COVID-19 and pregnancy. Review and update

Authors

  • Paulino Vigil De Gracia Dr. AAM Hospital Complex – Social Security Fund. Panama, Panama.
  • Luis Carlos Caballero Gynecologist-Obstetrician, Luis “Chico Fábrega” Hospital, Santiago-Veraguas, Panama.
  • Jorge Ng Chinkee Dr. AAM Hospital Complex – Social Security Fund. Panama, Panama.
  • Carlos Luo Gynecologist-Obstetrician, Panama, Panama.
  • Jaime Sánchez Santo Tomas Hospital, Panama, Panama.
  • Arelys Quintero Gynecologist-Obstetrician, Jose Domingo de Obaldia Hospital, David-Chiriqui, Panama.
  • Jorge Espinosa Santo Tomas Hospital, Panama, Panama.
  • Sara E. Campana Soto Dr. AAM Hospital Complex – Social Security Fund. Panama, Panama.

DOI:

https://doi.org/10.31403/rpgo.v66i2248

Abstract

Objective: To search for all the information and available evidence on infection with SARS-CoV-2, a virus that appeared during the first 4 months of 2020, and pregnancy. Methods: Systematic review in PubMed and Google Scholar databases until April 25, 2020. We searched for published articles related to pregnant women infected with SARS-CoV-2. There was no language restriction. The search was extended to the references of the articles found. Results: In pregnant women with COVID-19, more than 90% of patients evolve mildly, 2% require intensive care. One maternal death has been reported. Prematurity occurs in approximately 25% of the cases, with predominance of late preterm infants; premature rupture of membranes presents in about 9%. Perinatal mortality is lower or similar to that of the general population, and vertical transmission has not been shown. Conclusions: Obstetrician-gynecologists must prepare to attend more cases with COVID-19 and therefore they need to know this disease. COVID-19 progresses similarly in pregnant and non-pregnant women, although it is associated to prematurity. While vertical transmission has not been demonstrated, horizontal transmission during vaginal birth is very likely.

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Published

2020-06-11

How to Cite

Vigil De Gracia, P., Caballero, L. C., Ng Chinkee, J., Luo, C., Sánchez, J., Quintero, A., Espinosa, J., & Campana Soto, S. E. (2020). COVID-19 and pregnancy. Review and update. The Peruvian Journal of Gynecology and Obstetrics, 66(2). https://doi.org/10.31403/rpgo.v66i2248

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Section

Artículos de Revisión

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