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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Vila-Candel, Rafael, González-Chordá, Víctor M., Soriano-Vidal, Francisco Javier, Castro-Sánchez, Enrique ORCID: https://orcid.org/0000-0002-3351-9496, Rodríguez-Blanco, Noelia, Gómez-Seguí, Ana, Andreu-Pejó, Laura, Martínez-Porcar, Cristina, Rodríguez Gonzálvez, Carmen, Torrent-Ramos, Patricia, Asensio-Tomás, Nieves, Herraiz-Soler, Yolanda, Escuriet, Ramon and Mena-Tudela, Desirée (2022) Obstetric–neonatal care during birth and postpartum in symptomatic and asymptomatic women infected with SARS-CoV-2: a retrospective multicenter study. International Journal of Environmental Research and Public Health, 19 (9). p. 5482. ISSN 1661-7827

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Official URL: https://doi.org/10.3390/ijerph19095482

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.

Item Type:	Article
Identifier:	10.3390/ijerph19095482
Additional Information:	© 2022 by the authors. Licensee MDPI, Basel, Switzerland. Citation: Vila-Candel, R.; González-Chordá, V.M.; Soriano-Vidal, F.J.; Castro-Sánchez, E.; Rodríguez-Blanco, N.; Gómez-Seguí, A.; Andreu-Pejó, L.; Martínez-Porcar, C.; Rodríguez Gonzálvez, C.; Torrent-Ramos, P.; et al. Obstetric–Neonatal Care during Birth and Postpartum in Symptomatic and Asymptomatic Women Infected with SARS-CoV-2: A Retrospective Multicenter Study. Int. J. Environ. Res. Public Health 2022, 19, 5482. https:// doi.org/10.3390/ijerph19095482
Keywords:	COVID-19; SARS-CoV-2; Obstetric nursing; Neonatal nursing; Delivery; Obstetric
Subjects:	Medicine and health > Health promotion and public health
Related URLs:	Publisher
Depositing User:	Enrique Castro Sanchez
Date Deposited:	29 Apr 2022 14:18
Last Modified:	06 Feb 2024 16:10
URI:	https://repository.uwl.ac.uk/id/eprint/9033