Clinical and epidemiological characteristics of postpartum women with positive SARS-COV-2 detection tests and their newborns, who were attended at the hospital Edgardo Rebagliati Martins in the period from march to august 2020
DOI:
https://doi.org/10.61651/rped.2022v74n3p09-17Keywords:
COVID-19, Infectious Disease Transmission, Vertical, Pregnant Women, Infant, NewbornAbstract
Objective: To describe the clinical and epidemiological characteristics of postpartum women with positive SARS-COV-2 detection tests and their newborns, who were attended at the Hospital Edgardo Rebagliati Martins in the period from March to August 2020.
Material and Methods: A descriptive, retrospective and observational study was carried out.
Results: Of 265 pregnant women with COVID-19 confirmed by RT-PCR or serological test, only 9.81% were symptomatic. The most frequent symptoms were cough and fever. The cesarean section rate was 56.25% and deliveries < 37 weeks were 18.50%. RT-PCR was performed on all newborns (268); in 5 (1.87%) of them the result of the swab was positive. 4 were asymptomatic, 1 had respiratory distress attributable to extreme prematurity (23 weeks); none died. Children of symptomatic mothers were more likely to require hospitalization than children of asymptomatic mothers (OR 11; 95% CI: 4.6 – 26.28). Respiratory distress was the most frequent symptom (76.47%) at admission of the newborns who required hospitalization and 87.3% of the newborns did not receive breast milk during their hospital stay.
Conclusions: Symptomatic maternal SARS-COV-2 infection is associated with a higher risk of morbidity in their newborn. SARS-COV-2 infection in the newborn is unlikely and it is usually asymptomatic. Based on these results, the separation of the mother-child binomial is not justified.
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