Obstetric patient care in the context of COVID-19 pandemic
Keywords:
COVID-19, pregnant, puerperal.Abstract
The infection caused by SARS-CoV-2 had a negative impact on the clinical evolution of a significant number of pregnant and puerperal women worldwide. The aim of this work is to present the main results of the organization of the obstetric patient care process in the context of the COVID-19 pandemic. It is based on the organization and fundamental elements followed with the patients who were admitted, for conditions related to abortion, pregnancy or puerperium, with suspicion of COVID-19 or with positive RT-PCR for SARS-CoV-2, in the year 2020, and those positive to SARS-CoV-2 in 2021, from Havana, Mayabeque and Artemisa provinces, who were attended at the Central Military Hospital "Dr. Luis Díaz Soto". The total number of cases admitted, confirmed patients, admissions to the obstetric intensive care unit, obstetric intensive surveillance service, and clinical evolution were taken into account. With the organization of medical care for obstetric patients with COVID-19, compliance with established protocols and multidisciplinary integration in the follow-up of cases was achieved, which contributed to the favorable evolution of most patients.Downloads
References
2. Caparros-González Rafael A. Consecuencias maternas y neonatales de la infección por coronavirus Covid-19 durante el embarazo: una scoping review. Rev. Esp. Salud Pública. 2020 [acceso: 06/06/2021]; 94: 202004033. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1135-57272020000100095
3. Rasmussen SA, Smulian JC, Lednicky JA, Wen TS, Jamieson DJ. Coronavirus Disease 2019 (COVID-19) and Pregnancy: What obstetricians need to know. Am J Obstet Gynecol. 2020 [acceso: 05/06/2021]; 222(5): 415-26. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093856/
4. Royal College of Obstetricians and Gynecologists, The Royal College of Midwives. Coronavirus (COVID-19) Infection in Pregnancy. Information for healthcare professionals, Version 14.1. London: Royal College of Paediatric and Child Care, Royal College of Anaesthetics; 2021. [acceso: 06/06/2021]. Disponible en: https://www.rcm.org.uk/media/5619/2021-11-02-coronavirus-covid-19-infection-in-pregnancy-v141.pdf
5. Islas Cruz MF, Cerón Gutiérrez D, Templos Morales A, Ruvalcaba Ledezma JC, Cotarelo Pérez AK, Reynoso Vázquez J, et al. Complicaciones por infección de Covid-19 en mujeres embarazadas y neonatos en el año 2020. JONNPR. 2020 [acceso: 06/06/2021]; 6(6):881-97. Disponible en: https://revistas.proeditio.com/jonnpr/article/view/4131/HTML4131
6. Dashraath P, Wong JLJ, Lim MXK, Lim LM, Li S, Biswas A, et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol. 2020 [acceso: 06/06/2021]; 222(6):521-31. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270569/
7. Balderas-Delgado C, Cabrera-García A, Baptista-González Héctor A. Embarazo y COVID-19. Consideraciones en la práctica de la hematología. Gac. Méd. Méx. 2021 [acceso: 21/01/2023]; 157(3): S112-S119. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0016-38132021000900016&lng=es
8. Guevara-Ríos E, Carranza-Asmat C, Zevallos-Espinoza K, Espinola-Sánchez M, Arango-Ochante P, Ayala-Peralta FD, et al. Prevalencia y caracterización de gestantes seropositivas para SARS-CoV-2. Investigación Materno Perinatal. 2020 [acceso: 02/06/2021]; 9(2):11-5. Disponible en: https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/198
9. Vigil De Gracia P, Martinz Restrepo A, Bravo Vásquez R, Smith Gallardo A, Epifanio Malpassi R, Sánchez Salazar J. Guías para el manejo de la embarazada con coronavirus (Covid-19). Panamá: Sociedad panameña de obstetricia y ginecología (SPOG); 2020. [acceso: 06/06/2021]. Disponible en: https://www.minsa.gob.pa/sites/default/files/publicacion-general/manejo_de_pacientes_embarazadas_intrahospitalariamente_.pdf
10. Grupo de Trabajo Regional para la Reducción de la Mortalidad Materna (GTR). La Mortalidad Materna en América Latina y el Caribe y la Enfermedad del Nuevo Coronavirus (COVID-19). Resumen técnico. 2020 [acceso: 06/06/2021]. Disponible en: https://www.researchgate.net/publication/347842232_La_Mortalidad_Materna_en_-America_Latina_y_el_Caribe_y_la_Enfermedad_del_Nuevo_Coronavirus_COVID-19_Resumen_Tecnico_10_de_diciembre_de_2020
11. Segura Fernández A, León Cid I, Urgellés Carreras S. Caracterización clínica de las pacientes obstétricas con sospecha de la COVID-19. Revista Cubana de Medicina Militar. 2020 [acceso: 06/01/2023]; 49(3):e0200796. Disponible en: http://www.revmedmilitar.sld.cu/index.php/mil/article/view/796
12. Urgellés Carreras S, Segura Fernández A, Álvarez Fiallo M, Reyes Guerrero E, Acosta León O, Rodríguez Iglesias G, Atienza Barzaga A. Caracterización clínico epidemiológica de las gestantes sospechosas y positivas a la infección por covid-19. Revista Cubana de Medicina Militar. 2020 [acceso: 06/05/2023]; 49(4): e0200800. Disponible en: https://revmedmilitar.sld.cu/index.php/mil/article/view/800
13. Pérez Assef A, Rivero Martínez H, Pereda González R, Breto García B, Piloto Padrón M, Oviedo Rodríguez R. Protocolo para el tratamiento de la enfermedad por COVID-19 (SARS-CoV-2) en pacientes obstétricas ingresadas en cuidados intensivos. Revista Cubana de Medicina Intensiva y Emergencias. 2020 [acceso: 15/04/2020];19(2):e74.1-29. Disponible en: https://revmie.sld.cu/index.php/mie/article/view/745/html
14. Rodríguez Brito A, Olivera Pérez D. Covid-19 y oportunidades para el bienestar materno-infantil en Cuba. Interface. 2021 [acceso: 15/03/2023]; 25(Supl. 1): [aprox. 4 p]. Disponible en: https://www.scielosp.org/article/icse/2021.v25suppl1/e200589/
15. Bonatti AT, Miller N, Carvalhaes MABL, Jensen R, Parada CMGL. Factors associated with death among postpartum women with COVID-19: a Brazilian population-based study. Rev. Latino-Am. Enfermagem. 2021 [acceso: 15/03/2023]; 29:e3507. 1-13. Disponible en: https://www.scielo.br/j/rlae/a/SRBH9H6ddbFtYsNq9QG67Jj/?format=pdf&lang=es
Published
How to Cite
Issue
Section
License
Authors who have publications with this Journal accept the following terms:
- The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
- The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
- Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.