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Obstetric Outcomes of SARS-CoV-2 Infection in Asymptomatic Pregnant Women

Around two percent of asymptomatic women in labor test positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Spain. Families and care providers face childbirth with uncertainty. We determined if SARS-CoV-2 infection at delivery among asymptomatic mothers had different obstetri...

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Autores principales: Cruz-Lemini, Monica, Ferriols Perez, Elena, de la Cruz Conty, Maria Luisa, Caño Aguilar, Africa, Encinas Pardilla, Maria Begoña, Prats Rodríguez, Pilar, Muner Hernando, Marta, Forcen Acebal, Laura, Pintado Recarte, Pilar, Medina Mallen, Maria del Carmen, Perez Perez, Noelia, Canet Rodriguez, Judit, Villalba Yarza, Ana, Nieto Velasco, Olga, del Barrio Fernandez, Pablo Guillermo, Orizales Lago, Carmen Maria, Marcos Puig, Beatriz, Muñoz Abellana, Begoña, Fuentes Ricoy, Laura, Rodriguez Vicente, Agueda, Janeiro Freire, Maria Jesus, Alferez Alvarez-Mallo, Macarena, Casanova Pedraz, Cristina, Alomar Mateu, Onofre, Lesmes Heredia, Cristina, Wizner de Alva, Juan Carlos, Posadas San Juan, Alma, Macia Badia, Montserrat, Alvarez Colomo, Cristina, Sanchez Muñoz, Antonio, Pratcorona Alicart, Laia, Alonso Saiz, Ruben, Lopez Rodriguez, Monica, Barbancho Lopez, Maria Carmen, Meca Casbas, Marta Ruth, Vaquerizo Ruiz, Oscar, Moran Antolin, Eva, Nuñez Valera, Maria Jose, Fernandez Fernandez, Camino, Tubau Navarra, Albert, Cano Garcia, Alejandra Maria, Soldevilla Perez, Susana, Gattaca Abasolo, Irene, Adanez Garcia, Jose, Puertas Prieto, Alberto, Ostos Serna, Rosa, Guadix Martin, Maria del Pilar, Catalina Coello, Monica, Espuelas Malon, Silvia, Sainz Bueno, Jose Antonio, Granell Escobar, Maria Reyes, Cruz Melguizo, Sara, Martinez Perez, Oscar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7830626/
https://www.ncbi.nlm.nih.gov/pubmed/33467629
http://dx.doi.org/10.3390/v13010112
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author Cruz-Lemini, Monica
Ferriols Perez, Elena
de la Cruz Conty, Maria Luisa
Caño Aguilar, Africa
Encinas Pardilla, Maria Begoña
Prats Rodríguez, Pilar
Muner Hernando, Marta
Forcen Acebal, Laura
Pintado Recarte, Pilar
Medina Mallen, Maria del Carmen
Perez Perez, Noelia
Canet Rodriguez, Judit
Villalba Yarza, Ana
Nieto Velasco, Olga
del Barrio Fernandez, Pablo Guillermo
Orizales Lago, Carmen Maria
Marcos Puig, Beatriz
Muñoz Abellana, Begoña
Fuentes Ricoy, Laura
Rodriguez Vicente, Agueda
Janeiro Freire, Maria Jesus
Alferez Alvarez-Mallo, Macarena
Casanova Pedraz, Cristina
Alomar Mateu, Onofre
Lesmes Heredia, Cristina
Wizner de Alva, Juan Carlos
Posadas San Juan, Alma
Macia Badia, Montserrat
Alvarez Colomo, Cristina
Sanchez Muñoz, Antonio
Pratcorona Alicart, Laia
Alonso Saiz, Ruben
Lopez Rodriguez, Monica
Barbancho Lopez, Maria Carmen
Meca Casbas, Marta Ruth
Vaquerizo Ruiz, Oscar
Moran Antolin, Eva
Nuñez Valera, Maria Jose
Fernandez Fernandez, Camino
Tubau Navarra, Albert
Cano Garcia, Alejandra Maria
Soldevilla Perez, Susana
Gattaca Abasolo, Irene
Adanez Garcia, Jose
Puertas Prieto, Alberto
Ostos Serna, Rosa
Guadix Martin, Maria del Pilar
Catalina Coello, Monica
Espuelas Malon, Silvia
Sainz Bueno, Jose Antonio
Granell Escobar, Maria Reyes
Cruz Melguizo, Sara
Martinez Perez, Oscar
author_facet Cruz-Lemini, Monica
Ferriols Perez, Elena
de la Cruz Conty, Maria Luisa
Caño Aguilar, Africa
Encinas Pardilla, Maria Begoña
Prats Rodríguez, Pilar
Muner Hernando, Marta
Forcen Acebal, Laura
Pintado Recarte, Pilar
Medina Mallen, Maria del Carmen
Perez Perez, Noelia
Canet Rodriguez, Judit
Villalba Yarza, Ana
Nieto Velasco, Olga
del Barrio Fernandez, Pablo Guillermo
Orizales Lago, Carmen Maria
Marcos Puig, Beatriz
Muñoz Abellana, Begoña
Fuentes Ricoy, Laura
