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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...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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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. |
format | Online Article Text |
id | pubmed-7830626 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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