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2020, Number 3

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Rev Cub Med Mil 2020; 49 (3)

Clinical characterization of obstetric patients with suspected COVID-19

Segura FAB, León CI, Urgellés CSA, Ramos ZV, Herrera FY, Rodríguez CC, Caballero MY, Silvente CA, Duménigo RCA, Acosta León O

Language: Spanish
References: 22
Page:
PDF size: 229.11 Kb.


ABSTRACT

Introduction: The COVID-19 pandemic has caused more than 350,000 deaths worldwide.
Objective: To clinically characterize obstetric patients with suspected COVID-19.
Methods: A retrospective, descriptive, cross-sectional study was performed. All obstetric patients admitted to the Hospital Militar Central "Dr. Luis Díaz Soto" between March 12 and May 20, 2020. They were divided into two groups; Group I included those with negative RT-PCR for SARS-CoV-2 and group II with positive results. The variables analyzed were age, obstetric history, personal pathological history, epidemiological history, clinical picture, complications, admission to the intensive care unit and maternal mortality.
Results: 60 obstetric patients were admitted and 6 (10%) were positive for SARS-CoV-2, from the provinces of Havana, Mayabeque and Artemisa. The average age was 25 years. 25.9% of group I and 66.6% of group II were in the 1st trimester of pregnancy. 38.8% and 16.6%, of group I and group II, respectively, presented comorbidity. 50% of the positives were asymptomatic. Leukopenia was observed in 10 (18.5%) cases in group I and in 5 (83.3%) in group II. Spontaneous abortion occurred in group II. There was no COVID-19 pneumonia, nor maternal death.
Conclusions: COVID-19 occurred more frequently in pregnant women during the first trimester, the mild form of the disease prevailed, with no COVID-19 pneumonia or deaths from this disease.


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