Rodriguez Vicente, Agueda
Janeiro Freire, Maria Jesus
Alferez Alvarez-Mallo, Macarena
Casanova Pedraz, Cristina
Alomar Mateu, Onofre
Lesmes Heredia, Cristina
Wizner de Alva, Juan Carlos
Posadas San Juan, Alma
Macia Badia, Montserrat
Alvarez Colomo, Cristina
Sanchez Muñoz, Antonio
Pratcorona Alicart, Laia
Alonso Saiz, Ruben
Lopez Rodriguez, Monica
Barbancho Lopez, Maria Carmen
Meca Casbas, Marta Ruth
Vaquerizo Ruiz, Oscar
Moran Antolin, Eva
Nuñez Valera, Maria Jose
Fernandez Fernandez, Camino
Tubau Navarra, Albert
Cano Garcia, Alejandra Maria
Soldevilla Perez, Susana
Gattaca Abasolo, Irene
Adanez Garcia, Jose
Puertas Prieto, Alberto
Ostos Serna, Rosa
Guadix Martin, Maria del Pilar
Catalina Coello, Monica
Espuelas Malon, Silvia
Sainz Bueno, Jose Antonio
Granell Escobar, Maria Reyes
Cruz Melguizo, Sara
Martinez Perez, Oscar
author_sort Cruz-Lemini, Monica
collection PubMed
description Around two percent of asymptomatic women in labor test positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Spain. Families and care providers face childbirth with uncertainty. We determined if SARS-CoV-2 infection at delivery among asymptomatic mothers had different obstetric outcomes compared to negative patients. This was a multicenter prospective study based on universal antenatal screening for SARS-CoV-2 infection. A total of 42 hospitals tested women admitted for delivery using polymerase chain reaction, from March to May 2020. We included positive mothers and a sample of negative mothers asymptomatic throughout the antenatal period, with 6-week postpartum follow-up. Association between SARS-CoV-2 and obstetric outcomes was evaluated by multivariate logistic regression analyses. In total, 174 asymptomatic SARS-CoV-2 positive pregnancies were compared with 430 asymptomatic negative pregnancies. No differences were observed between both groups in key maternal and neonatal outcomes at delivery and follow-up, with the exception of prelabor rupture of membranes at term (adjusted odds ratio 1.88, 95% confidence interval 1.13–3.11; p = 0.015). Asymptomatic SARS-CoV-2 positive mothers have higher odds of prelabor rupture of membranes at term, without an increase in perinatal complications, compared to negative mothers. Pregnant women testing positive for SARS-CoV-2 at admission for delivery should be reassured by their healthcare workers in the absence of symptoms.
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spelling pubmed-78306262021-01-26 Obstetric Outcomes of SARS-CoV-2 Infection in Asymptomatic Pregnant Women Cruz-Lemini, Monica Ferriols Perez, Elena de la Cruz Conty, Maria Luisa Caño Aguilar, Africa Encinas Pardilla, Maria Begoña Prats Rodríguez, Pilar Muner Hernando, Marta Forcen Acebal, Laura Pintado Recarte, Pilar Medina Mallen, Maria del Carmen Perez Perez, Noelia Canet Rodriguez, Judit Villalba Yarza, Ana Nieto Velasco, Olga del Barrio Fernandez, Pablo Guillermo Orizales Lago, Carmen Maria Marcos Puig, Beatriz Muñoz Abellana, Begoña Fuentes Ricoy, Laura Rodriguez Vicente, Agueda Janeiro Freire, Maria Jesus Alferez Alvarez-Mallo, Macarena Casanova Pedraz, Cristina Alomar Mateu, Onofre Lesmes Heredia, Cristina Wizner de Alva, Juan Carlos Posadas San Juan, Alma Macia Badia, Montserrat Alvarez Colomo, Cristina Sanchez Muñoz, Antonio Pratcorona Alicart, Laia Alonso Saiz, Ruben Lopez Rodriguez, Monica Barbancho Lopez, Maria Carmen Meca Casbas, Marta Ruth Vaquerizo Ruiz, Oscar Moran Antolin, Eva Nuñez Valera, Maria Jose Fernandez Fernandez, Camino Tubau Navarra, Albert Cano Garcia, Alejandra Maria Soldevilla Perez, Susana Gattaca Abasolo, Irene Adanez Garcia, Jose Puertas Prieto, Alberto Ostos Serna, Rosa Guadix Martin, Maria del Pilar Catalina Coello, Monica Espuelas Malon, Silvia Sainz Bueno, Jose Antonio Granell Escobar, Maria