Obstetric–Neonatal Care during Birth and Postpartum in Symptomatic and Asymptomatic Women Infected with SARS-CoV-2: A Retrospective Multicenter Study

descriptionPublicationkeyboard_double_arrow_right Article , Other literature type , Other ORP type 30 Apr 2022 Spain, Spain, Spain, United Kingdom English Publisher:MDPI AGJournal:International Journal of Environmental Research and Public Health, volume 19, page 5,482 (eissn: 1660-4601,

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Authors: Rafael Vila-Candel; Víctor M. González-Chordá; Francisco Javier Soriano-Vidal; Enrique Castro-Sánchez; Noelia Rodríguez-Blanco; Ana Gómez-Seguí; Laura Andreu-Pejó; +7 Authors

doi: 10.3390/ijerph19095482

pmid: 35564880

pmc: PMC9103978

handle: 10550/82480 , 10550/82479 , 20.500.14342/5143 , 10234/198038 , 10044/1/97650

Obstetric–Neonatal Care during Birth and Postpartum in Symptomatic and Asymptomatic Women Infected with SARS-CoV-2: A Retrospective Multicenter Study

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Abstract

This study analyses the obstetric–neonatal outcomes of women in labour with symptomatic and asymptomatic COVID-19. A retrospective, multicenter, observational study was carried out between 1 March 2020 and 28 February 2021 in eight public hospitals in the Valencian community (Spain). The chi-squared test compared the obstetric–neonatal outcomes and general care for symptomatic and asymptomatic women. In total, 11,883 births were assisted in participating centers, with 10.9 per 1000 maternities (n = 130) infected with SARS-CoV-2. The 20.8% were symptomatic and had more complications both upon admission (p = 0.042) and during puerperium (p = 0.042), as well as transfer to the intensive care unit (ICU). The percentage of admission to the Neonatal Intensive Care Unit (NICU) was greater among offspring of symptomatic women compared to infants born of asymptomatic women (p < 0.001). Compared with asymptomatic women, those with symptoms underwent less labour companionship (p = 0.028), less early skin-to-skin contact (p = 0.029) and greater mother–infant separation (p = 0.005). The overall maternal mortality rate was 0.8%. No vertical transmission was recorded. In conclusion, symptomatic infected women are at increased risk of lack of labour companionship, mother–infant separation, and admission to the ICU, as well as to have preterm births and for NICU admissions.

Countries

Spain, Spain, Spain, United Kingdom

Related Organizations

Hospital de La Ribera
Spain
Hospital Universitario del Vinalopó
Spain
CEU Cardinal Herrera University
Spain
Université de Valencia
Spain
Jaume I University
Spain

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Keywords

Biotecnología, Medicina ii, Infectious Disease Transmission, Ciências agrárias i, Nutrição, Infermeria ginecològica, COVID-19 (Malaltia), labour, neonatal nursing, Educação física, Medicina iii, Pregnancy, Engenharias i, obstetric, Vertical, Zootecnia / recursos pesqueiros, Pregnancy Complications, Infectious, Geociências, Geografía, Biodiversidade, Engenharias ii, Postpartum Period, Infectious, Astronomia / física, Pregnancy Outcome, Public health, environmental and occupational health, Química, Public, Farmacia, Pollution, *SARS-CoV-2, Saúde coletiva, Health-promotion, Educação, *neonatal nursing, Ginecologia, Materiais, Premature Birth, Female, Ciências biológicas i, Ciência da computação, *COVID-19, Life Sciences & Biomedicine, Health, toxicology and mutagenesis, 610, obstetric nursing, *labour, Environmental Sciences & Ecology, Medicina i, Odontología, Environmental & Occupational Health, Article, 618, Administração pública e de empresas, ciências contábeis e turismo, Ciências biológicas iii, Llevadores, Ciências ambientais, Serviço social, Humans, Infermeria neonatal, Environmental studies, Retrospective Studies, Science & Technology, *obstetric, SARS-CoV-2, Infant, Newborn, Infant, Enfermagem, COVID-19, Interdisciplinar, Newborn, Psicología, Infectious Disease Transmission, Vertical, *obstetric nursing, Pregnancy Complications, Ensino, Environmental sciences, Ciências biológicas ii, Obstetrícia, Environmental Sciences, Public, environmental & occupational health

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