Obstetric-Neonatal Care during Birth and Postpartum in Symptomatic and Asymptomatic Women Infected with SARS-CoV-2: A Retrospective Multicenter Study.

Autor:	Vila-Candel R; Department of Nursing, Faculty of Nursing and Podiatry, Universitat de València, 46010 Valencia, Spain.; Department of Obstetrics and Gynaecology, Hospital Universitario de la Ribera, 46600 Alcira, Spain.; Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain., González-Chordá VM; GIENF-281 Nursing Research Group, Nursing Department, Univesitat Jaume I, 12006 Castelló de la Plana, Spain., Soriano-Vidal FJ; Department of Obstetrics and Gynaecology, Hospital Universitario de la Ribera, 46600 Alcira, Spain.; Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), 46020 Valencia, Spain.; Department of Obstetrics and Gynaecology, Hospital Lluis Alcanyís, 46800 Xàtiva, Spain., Castro-Sánchez E; College of Nursing, Midwifery and Healthcare, University of West London, London TW8 9GB, UK.; Health Protection Research Unit, Healthcare-Associated Infections and Antimicrobial Resistance, Imperial College London, London SW7 2BX, UK., Rodríguez-Blanco N; Department of Nursing, Universidad CEU Cardenal Herrera, Plaza Reyes Católicos, 19, 03204 Elche, Spain.; Department of Obstetrics and Gynaecology, Hospital Marina Baixa, 03570 Villajoyosa, Spain., Gómez-Seguí A; Department of Obstetrics and Gynaecology, Hospital Universitario y Politécnico La Fe, 46026 Valencia, Spain., Andreu-Pejó L; GIENF-281 Nursing Research Group, Nursing Department, Univesitat Jaume I, 12006 Castelló de la Plana, Spain., Martínez-Porcar C; Department of Paediatrics, Hospital Universitario de la Ribera, 46600 Alzira, Spain., Rodríguez Gonzálvez C; Department of Obstetrics and Gynaecology, Hospital Universitario de Vinalopó, 03293 Elche, Spain., Torrent-Ramos P; Preventive Medicine Service, Hospital General de Castellón, 12071 Castelló de la Plana, Spain.; Nursing Department, Univesitat Jaume I, 12006 Castelló de la Plana, Spain., Asensio-Tomás N; Department of Obstetrics and Gynaecology, Hospital Universitario y Politécnico La Fe, 46026 Valencia, Spain., Herraiz-Soler Y; Department of Obstetrics and Gynaecology, Consorcio Hospital General Universitario Valencia, 46014 Valencia, Spain.; Facultat d'Infermeria i Podologia, Universitat de València, 46100 Valencia, Spain., Escuriet R; Ghenders Research Group, School of Health Sciences Blanquerna, Universitat Ramon Lull, Carrer Padilla 326, 08025 Barcelona, Spain.; Catalan Health Service, Government of Barcelona, Travessera de les Corts 131, 08028 Barcelona, Spain., Mena-Tudela D; GIENF-281 Nursing Research Group, Nursing Department, Univesitat Jaume I, 12006 Castelló de la Plana, Spain.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Apr 30; Vol. 19 (9). Date of Electronic Publication: 2022 Apr 30.
DOI:	10.3390/ijerph19095482
Abstrakt:	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.
Databáze:	MEDLINE
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