Reyes Cruz Melguizo, Sara Martinez Perez, Oscar Viruses Article Around two percent of asymptomatic women in labor test positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Spain. Families and care providers face childbirth with uncertainty. We determined if SARS-CoV-2 infection at delivery among asymptomatic mothers had different obstetric outcomes compared to negative patients. This was a multicenter prospective study based on universal antenatal screening for SARS-CoV-2 infection. A total of 42 hospitals tested women admitted for delivery using polymerase chain reaction, from March to May 2020. We included positive mothers and a sample of negative mothers asymptomatic throughout the antenatal period, with 6-week postpartum follow-up. Association between SARS-CoV-2 and obstetric outcomes was evaluated by multivariate logistic regression analyses. In total, 174 asymptomatic SARS-CoV-2 positive pregnancies were compared with 430 asymptomatic negative pregnancies. No differences were observed between both groups in key maternal and neonatal outcomes at delivery and follow-up, with the exception of prelabor rupture of membranes at term (adjusted odds ratio 1.88, 95% confidence interval 1.13–3.11; p = 0.015). Asymptomatic SARS-CoV-2 positive mothers have higher odds of prelabor rupture of membranes at term, without an increase in perinatal complications, compared to negative mothers. Pregnant women testing positive for SARS-CoV-2 at admission for delivery should be reassured by their healthcare workers in the absence of symptoms. MDPI 2021-01-15 /pmc/articles/PMC7830626/ /pubmed/33467629 http://dx.doi.org/10.3390/v13010112 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cruz-Lemini, Monica
Ferriols Perez, Elena
de la Cruz Conty, Maria Luisa
Caño Aguilar, Africa
Encinas Pardilla, Maria Begoña
Prats Rodríguez, Pilar
Muner Hernando, Marta
Forcen Acebal, Laura
Pintado Recarte, Pilar
Medina Mallen, Maria del Carmen
Perez Perez, Noelia
Canet Rodriguez, Judit
Villalba Yarza, Ana
Nieto Velasco, Olga
del Barrio Fernandez, Pablo Guillermo
Orizales Lago, Carmen Maria
Marcos Puig, Beatriz
Muñoz Abellana, Begoña
Fuentes Ricoy, Laura
Rodriguez Vicente, Agueda
Janeiro Freire, Maria Jesus
Alferez Alvarez-Mallo, Macarena
Casanova Pedraz, Cristina
Alomar Mateu, Onofre
Lesmes Heredia, Cristina
Wizner de Alva, Juan Carlos
Posadas San Juan, Alma
Macia Badia, Montserrat
Alvarez Colomo, Cristina
Sanchez Muñoz, Antonio
Pratcorona Alicart, Laia
Alonso Saiz, Ruben
Lopez Rodriguez, Monica
Barbancho Lopez, Maria Carmen
Meca Casbas, Marta Ruth
Vaquerizo Ruiz, Oscar
Moran Antolin, Eva
Nuñez Valera, Maria Jose
Fernandez Fernandez, Camino
Tubau Navarra, Albert
Cano Garcia, Alejandra Maria
Soldevilla Perez, Susana
Gattaca Abasolo, Irene
Adanez Garcia, Jose
Puertas Prieto, Alberto
Ostos Serna, Rosa
Guadix Martin, Maria del Pilar
Catalina Coello, Monica
Espuelas Malon, Silvia
Sainz Bueno, Jose Antonio
Granell Escobar, Maria Reyes
Cruz Melguizo, Sara
Martinez Perez, Oscar
Obstetric Outcomes of SARS-CoV-2 Infection in Asymptomatic Pregnant Women
title Obstetric Outcomes of SARS-CoV-2 Infection in Asymptomatic Pregnant Women
title_full Obstetric Outcomes of SARS-CoV-2 Infection in Asymptomatic Pregnant Women
title_fullStr Obstetric Outcomes of SARS-CoV-2 Infection in Asymptomatic Pregnant Women
title_full_unstemmed Obstetric Outcomes of SARS-CoV-2 Infection in Asymptomatic Pregnant Women
title_short Obstetric Outcomes of SARS-CoV-2 Infection in Asymptomatic Pregnant Women
title_sort obstetric outcomes of sars-cov-2 infection in asymptomatic pregnant women
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7830626/
https://www.ncbi.nlm.nih.gov/pubmed/33467629
http://dx.doi.org/10.3390/v13010112
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