COVID‐19 and pregnancy: A scoping review on pregnancy characteristics and outcomes.

Autor: de Oliveira, Karoline Faria, de Oliveira, Jacqueline Faria, Wernet, Monika, Carvalho Paschoini, Marina, Ruiz, Mariana Torreglosa
Předmět:
Zdroj: International Journal of Nursing Practice (John Wiley & Sons, Inc.); Oct2021, Vol. 27 Issue 5, p1-15, 15p
Abstrakt: Aim: The study aim was to map clinical characteristics and the evolution of pregnancies in pregnant women with confirmed diagnosis of SARS‐CoV‐2 infection. Methods: Searching four databases, studies were investigated that described the evolution of pregnancies in women diagnosed with SARS‐CoV‐2 infection through laboratory tests. A scoping review was undertaken, including 35 articles published in English. Two pairs of independent researchers synthesized the data. Results: Most studies were case studies or case series and had a low risk of bias. A predominance of cases was found in women over the age of 30 years who got infected in the third term of pregnancy and who had comorbidities. The prematurity index varied with the heterogeneity of the samples, and the cases of abortion occurred in combination with severe forms of infection. Caesarean section deliveries predominated, indicated mainly by respiratory decompensation caused by infection. Most women were discharged. Conclusion: Based on the reviewed studies, the profile and evolution of pregnant women infected with COVID‐19 could be evaluated. Summary statement: What is already known about this topic? In 2020, the COVID‐19 pandemic was decreed, currently accounting for more than 105 million cases and more than two million deaths.Physiological changes of pregnancy predispose pregnant women to COVID‐19 infection.The characteristics of pregnancy associated with COVID‐19 infection turn obstetric care into a constant challenge. What this paper adds? The review presents the profile of pregnant women infected by SARS‐CoV‐2, with laboratory confirmation using the diagnostic reference standard (PCR).This review presents the profile of pregnant women infected with SARS‐CoV‐2 and the outcomes of the infection and pregnancy. The implications of this paper: Based on the knowledge of the profile, public policies can be planned to prevent and manage infection among pregnant and postpartum women.Further studies are suggested, mainly follow‐up studies of cohorts with pregnant women infected with SARS‐CoV‐2 to expand knowledge about the profile and obstetric outcomes. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index