Soto AC, Suárez RI, Núñez PJR

Language: Spanish
References: 12
Page: 168-172
PDF size: 130.59 Kb.

ABSTRACT

Introduction: Our hospital implemented an obstetric care protocol for patients who attended without a test for SARS-CoV-2. Material and methods: The women with a negative result followed the traditional care model and those with a positive result continued under the SARS-CoV-2 protocol, consisting of strict isolation on the floor of COVID and separation of the binomial. After discharge to this last group, a telephone survey was carried out to determine the perception of care. Results: 254 patients were cared for, 53 without testing upon arrival, they were kept in isolation until the test result, resulting in negative in 44 patients, who switched to the traditional care model and positive in 9, so they switched to the SARS-CoV-2 protocol. The 9 women of the protocol reported a negative perception of the model, and a marked feeling of isolation, loneliness, and discrimination. Breastfeeding was suspended for up to one month in 4 patients and skin-to-skin contact was deprived in five patients. Our obstetric care model managed to control the contagion since in the work area no health professional or newborn was infected horizontally, however it has consequences for the patients.

REFERENCES

1. Ma X, Zhu J, Du L, Neonatal management during Coronavirus disease (COVID-19) outbreak: Chinese experiences. NeoReviews. 2020; doi: 10.1542/neo.21-5-e293.

2. World Health Organization (WHO). Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected. Interim guidance 13 March 2020.

3. Coronavirus (COVID-19) Infection in Pregnancy. Information for healthcare professionals. Version 1: Published Monday 9 march, 2020. Royal College of Obstetrician and Gynecologists.

4. Secretaría de Salud de México. Informes epidemiológico semanal de embarazadas y puérperas estudiadas, ante sospecha de COVID-19. Semana epidemiológica 43 de 2020.

5. Vintzileos WS, Muscat J, Hoffmann E, John NS, Vertichio R, Vintzileos AM et al. Screening all pregnant women admitted to labor and delivery for the virus responsible for coronavirus disease 2019. Am J Obstet Gynecol. 2020; 223 (2): 284-286.

6. Vigil-De Gracia P, Caballero LC, Chinkee JL, Espinosa JSJ, Quintero A et al. COVID-19 y embarazo. Rev Peru Ginecol Obstet. 2020; 66 (2): 00006.

7. Sankaran D, Nakra N, Cheema R,Blumberg D, Lakshminrusimha S. Perinatal SARS-CoV-2 infection and neonatal COVID-19: a 2021 Update. NeoReviews. 2021; 22 (5): e284-e295.

8. Lackey KA, Pace RM, Williams JE, Bode L, Donovan SM, Seppo AE et al. SARS-CoV-2 and human milk: What is the evidence? Matern Child Nutr. 2020; 16 (4): e13032.

9. Romero RDS, Lara PMM, Carretero PM, Suárez HMI, Martín PS, Pera VL et al. SARS-CoV-2 antibodies in breast milk after vaccination. Pediatrics. 2021; 148 (5): e2021052286.

10. DeBiasi RL, Song X, Delaney M, Bell M, Smith K, Pershard J et al. Severe coronavirus disease-2019 in children and young adults in the Washington, DC, Metropolitan Region. J Pediatr. 2020; 223: 199-203.

11. Pace RM, Williams JE, Jarvinen KM, Belfort MB, Pace C, Lackey K et al. Characterization of SARS-CoV-2 RNA, antibodies, and neutralizing capacity in milk produced by women with COVID-19. mBio. 2021; 12 (1): e03192-03120.

12. Zdanowski W, Wasniewski T. Evaluation of SARS-CoV-2 spike protein antibody titers in cord blood after COVID-19 vaccination during pregnancy in polish healthcare workers: preliminary results. Vaccines (Basel). 2021; 9 (6): 675.