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Revista Peruana de Ginecología y Obstetricia
On-line version ISSN 2304-5132
Abstract
HUERTA SAENZ, Igor Hermann et al. Maternal and perinatal characteristics of pregnant women with COVID-19 in a national hospital in Lima, PeruMaternal and perinatal characteristics of pregnant women with COVID-19 in a national hospital in Lima, Peru. Rev. peru. ginecol. obstet. [online]. 2020, vol.66, n.2, 00003. ISSN 2304-5132. http://dx.doi.org/10.31403/rpgo.v66i2245.
Introduction
: The pandemic of coronavirus disease 2019 (COVID-19) has spread to more than 100 countries. Specific information about its behavior in pregnancy is still limited. Objective: To describe the maternal and perinatal characteristics of pregnant patients infected with COVID-19 and their newborns in a tertiary referral hospital.
Methods
: Descriptive study. Subjects were all pregnant patients admitted to the OB/ GYN Emergency Department of the Edgardo Rebagliati Martins National Hospital from March 24 to May 7, 2020, who were diagnosed with SARS-CoV-2 infection by rapid test or by RT-PCR test. Medical and hospital records were reviewed to retrieve sociodemographic data, patient’s history, clinical manifestations, maternal serology, obstetric complications, delivery mode and perinatal aspects.
Results
: 41 patients diagnosed with SARS-CoV-2 were identified. 9.2% of all admissions had a positive rapid test. The most common symptoms were cough in 84.6%, fever in 76.9% and sore throat in 61.5%. 68.2% of the patients were asymptomatic, 19.5% had mild illness and 7.3 %, moderate. 2 cases progressed to severe pneumonia requiring non-invasive ventilation. No maternal deaths were recorded. 21.7% were vaginal deliveries, while 78.3% were C-sections. One baby born in a vaginal delivery had a positive PCR result on day 8.
Conclusions
: A large percentage of asymptomatic pregnant patients had a positive PCR test. Implementing universal screening among patients in labor as part of the pregnant patient flow protocol is necessary for all institutions.
Keywords : Cesarean delivery; COVID-19; Neonatal outcome; SARS-CoV-2; Vaginal delivery.