Obstetric and perinatal complications due to SARS-CoV-2 in a referral hospital in the Huancavelica region

Abstract

Objective. To determine obstetric and perinatal complications in SARS-CoV-2
pregnant women at the Departmental Hospital of Huancavelica. Methods.
A descriptive, with documentary analysis of the medical records of pregnant women who completed their pregnancy at the institution and of the newborns. A validated data collection form was used. Admitted pregnant women were positive
for SARS-CoV-2 with a laboratory test. Descriptive statistics were performed,
establishing frequencies, averages and percentages. The study is included in the National Health Research Registry. Results. A total of 148 pregnant women were
admitted, average age 27 years. A 53.4 % were controlled. The majority, 54.1 % (80), were multiparous. The diagnosis of SARS-CoV-2 was made by detection of antibodies (85.6 %). A total of 90.5 % (134/148) were asymptomatic. SARS-Cov-2
pneumonia was recorded in 8 cases. Abortion accounted for 16.2 %. The majority, 86.5 % (109), were of term gestational age. The route of delivery was similar for cesarean/vaginal delivery (51.6 %/48.4 %). There were no obstetric complications (65.5 %). The most frequent complications were: premature rupture of membranes and preeclampsia. The newborns had adequate Apgar scores (94.4 % at one minute/96.8 % at fve minutes). Preterm infants accounted for 11.9 %. Most of them had adequate weight (86.5 %). There were no SARS Cov-2 positive neonates.
Conclusions. Most of the pregnant women attended at the Departmental
Hospital, positive for SARS-CoV-2, were asymptomatic. The most frequent obstetric complications were premature rupture of membranes and preeclampsia. The perinatal outcomes of the newborns were adequate in the great majority