective analysis.
- Authors
Ortiz Molina, Elias; Hernandez Pailos, Rafael; Guillen, Maria Pola; Pascual Pedreno, Ana; Rodriguez Rodriguez, Eduardo; Hernandez Martinez, Antonio
- Abstract
Objectives: Determine the strengths and weakness of a symptomatic screening for COVID-19 in pregnant women. Analyze the clinical presentation, management, and outcomes. Design: Descriptive retrospective observational study. Setting: Mancha-Centro Hospital (Spain). Material and methods: Population: Symptomatic pregnant women with confirmed diagnosis of COVID-19. Between the 12th of March and 17th of April 2020, all the symptomatic pregnancies were screened with diagnostic test for SARS-CoV-2. Data collection was done by reviewing the medical records and telephone interviews. Main outcome measures: Clinical characteristics, management, treatment, and obstetric and neonatal outcomes. Results: Twenty patients with positive COVID-19 diagnostic test out of thirty-four suspected. The most common symptoms were fever (70%), cough (65%) and myalgia (35%). A unique symptom of presentation in 20% of cases. COVID-19 pneumonia was diagnosed in 30% by chest X-ray and one case had pulmonary embolism associated diagnosed by CT-Scan. Thromboprophylaxis was indicated in 16 out of 20 patients. Eight women finished their pregnancy during the observation period. Type of birth: 25% natural birth, 12.5% assisted vaginal delivery and 62.5% caesarean section. We had three severe cases, two of them with intensive care support. All neonates had negative test for COVID-19 infection. Conclusions: We recommend universal screening of all pregnant woman for COVID-19 during the pandemic because of the limits of the symptomatic screening seen in this studio and the ratio of asymptomatic pregnancies with positive test for COVID-19 recently published.
- Subjects
SPAIN; COVID-19 testing; MATERNAL health; SYMPTOMS; ACQUISITION of data
- Publication
Ginekologia Polska, 2020, Vol 91, Issue 12, p755
- ISSN
0017-0011
- Publication type
Article
- DOI
10.5603/GP.a2020.0130