Obstetric and perinatal characteristics in pregnant women with SARS-CoV-2. Dos de Mayo National Hospital

Authors

  • Jorge Renato Aparicio-Ponce Hospital Nacional Dos de Mayo, Lima, Perú. Universidad Nacional Mayor de San Marcos, Lima, Perú
  • Sandra Teresa Salcedo-Hermoza Universidad Nacional Mayor de San Marcos. Lima, Perú
  • Sandra Viviana Aparicio-Salcedo Universidad Ricardo Palma. Lima, Perú
  • Ericson Leonardo Gutiérrez Ingunza Universidad San Ignacio de Loyola, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Lima, Perú.
  • Deyvis Pinao Egocheaga Hospital Nacional Dos de Mayo. Lima, Perú

DOI:

https://doi.org/10.35434/rcmhnaaa.2022.153.1369

Keywords:

COVID-19; pregnancy complications; pregnancy

Abstract

Introduction: The COVID-19 pandemic starts in Peru in March 2020. It appears that progression to severe forms of the disease in pregnant women is infrequent. The most frequent complications are premature rupture of membranes, premature delivery and fetal distress. Vertical transmission has not been demonstrated. National studies are mostly only from the first stage of the pandemic. Objective: determine the epidemiological, obstetric and perinatal characteristics in pregnant women with SARS-CoV-2. Material and methods: A descriptive study was conducted at the Hospital Nacional Dos de Mayo. A total of 579 SARS-CoV-2 positive pregnant women and 533 newborns were admitted. Medical records were reviewed. Descriptive statistics were performed. The study is registered in PRISA with code EI00002469. Results: SARS-CoV-2 was detected by serological antibodies in 91.0% and in 8.0% by antigenic test. Of the cases, 94.5% (547/579) remained asymptomatic. Nineteen cases (3.3%) were complicated by COVID-19 pneumonia. There were no obstetric complications in 65.5%; the most common were premature rupture of membranes (9,7%), preeclampsia (8,2%) and urinary tract infection (5,0%). Neonatal characteristics such as gestational age, birth weight and Apgar were mostly within normal limits. Conclusion: that pregnant women with SARS-CoV-2 are mostly asymptomatic, have a low frequency of complications and the newborns do not present major complications.

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Author Biographies

Jorge Renato Aparicio-Ponce, Hospital Nacional Dos de Mayo, Lima, Perú. Universidad Nacional Mayor de San Marcos, Lima, Perú

1. Médico Especialista en Ginecología y Obstetricia, Doctor en Medicina

Sandra Teresa Salcedo-Hermoza, Universidad Nacional Mayor de San Marcos. Lima, Perú

1. Médico Especialista en Ginecología y Obstetricia

Sandra Viviana Aparicio-Salcedo, Universidad Ricardo Palma. Lima, Perú

1. Estudiante de Medicina

Ericson Leonardo Gutiérrez Ingunza, Universidad San Ignacio de Loyola, Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud, Lima, Perú.

1. Médico Especialista en Gestión en Salud

Deyvis Pinao Egocheaga, Hospital Nacional Dos de Mayo. Lima, Perú

1. Hospital Nacional Dos de Mayo. Lima, Perú

References

Organización Panamericana de la Salud, Organización Mundial de la Salud. La OMS caracteriza a COVID-19 como una pandemia [Internet]. 2020. Available from: https://www.paho.org/es/noticias/11-3-2020-oms-caracteriza-covid-19-como-pandemia#:~:text=Ginebra%2C 11 de marzo de,puede caracterizarse como una pandemia

Schwartz DA, Graham AL. Potential Maternal and Infant Outcomes from Coronavirus 2019-nCoV (SARS-CoV-2) Infecting Pregnant Women: Lessons from SARS, MERS, and Other Human Coronavirus Infections. Viruses [Internet]. 2020 Feb 10 [cited 2022 Feb 8];12(2):194. Available from: https://www.mdpi.com/1999-4915/12/2/194

Ministerio de Salud. Minsa: Casos confirmados por coronavirus COVID-19 ascienden a 2 202 189 en el Perú (Comunicado N°734) - Gobierno del Perú [Internet]. [cited 2022 Feb 8]. Available from: https://www.gob.pe/institucion/minsa/noticias/550679-minsa-casos-confirmados-por-coronavirus-covid-19-ascienden-a-2-202-189-en-el-peru-comunicado-n-734

Organización Mundial de la Salud. Información basíca sobre la COVID-19 [Internet]. 2021 [cited 2022 Feb 8]. Available from: https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-covid-19

