Universal Screening for SARS-CoV-2 in Obstetric Care: Clinical Characteristics and Maternofetal Outcomes in a Latin American High-Complexity Unit
The asymptomatic population's role in COVID-19 transmission poses challenges for control efforts. Pregnant women are susceptible to severe manifestations, increasing maternal and perinatal morbidity and mortality. This study describes the clinical characteristics, maternal and fetal outcomes, a...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-11-01
|
| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735231213764 |
| _version_ | 1797625195729518592 |
|---|---|
| author | María Fernanda Escobar Vidarte MD, MSc Maria Paula Echavarria MD, MSc Javier Andrés Carvajal MD Ludwig Luis Albornoz MD Evelyn E. Peña-Zarate MD Laura Libreros MD Daniela Nasner MD Juan Diego Vélez MD |
| author_facet | María Fernanda Escobar Vidarte MD, MSc Maria Paula Echavarria MD, MSc Javier Andrés Carvajal MD Ludwig Luis Albornoz MD Evelyn E. Peña-Zarate MD Laura Libreros MD Daniela Nasner MD Juan Diego Vélez MD |
| author_sort | María Fernanda Escobar Vidarte MD, MSc |
| collection | DOAJ |
| description | The asymptomatic population's role in COVID-19 transmission poses challenges for control efforts. Pregnant women are susceptible to severe manifestations, increasing maternal and perinatal morbidity and mortality. This study describes the clinical characteristics, maternal and fetal outcomes, and our experience in universal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) screening of pregnant women admitted to a high-complexity obstetric unit in Latin America. Of 568 pregnant women tested for SARS-CoV-2, 23 obtained a positive result. Among these patients, 17% had symptoms at admission, and 0.2% reported an epidemiological link. Pregnant women with positive were associated with an increased risk of eclampsia (16.7% vs 4.9%, P = .014) and acute respiratory distress (16.7% vs 4.9%, P = .014). In this group, 4 patients developed maternal near misses, and no maternal deaths were noted. Two early perinatal deaths occurred in the positive SARS-CoV-2 test group (2, 9.5% vs 17, 4.1%, P = .235). The high prevalence of asymptomatic pregnant women with SARS-CoV-2 and the adverse outcomes for those infected during pregnancy highlights the importance of universal screening upon hospital admission. This approach streamlines risk management, and enhances service structure, resource allocation, care pathways, patient management, follow-up, and overall outcomes. |
| first_indexed | 2024-03-11T09:53:08Z |
| format | Article |
| id | doaj.art-945065512a1d4d70928d11e685ec0f6c |
| institution | Directory Open Access Journal |
| issn | 2374-3743 |
| language | English |
| last_indexed | 2024-03-11T09:53:08Z |
| publishDate | 2023-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj.art-945065512a1d4d70928d11e685ec0f6c2023-11-16T16:04:18ZengSAGE PublishingJournal of Patient Experience2374-37432023-11-011010.1177/23743735231213764Universal Screening for SARS-CoV-2 in Obstetric Care: Clinical Characteristics and Maternofetal Outcomes in a Latin American High-Complexity UnitMaría Fernanda Escobar Vidarte MD, MSc0Maria Paula Echavarria MD, MSc1Javier Andrés Carvajal MD2Ludwig Luis Albornoz MD3Evelyn E. Peña-Zarate MD4Laura Libreros MD5Daniela Nasner MD6Juan Diego Vélez MD7 Facultad de Ciencias de la Salud, , Cali, Valle del Cauca, Colombia Facultad de Ciencias de la Salud, , Cali, Valle del Cauca, Colombia Facultad de Ciencias de la Salud, , Cali, Valle del Cauca, Colombia Department of Pathology, , Cali, Valle del Cauca, Colombia Centro de Investigaciones Clínicas, , Cali, Valle del Cauca, Colombia Centro de Investigaciones Clínicas, , Cali, Valle del Cauca, Colombia Centro de Investigaciones Clínicas, , Cali, Valle del Cauca, Colombia Department of Infectious Disease, , Cali, Valle del Cauca, ColombiaThe asymptomatic population's role in COVID-19 transmission poses challenges for control