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2022
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| Online Access: | https://doi.org/10.3390/ijerph19095482 |
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| author | VILA CANDEL, RAFAEL González-Chordá VM Soriano Vidal, Francisco Javier Castro Sanchez, Enrique Rodríguez-Blanco N. Gómez-Seguí A Andreu-Pejó L Martínez-Porcar C Gonzálvez CR Torrent-Ramos P Asensio-Tomás N Herraiz-Soler Y Escuriet R Mena-Tudela D |
| author_facet | VILA CANDEL, RAFAEL González-Chordá VM Soriano Vidal, Francisco Javier Castro Sanchez, Enrique Rodríguez-Blanco N. Gómez-Seguí A Andreu-Pejó L Martínez-Porcar C Gonzálvez CR Torrent-Ramos P Asensio-Tomás N Herraiz-Soler Y Escuriet R Mena-Tudela D |
| contents | 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. |
| format | Recurso digital |
| id | zenodo_https___doi_org_10_3390_ijerph19095482 |
| institution | Zenodo |
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| publishDate | 2022 |
| publisher | Zenodo |
| record_format | zenodo |
| spellingShingle | Obstetric–Neonatal Care during Birth and Postpartum in Symptomatic and Asymptomatic Women Infected with SARS-CoV-2: A Retrospective Multicenter Study VILA CANDEL, RAFAEL González-Chordá VM Soriano Vidal, Francisco Javier Castro Sanchez, Enrique Rodríguez-Blanco N. Gómez-Seguí A Andreu-Pejó L Martínez-Porcar C Gonzálvez CR Torrent-Ramos P Asensio-Tomás N Herraiz-Soler Y Escuriet R Mena-Tudela D Administração pública e de empresas, ciências contábeis e turismo Astronomia / física Biodiversidade Biotecnología Ciência da computação Ciências agrárias i Ciências ambientais Ciências biológicas i Ciências biológicas ii Ciências biológicas iii Educação Educação física Enfermagem Engenharias i Engenharias ii Ensino Environmental sciences Environmental studies Farmacia Geociências Geografía Health, toxicology and mutagenesis Interdisciplinar Materiais Medicina i Medicina ii Medicina iii Nutrição Odontología Pollution Psicología Public health, environmental and occupational health Public, environmental & occupational health Química Saúde coletiva Serviço social Zootecnia / recursos pesqueiros 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. |
| title | Obstetric–Neonatal Care during Birth and Postpartum in Symptomatic and Asymptomatic Women Infected with SARS-CoV-2: A Retrospective Multicenter Study |
| topic | Administração pública e de empresas, ciências contábeis e turismo Astronomia / física Biodiversidade Biotecnología Ciência da computação Ciências agrárias i Ciências ambientais Ciências biológicas i Ciências biológicas ii Ciências biológicas iii Educação Educação física Enfermagem Engenharias i Engenharias ii Ensino Environmental sciences Environmental studies Farmacia Geociências Geografía Health, toxicology and mutagenesis Interdisciplinar Materiais Medicina i Medicina ii Medicina iii Nutrição Odontología Pollution Psicología Public health, environmental and occupational health Public, environmental & occupational health Química Saúde coletiva Serviço social Zootecnia / recursos pesqueiros |
| url | https://doi.org/10.3390/ijerph19095482 |