Wong SF, Chow KM, Leung TN, Ng WF, Ng TK, Shek CC, et al. Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol [Internet]. 2004 Jul [cited 2022 Feb 8];191(1):292–7. Available from: https://pubmed.ncbi.nlm.nih.gov/15295381/

Jamieson DJ, Rasmussen SA. An update on COVID-19 and pregnancy. Am J Obstet Gynecol [Internet]. 2022;226(2):177–86. Available from: https://doi.org/10.1016/j.ajog.2021.08.054

FLAMP. COVID-19 Obstetricia y Perinatología [Internet]. 1°. Avila D, Cardona A, Garrido J, Karchmer S, Molina-Giraldo S, Puertas A, editors. Guayaquil, Ecuador; 2020 [cited 2022 Feb 23]. Available from: www.flamp.site

Novoa RH, Quintana W, Llancarí P, Urbina-Quispe K, Guevara-Ríos E, Ventura W. Maternal clinical characteristics and perinatal outcomes among pregnant women with coronavirus disease 2019. A systematic review. Travel Med Infect Dis [Internet]. 2021;39(November 2020):101919. Available from: https://doi.org/10.1016/j.tmaid.2020.101919

Arroyo-Sánchez AS, Marruffo Chirinos MF, Mendiburu Egúsquiza T, Paredes Rodríguez B. Gestantes con enfermedad por coronavirus 2019 y transmisión vertical intrauterina: una revisión sistemática. Rev Peru Ginecol y Obstet [Internet]. 2020 Nov 9 [cited 2022 Feb 8];66(3):1. Available from: http://www.spog.org.pe/web/revista/index.php/RPGO/article/view/2277

Vivanti AJ, Vauloup-Fellous C, Prevot S, Zupan V, Suffee C, Do Cao J, et al. Transplacental transmission of SARS-CoV-2 infection. Nat Commun. 2020 Dec 1;11(1).

Huerta Saenz IH, Elías Estrada CJ, Campos del Castillo K, Muñoz Taya R, Coronado JC. Características materno perinatales de gestantes COVID-19 en un hospital nacional de Lima, Perú. Rev Peru Ginecol y Obstet [Internet]. 2020 Jun 11 [cited 2022 Feb 8];66(2):1–6. Available from: http://spog.org.pe/web/revista/index.php/RPGO/article/view/2245

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 | Revista Peruana de Investigación Materno Perinatal. Rev Peru Investig Matern Perina [Internet]. 2020 [cited 2022 Feb 8];9(1):13–20. Available from: https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/198

Guevara-Ríos E, Espinola-Sánchez M, Asmat CC-, Ayala-Peralta F, Álvarez-Carrasco R, Figueroa AL-, et al. Anticuerpos anti-SARS-COV-2 en gestantes en un hospital nivel III de Perú. Rev Peru Ginecol y Obstet [Internet]. 2020 Nov 6 [cited 2022 Feb 8];66(3). Available from: http://www.spog.org.pe/web/revista/index.php/RPGO/article/view/2259

Dávila-Aliaga C, Hinojosa-Pérez R, Espinola-Sánchez M, Torres-Marcos E, Guevara-Ríos E, Espinoza-Vivas Y, et al. Resultados materno-perinatales en gestantes con COVID-19 en un hospital nivel III del Perú. Rev Peru Med Exp Salud Publica [Internet]. 2021 Mar 26 [cited 2022 Feb 8];38(1):58–63. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/6358/4144

Vera Loyola EM, Montenegro Cruz I, Cruzate Cabrejos V, Marcelo Pacheco H, Arce Benitez M, Pelaez Chomba M. Gestación en tiempos de pandemia COVID-19. Hospital Nacional Docente Madre Niño San Bartolomé, Lima, Perú. Rev Peru Ginecol y Obstet [Internet]. 2020 Nov 6 [cited 2022 Feb 8];66(3):1. Available from: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2304-51322020000300003&lng=es&nrm=iso&tlng=es

Zumalave Grados, Isabel Lacunza Paredes R, Benavides Zavala G, Aliaga Yauri M, Paredes Loli L, Sembrera E, Vasquez A, et al. Características de la infección en gestantes y puérperas por SARS-CoV-2, en el hospital nacional del Callao, Perú. Rev Peru Ginecol y Obstet [Internet]. 2020 Nov 6 [cited 2022 Feb 8];66(3):1–5. Available from: http://www.spog.org.pe/web/revista/index.php/RPGO/article/view/2271

Huatuco-Hernández JA, Paredes-Villanueva FJ, Quispe-Cuestas MI, Fiestas-Pflücker GA, Nuñez-Rodas M, Salazar-Cuba X, et al. Características maternas y resultados perinatales en mujeres peruanas infectadas con COVID-19: un estudio observacional y transversal. Rev Cuerpo Med HNAAA [Internet]. 2021 Nov 1 [cited 2022 Feb 23];14(3):344–51. Available from: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2227-47312021000400015&lng=es&nrm=iso&tlng=es

