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Vol 91, No 12 (2020)
Research paper
Published online: 2020-11-24
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COVID-19 infection in symptomatic pregnant women at the midpoint of the pandemic in Spain: a retrospective analysis

Elias Ortiz Molina1, Rafael Hernandez Pailos1, Maria Pola Guillen1, Ana Pascual Pedreno1, Eduardo Rodriguez Rodriguez1, Antonio Hernandez Martinez2
DOI: 10.5603/GP.a2020.0130
·
Pubmed: 33447995
·
Ginekol Pol 2020;91(12):755-763.
Affiliations
  1. Hospital Mancha Centro, Av Constitucion sn, Alcazar de San Juan, Spain, Spain
  2. University Castilla La Mancha, Ciudad Real, Spain, Spain

open access

Vol 91, No 12 (2020)
ORIGINAL PAPERS Obstetrics
Published online: 2020-11-24

Abstract

Objectives: Determine the strengths and weakness of a symptomatic screening for COVID-19 in pregnant women. Analyze
the clinical presentation, management, and outcomes. Design: Descriptive retrospective observational study. Setting:
Mancha-Centro Hospital (Spain).
Material and methods: Population: Symptomatic pregnant women with confirmed diagnosis of COVID-19. Between the 12th
of March and 17th of April 2020, all the symptomatic pregnancies were screened with diagnostic test for SARS-CoV-2. Data
collection was done by reviewing the medical records and telephone interviews. Main outcome measures: Clinical characteristics,
management, treatment, and obstetric and neonatal outcomes.
Results: Twenty patients with positive COVID-19 diagnostic test out of thirty-four suspected. The most common symptoms
were fever (70%), cough (65%) and myalgia (35%). A unique symptom of presentation in 20% of cases. COVID-19 pneumonia
was diagnosed in 30% by chest X-ray and one case had pulmonary embolism associated diagnosed by CT-Scan. Thromboprophylaxis
was indicated in 16 out of 20 patients. Eight women finished their pregnancy during the observation period.
Type of birth: 25% natural birth, 12.5% assisted vaginal delivery and 62.5% caesarean section. We had three severe cases,
two of them with intensive care support. All neonates had negative test for COVID 19 infection.
Conclusions: We recommend universal screening of all pregnant woman for COVID-19 during the pandemic because of
the limits of the symptomatic screening seen in this studio and the ratio of asymptomatic pregnancies with positive test
for COVID-19 recently published.

Abstract

Objectives: Determine the strengths and weakness of a symptomatic screening for COVID-19 in pregnant women. Analyze
the clinical presentation, management, and outcomes. Design: Descriptive retrospective observational study. Setting:
Mancha-Centro Hospital (Spain).
Material and methods: Population: Symptomatic pregnant women with confirmed diagnosis of COVID-19. Between the 12th
of March and 17th of April 2020, all the symptomatic pregnancies were screened with diagnostic test for SARS-CoV-2. Data
collection was done by reviewing the medical records and telephone interviews. Main outcome measures: Clinical characteristics,
management, treatment, and obstetric and neonatal outcomes.
Results: Twenty patients with positive COVID-19 diagnostic test out of thirty-four suspected. The most common symptoms
were fever (70%), cough (65%) and myalgia (35%). A unique symptom of presentation in 20% of cases. COVID-19 pneumonia
was diagnosed in 30% by chest X-ray and one case had pulmonary embolism associated diagnosed by CT-Scan. Thromboprophylaxis
was indicated in 16 out of 20 patients. Eight women finished their pregnancy during the observation period.
Type of birth: 25% natural birth, 12.5% assisted vaginal delivery and 62.5% caesarean section. We had three severe cases,
two of them with intensive care support. All neonates had negative test for COVID 19 infection.
Conclusions: We recommend universal screening of all pregnant woman for COVID-19 during the pandemic because of
the limits of the symptomatic screening seen in this studio and the ratio of asymptomatic pregnancies with positive test
for COVID-19 recently published.

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Keywords

COVID-19; pregnancy; screening; outcomes; symptoms; delivery

About this article
Title

COVID-19 infection in symptomatic pregnant women at the midpoint of the pandemic in Spain: a retrospective analysis

Journal

Ginekologia Polska

Issue

Vol 91, No 12 (2020)

Article type

Research paper

Pages

755-763

Published online

2020-11-24

Page views

3526

Article views/downloads

2311

DOI

10.5603/GP.a2020.0130

Pubmed

33447995

Bibliographic record

Ginekol Pol 2020;91(12):755-763.

Keywords

COVID-19
pregnancy
screening
outcomes
symptoms
delivery

Authors

Elias Ortiz Molina
Rafael Hernandez Pailos
Maria Pola Guillen
Ana Pascual Pedreno
Eduardo Rodriguez Rodriguez
Antonio Hernandez Martinez

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