efforts. Pregnant women are susceptible to severe manifestations, increasing maternal and perinatal morbidity and mortality. This study describes the clinical characteristics, maternal and fetal outcomes, and our experience in universal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) screening of pregnant women admitted to a high-complexity obstetric unit in Latin America. Of 568 pregnant women tested for SARS-CoV-2, 23 obtained a positive result. Among these patients, 17% had symptoms at admission, and 0.2% reported an epidemiological link. Pregnant women with positive were associated with an increased risk of eclampsia (16.7% vs 4.9%, P = .014) and acute respiratory distress (16.7% vs 4.9%, P = .014). In this group, 4 patients developed maternal near misses, and no maternal deaths were noted. Two early perinatal deaths occurred in the positive SARS-CoV-2 test group (2, 9.5% vs 17, 4.1%, P = .235). The high prevalence of asymptomatic pregnant women with SARS-CoV-2 and the adverse outcomes for those infected during pregnancy highlights the importance of universal screening upon hospital admission. This approach streamlines risk management, and enhances service structure, resource allocation, care pathways, patient management, follow-up, and overall outcomes.https://doi.org/10.1177/23743735231213764 |
| spellingShingle | María Fernanda Escobar Vidarte MD, MSc Maria Paula Echavarria MD, MSc Javier Andrés Carvajal MD Ludwig Luis Albornoz MD Evelyn E. Peña-Zarate MD Laura Libreros MD Daniela Nasner MD Juan Diego Vélez MD Universal Screening for SARS-CoV-2 in Obstetric Care: Clinical Characteristics and Maternofetal Outcomes in a Latin American High-Complexity Unit Journal of Patient Experience |
| title | Universal Screening for SARS-CoV-2 in Obstetric Care: Clinical Characteristics and Maternofetal Outcomes in a Latin American High-Complexity Unit |
| title_full | Universal Screening for SARS-CoV-2 in Obstetric Care: Clinical Characteristics and Maternofetal Outcomes in a Latin American High-Complexity Unit |
| title_fullStr | Universal Screening for SARS-CoV-2 in Obstetric Care: Clinical Characteristics and Maternofetal Outcomes in a Latin American High-Complexity Unit |
| title_full_unstemmed | Universal Screening for SARS-CoV-2 in Obstetric Care: Clinical Characteristics and Maternofetal Outcomes in a Latin American High-Complexity Unit |
| title_short | Universal Screening for SARS-CoV-2 in Obstetric Care: Clinical Characteristics and Maternofetal Outcomes in a Latin American High-Complexity Unit |
| title_sort | universal screening for sars cov 2 in obstetric care clinical characteristics and maternofetal outcomes in a latin american high complexity unit |
| url | https://doi.org/10.1177/23743735231213764 |
| work_keys_str_mv | AT mariafernandaescobarvidartemdmsc universalscreeningforsarscov2inobstetriccareclinicalcharacteristicsandmaternofetaloutcomesinalatinamericanhighcomplexityunit AT mariapaulaechavarriamdmsc universalscreeningforsarscov2inobstetriccareclinicalcharacteristicsandmaternofetaloutcomesinalatinamericanhighcomplexityunit AT javierandrescarvajalmd universalscreeningforsarscov2inobstetriccareclinicalcharacteristicsandmaternofetaloutcomesinalatinamericanhighcomplexityunit AT ludwigluisalbornozmd universalscreeningforsarscov2inobstetriccareclinicalcharacteristicsandmaternofetaloutcomesinalatinamericanhighcomplexityunit AT evelynepenazaratemd universalscreeningforsarscov2inobstetriccareclinicalcharacteristicsandmaternofetaloutcomesinalatinamericanhighcomplexityunit AT lauralibrerosmd universalscreeningforsarscov2inobstetriccareclinicalcharacteristicsandmaternofetaloutcomesinalatinamericanhighcomplexityunit AT danielanasnermd universalscreeningforsarscov2inobstetriccareclinicalcharacteristicsandmaternofetaloutcomesinalatinamericanhighcomplexityunit AT juandiegovelezmd universalscreeningforsarscov2inobstetriccareclinicalcharacteristicsandmaternofetaloutcomesinalatinamericanhighcomplexityunit |