Dávila Mejía MN. Características obstétricas y neonatales en gestantes con COVID-19 hospital nacional Daniel Alcides Carrión Callao enero- junio 2021 [Internet]. Universidad Privada San Juan Bautista; 2021 [cited 2022 Feb 23]. Available from: https://alicia.concytec.gob.pe/vufind/Record/UPSJ_cac9d080e8c1bb8990680bead48aba2d/Description

Palacios Huamán KH. Complicaciones obstétricas en gestantes positivo a COVID-19 (SARS-CoV-2) en el hospital de Chancay, Perú 2021 [Internet]. Nuniversidad Nacional José Faustino Sánchez Carrión; 2021 [cited 2022 Feb 23]. Available from: http://repositorio.unjfsc.edu.pe/handle/UNJFSC/5028

Knight M, Bunch K, Vousden N, Morris E, Simpson N, Gale C, et al. Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: national population based cohort study. BMJ [Internet]. 2020 Jun 8 [cited 2022 Feb 9];369. Available from: https://pubmed.ncbi.nlm.nih.gov/32513659/

Hernández O, Honorato M, Silva MC, Sepúlveda-Martínez Á, Fuenzalida J, Abarzúa F, et al. COVID 19 y embarazo en Chile: Informe preliminar del estudio multicéntrico GESTACOVID. Rev Chil Obstet Ginecol [Internet]. 2020 Sep 1 [cited 2022 Feb 9];85:S75–89. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75262020000700011&lng=es&nrm=iso&tlng=es

Urgellés Carreras S, Segura Fernández A, León Cid I, Alvarez Fiallo M, Reyes Guerrero E, Acosta León O, et al. Caracterización clínico epidemiológica de las gestantes sospechosas y positivas a la COVID-19. Rev Cuba Med Mil [Internet]. 2020 [cited 2022 Feb 9];49(3). Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572020000300024&lng=es. Epub 25-Nov-2020.

Muñoz Ordoñez EJ. Características socio demográficas y clínicas de gestantes COVID-19 atendidas en el Hospital José Soto Cadenillas Chota, Abril 2020 - Enero 2021 [Internet]. Universidad Señor de Sipán; 2021. Available from: https://hdl.handle.net/20.500.12802/8241

Ministerio de Salud. Resolución Ministerial N° 306-2020-MINSA - Normas y documentos legales - Ministerio de Salud - Gobierno del Perú [Internet]. 2020 [cited 2022 Aug 8]. Available from: https://www.gob.pe/institucion/minsa/normas-legales/581079-306-2020-minsa

Ministerio de Salud. Resolución Ministerial N° 905-2020-MINSA - Normas y documentos legales - Ministerio de Salud - Gobierno del Perú [Internet]. 2020 [cited 2022 Aug 8]. Available from: https://www.gob.pe/institucion/minsa/normas-legales/1322786-905-2020-minsa

Lokken EM, Huebner EM, Taylor GG, Hendrickson S, Vanderhoeven J, Kachikis A, et al. Disease severity, pregnancy outcomes, and maternal deaths among pregnant patients with severe acute respiratory syndrome coronavirus 2 infection in Washington State. Am J Obstet Gynecol [Internet]. 2021 Jul 1 [cited 2022 Feb 9];225(1):77.e1-77.e14. Available from: https://pubmed.ncbi.nlm.nih.gov/33515516/

Sola A, Rodríguez S, Cardetti M, Dávila C. COVID-19 perinatal en América Latina. Rev Panam Salud Pública. 2020;44:1–4.

Viruez-Soto JA, Olaya-Garay SX, Quiñones-Quiñones E, Murillo-García DR, Ibáñez-Rodríguez CE, Franco-Hernández GA, et al. COVID-19 y obstetricia crítica en cuatro países de Latinoamérica. Respirar [Internet]. 2021;13(2):65–71. Available from: https://alatorax.org/es/publicaciones/respirar/33/covid-19-y-obstetricia-critica-en-cuatro-paises-de-latinoamerica

Published

2022-10-03

How to Cite

1.
Aparicio-Ponce JR, Salcedo-Hermoza ST, Aparicio-Salcedo SV, Gutiérrez Ingunza EL, Pinao Egocheaga D. Obstetric and perinatal characteristics in pregnant women with SARS-CoV-2. Dos de Mayo National Hospital. Rev. Cuerpo Med. HNAAA [Internet]. 2022 Oct. 3 [cited 2024 May 19];15(3):381-6. Available from: http://www.cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/1369