Consulta de Alto Riesgo Obstétrico marzo 2020-2021 en el Hospital Universitario Jesús María Casal Ramos: una necesidad durante pandemia

Abstract

Objective: To evaluate the outpatient activities of high obstetric risk during the COVID-19 pandemic. Methods: Retrospective, descriptive review of epidemiological, clinical/paraclinical factors and treatment of 102 medical records from the High Obstetric Risk clinic of the Jesús María Casal Ramos Araure/Acarigua University Hospital from March 11, 2020 to March 11, 2021. Results: In the year, 346 controls were carried out, 244 successive controls, 23% adolescents, 19% elderly and 58% of reproductive age; 77% with some degree of formal education; 57% of the municipality of Araure, the most common reason for referral in 25% want not to reproduce and 23% in previous cesarean sections; high blood pressure was the most frequent family and personal history and comorbidity; 64% had a lower average gain of 6 Kgs; 52% of patients were anemic on their exams, requiring iron supplements or transfusions; betamethasone was the most widely used inducer of lung maturation and amoxicillin/clavulanic antibiotic. 2 patients positive for human immunodeficiency virus, 1 primary syphilis and 2 COVID-19 were monitored and treated on an outpatient basis: 1 mild in the 1st trimester and 1 moderate in the 3rd trimester. There were no maternal deaths in the sample. Conclusion: The high obstetric risk consultation is the most effective form of articulation between the surrogate, the health services and the community that guarantees a healthy pregnancy, the place to give birth, as well as a dignified and respected treatment throughout the process