COVID-19 durante la gestación: resultados maternos y perinatales

Abstract

Objective: To evaluate the maternal and perinatal outcomes associated with COVID-19 during pregnancy, in women who attended the isolation service of the Hospital Central de San Cristóbal, in the period August 2020-July 2021. Methods: Retrospective or ex post facto, observational, descriptive, cross-sectional study with documentary design. It included a non-probabilistic sample of 30 patients admitted with a suspected or confirmed diagnosis of COVID-19. Medical records were reviewed to identify maternal and perinatal evolution. Results: The frequency of COVID-19 was 0.5 cases per 100 pregnant women. All 30 patients had a confirmed diagnosis. There were 16 mild cases (53.3%), 5 moderate (16.7%) and 9 severe (30%). The predominant symptoms were cough and shortness of breath (100%), headache (96.7%) and fever (90%). There was an increase in ferritin in 100 % of the cases, D-dimer in 33.3 % and LDH in 90 %. Severe evolution was not associated with known risk factors. There were obstetric complications in 90 % of the patients, the most frequent were preterm birth (40%) and oligohydramnios (36.7 %). There were 6 maternal deaths (20.0 %). The evolution of the disease was unsatisfactory in 46.7 % of the patients, with 40 % of admission to the intensive care unit and 30 % of ventilatory support. The caesarean section rate was 86.7 %. 70 % of the RNs progressed satisfactorily. There were 7 perinatal deaths (23.3 %). Conclusion: COVID-19 is associated with adverse maternal and perinatal evolution. Keywords: COVID-19, Pregnancy, Maternal outcome, Perinatal outcome.