Maternal characteristic and perinatal outcomes among peruvian women infected with COVID-19. An observational and cross-sectional study

• Autores: Huatuco-Hernández, Jorge A., Paredes-Villanueva, Fredy J., Quispe-Cuestas, Mick I., Fiestas-Pflücker, Germán A., Nuñez-Rodas, Maritza, Salazar–Cuba, Xanadú, Zevallos-Vargas, Betty M., Vega-Fernández, Amalia G., Angeles-Reyes, Robert P., Hilario-Vargas, Julio
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
• Repositorio: Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
• Lenguaje: español
• OAI Identifier: oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/1276
• Enlace del recurso: https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1276
• Nivel de acceso: acceso abierto
• Materia: COVID-19; gestación; neonato; pregnancy; newborn

Objetive: To determine the maternal characteristics of women infected with COVID-19 and their neonates born in the COVID-19 referral hospital (HRDT) between April and September 2020. Material and Methods: Observational and cross-sectional study carried out in the HRDT that included 703 obstetric patients with COVID-19. Results: The average age was 27 years. 35.7% were nulliparous and 95% were asymptomatic for COVID-19. 3%, 1% and 1% had mild, moderate and severe COVID-19; respectively. The most frequent symptoms were cough (84.85%) and anosmia (39.39%). The most common signs were tachypnea (60.61%) and respiratory distress (51.52%). Blood gas, D-dimer, and ferritin were altered in 71%, 54%, and 30%; respectively. The most frequent medical complications were: sepsis (2.28%), pneumonia (2.13%), respiratory failure (2.13%) and septic shock (1.14%). The most frequent obstetric complications were premature rupture of membranes (6.69%), severe preeclampsia (5.41%), abortive syndrome (3.27%) and preterm labor (2.56%). 73.9% of deliveries were by Caesarean section. 0.99% of patients required intensive care unit and maternal mortality was 0. 2%. 85.7% of neonates were at term and 97.2% had APGAR ≥7 at 5 minutes. There were 4 neonatal deaths (0.64%) and 16 deaths (2,58%). There were 8 positive RT-PCR in neonates (1.3%). Conclusion: The majority of patients were nulliparous, under 35 years of age and asymptomatic for COVID-19. Most of the newborns were born by cesarean section and evolved favorably. There were two maternal deaths, 16 stillbirths, and 4 neonatal deaths.