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Management of labour, puerperium, and lactation in SARS-CoV-2 positive women. Multicentric study in the Valencian Community()

OBJECTIVE: To determine the maternal and perinatal impact of pregnant women with SARS-CoV-2 positive polymerase chain reaction during childbirth and post clinical period. METHOD: Observational descriptive, retrospective, and multicentre study carried out through the review of clinical records of pre...

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Detalles Bibliográficos
Autores principales: Vila-Candel, Rafael, Mena-Tudela, Desirée, Gómez-Seguí, Ana, Asensio-Tomás, Nieves, Cervera-Gasch, Agueda, Herraiz-Soler, Yolanda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier España, S.L.U. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8059941/
https://www.ncbi.nlm.nih.gov/pubmed/33610456
http://dx.doi.org/10.1016/j.enfcle.2021.01.002
Descripción
Sumario:OBJECTIVE: To determine the maternal and perinatal impact of pregnant women with SARS-CoV-2 positive polymerase chain reaction during childbirth and post clinical period. METHOD: Observational descriptive, retrospective, and multicentre study carried out through the review of clinical records of pregnant women admitted for delivery from 1 March to 30 June 2020. RESULTS: Thirteen women with SARS-CoV-2 positive polymerase chain reaction were tested. The prevalence of positive cases was 0.48% of the total number of births attended during the study period. None of the mothers developed complications from COVID-19 infection, nor did they require admission to the Intensive Care Unit. Of the births, 15.4% ended in caesarean section, 7.7% were premature, 53.8% of the newborns were isolated from their mothers, 61.5% had late clamping of the umbilical cord and the rate of exclusive breastfeeding at discharge was 76.9%. All the newborns were polymerase chain reaction-negative for COVID-19 and had no postpartum complications. CONCLUSIONS: Vertical transmission during childbirth in newborns of COVID-19 positive mothers has not been reported. Clinical practices not supported by scientific evidence were detected at the beginning of the pandemic and adapted to international recommendations as the pandemic evolved.