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Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo

Print version ISSN 2225-5109On-line version ISSN 2227-4731

Abstract

HUATUCO-HERNANDEZ, Jorge A. et al. Maternal characteristic and perinatal outcomes among peruvian women infected with COVID-19. An observational and cross-sectional study. Rev. Cuerpo Med. HNAAA [online]. 2021, vol.14, n.3, pp.344-351.  Epub Nov 26, 2021. ISSN 2225-5109.  http://dx.doi.org/10.35434/rcmhnaaa.2021.143.1276.

Objective:

To determine the maternal characteristics of women infected with COVID-19 and their neonates born in the COVID-19 referral hospital (HRDT) between April and September 2020.

Material and Methods:

Observational and cross-sectional study carried out in the HRDT that included 703 obstetric patients with COVID-19.

Results:

The average age was 27 years. 35.7% were nulliparous and 95% were asymptomatic for COVID-19. 3%, 1% and 1% had mild, moderate and severe COVID-19; respectively. The most frequent symptoms were cough (84.85%) and anosmia (39.39%). The most common signs were tachypnea (60.61%) and respiratory distress (51.52%). Blood gas, D-dimer, and ferritin were altered in 71%, 54%, and 30%; respectively. The most frequent medical complications were: sepsis (2.28%), pneumonia (2.13%), respiratory failure (2.13%) and septic shock (1.14%). The most frequent obstetric complications were premature rupture of membranes (6.69%), severe preeclampsia (5.41%), abortive syndrome (3.27%) and preterm labor (2.56%). 73.9% of deliveries were by Caesarean section. 0.99% of patients required intensive care unit and maternal mortality was 0. 2%. 85.7% of neonates were at term and 97.2% had APGAR ≥7 at 5 minutes. There were 4 neonatal deaths (0.64%) and 16 deaths (2,58%). There were 8 positive RT-PCR in neonates (1.3%).

Conclusion:

The majority of patients were nulliparous, under 35 years of age and asymptomatic for COVID-19. Most of the newborns were born by cesarean section and evolved favorably. There were two maternal deaths, 16 stillbirths, and 4 neonatal deaths

Keywords : COVID-19; pregnancy; newborn.

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