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Revista Colombiana de Obstetricia y Ginecología
Print version ISSN 0034-7434On-line version ISSN 2463-0225
Abstract
ZUNIGA-BRICENO, Alma Iris; ERAZO-FINO, Luz Enid and BURGOS-ZUNIGA, Claudia Carolina. Maternal and perinatal outcomes in pregnant women with confirmed COVID-19 infection, Santa Teresa Hospital, Comayagua, Honduras. Case series. Rev Colomb Obstet Ginecol [online]. 2022, vol.73, n.2, pp.175-183. Epub May 30, 2022. ISSN 0034-7434. https://doi.org/10.18597/rcog.3762.
Objectives:
To describe maternal and perinatal outcomes in pregnant women with confirmed COVID-19 infection in a hospital in Comayagua, Honduras.
Material and methods:
Descriptive case series study that included symptomatic pregnant women who came or were referred between March 1, 2020 and March 31, 2021 to a public referral institution, with PCR-confirmed diagnosis of COVID-19 infection. Sociodemographic, obstetric considerations, infection severity, length of hospital stay, and maternal and perinatal complications were the measured variables. The frequency of COVID-19 infection and the maternal and perinatal outcomes of these gestations were estimated. A descriptive analysis was performed.
Results:
A total of 2258 pregnant women were seen during the study period. Of them, 23 who met the selection criteria were included, for a frequency of COVID-19 infection of 1.01 %. The study population characteristically consisted of young women living in common-law marriage. Thirteen patients were managed as outpatients because of a mild clinical condition, and 10 were hospitalized. The pregnant women managed as outpatients were delivered by cesarean section (76.9 %) due to dissatisfactory fetal status at a gestational age of 37 weeks or more, with 3 pre-term delivery cases (36 weeks) documented. Of the hospitalized patients, one had a miscarriage and nine were delivered due to an obstetric indication. There was one case of premature birth, and one maternal (4 %) and one neonatal death were documented.
Conclusions:
During the study period, 1 % of the pregnant women had COVID-19 infection at the Santa Teresa Hospital in Comayagua. Further studies analyzing the maternal and perinatal impact of COVID-19 infection in the Central American region are required.
Keywords : Epidemics; coronavirus; pneumonia; SARS.