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Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
VEGA-GONZALES, Emilio Oswaldo; ARNAO-DEGOLLAR, Verónica y GARCIA-CAJALEON, Judith. Complications in pregnant women with a positive diagnosis of COVID-19. Ginecol. obstet. Méx. [online]. 2021, vol.89, n.11, pp.857-864. Epub 23-Mayo-2022. ISSN 0300-9041. https://doi.org/10.24245/gom.v89i11.6805.
OBJECTIVE:
To compare maternal complications in pregnant women with a positive diagnosis of acute and past COVID-19 attended in two health facilities in Metropolitan Lima, Peru.
MATERIALS AND METHODS:
Descriptive, analytical and retrospective study carried out in pregnant patients attended in two maternal and child centers of Metropolitan Lima from June to December 2020 in whom the COVID-19 antibody test was applied. The data collected were transferred to a matrix of the SPSS 25 program and analyzed with Fisher’s exact test, calculation of odds ratio and 95%CI.
RESULTS:
177 pregnant women with a positive report to a rapid One Step test for Novel Coronavirus (2019-nCov) IgM/IgG Antibody (Colloidal Gold) were analyzed. Most had past infection with IgG alone (50.0%), followed by acute infection with IgM and IgG (43.2%). Only 6.8% had early-stage infection, identified only with IgM. The only complication with significant difference between COVID-19 positive pregnant women with acute infection and past infection was premature rupture of membranes, with a value of p = 0.019 with Fisher’s exact test. The most frequent maternal complication was premature rupture of membranes with 16.4%, and delivery was terminated by cesarean section in 27.7%. Only a significant association was found between acute infection and premature rupture of membranes (p = 0.019; OR = 2.563 CI95%: 1.115-5.892).
CONCLUSION:
Premature rupture of membranes was the only maternal complication that had a significant association with acute COVID-19 infection during pregnancy.
Palabras llave : SARS-CoV-2; Pregnancy; Cesarean section; Coronavirus infection; IgM; IgG; Peru.