Obstetric-Neonatal Care during Birth and Postpartum in Symptomatic and Asymptomatic Women Infected with SARS-CoV-2: A Retrospective Multicenter Study
Por:
Vila-Candel, Rafael, Gonzalez-Chorda, Victor M., Javier Soriano-Vidal, Francisco, Castro-Sanchez, Enrique, Rodriguez-Blanco, Noelia, Gomez-Segui, Ana, Andreu-Pejo, Laura, Martinez-Porcar, Cristina, Rodriguez Gonzalvez, Carmen, Torrent-Ramos, Patricia, Asensio-Tomas, Nieves, Herraiz-Soler, Yolanda, Escuriet, Ramon, Mena-Tudela, Desiree
Publicada:
1 may 2022
Resumen:
This study analyses the obstetric-neonatal outcomes of women in labour
with symptomatic and asymptomatic COVID-19. A retrospective,
multicenter, observational study was carried out between 1 March 2020
and 28 February 2021 in eight public hospitals in the Valencian
community (Spain). The chi-squared test compared the obstetric-neonatal
outcomes and general care for symptomatic and asymptomatic women. In
total, 11,883 births were assisted in participating centers, with 10.9
per 1000 maternities (n = 130) infected with SARS-CoV-2. The 20.8% were
symptomatic and had more complications both upon admission (p = 0.042)
and during puerperium (p = 0.042), as well as transfer to the intensive
care unit (ICU). The percentage of admission to the Neonatal Intensive
Care Unit (NICU) was greater among offspring of symptomatic women
compared to infants born of asymptomatic women (p < 0.001). Compared
with asymptomatic women, those with symptoms underwent less labour
companionship (p = 0.028), less early skin-to-skin contact (p = 0.029)
and greater mother-infant separation (p = 0.005). The overall maternal
mortality rate was 0.8%. No vertical transmission was recorded. In
conclusion, symptomatic infected women are at increased risk of lack of
labour companionship, mother-infant separation, and admission to the
ICU, as well as to have preterm births and for NICU admissions.
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