Revista Cubana de Medicina Militar (Nov 2021)

Epidemiological characteristics and obstetric complications in pregnant women diagnosed with COVID-19 in a public hospital

  • John Barja-Ore,
  • Natalia Valverde-Espinoza,
  • Elena Campomanes-Pelaez,
  • Nilda Alaya Rodríguez,
  • Epifanio Sánchez Garavito,
  • Julio Silva Ramos,
  • Nieves Zuñiga-Olivera

Journal volume & issue
Vol. 50, no. 4
pp. e02101644 – e02101644

Abstract

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Introduction: COVID-19 in pregnant women has been a challenge in maternal care, since it could increase the risk of suffering from some obstetric diseases and negative perinatal results. Objective: To describe the epidemiological characteristics and obstetric complications in pregnant women diagnosed with COVID-19. Methods: Descriptive, and cross-sectional study, carried out in a sample of 235 pregnant women with a diagnosis of COVID-19, selected in a non-random way. Epidemiological characteristics and obstetric complications were studied, which were reported by descriptive statistics in univariate tables. Results: The average age of the pregnant women was 27.6 ± 3.7 years, 65.5 % were cohabiting and 77.4 % had secondary education. In addition, 71.5 % were between 37 and 40 weeks' gestation, 28.5 % had no prenatal care, 68.9 % were multi-pregnant, and 27.7 % had a history of abortion; 90.6 % were asymptomatic and headache was the most frequent symptom (7.4 %). Among obstetric complications, 30.6 % had a cesarean birth, 20 % had anemia and 15.7 % premature rupture of the membrane. Hellp syndrome (0.9 %) and eclampsia (0.4 %) were the least frequent. Conclusions: In pregnant women with COVID-19 there is a high rate of obstetric complications, which are mainly caesarean section and anemia. Most pregnant women are asymptomatic and have an IgM / IgG serological result.

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