Infectious disease caused by coronavirus (COVID-19) in pregnant women and newborns: clinical impact and recommendations

Section: Revisiones

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Serna García C, Moreno Sánchez V, González Cintora M, Cruz Fernández JM. Enfermedad infecciosa por coronavirus (COVID-19) en la mujer embarazada y el neonato: impacto clínico y recomendaciones. Metas Enferm jun 2020; 23(5):22-32. Doi: https://doi.org/ 10.35667/MetasEnf.2019.23.1003081597

Authors

Carmen Serna García1, Víctor Moreno Sánchez2, Miren González Cintora2, José Manuel Cruz Fernández3

Position

1Graduada en Enfermería. Especialista en Obstetricia y Ginecología. Hospital Ernest Lluch Martin. Calatayud (Zaragoza) 2Graduado en Enfermería. Especialista en Obstetricia y Ginecología. Hospital Clínico Universitario Lozano Blesa. Zaragoza3Graduado en Enfermería. Especialista en Obstetricia y Ginecología. Hospital Universitario de Basurto. Bilbao

Contact address

Carmen Serna García. Hospital Ernest Lluch Martin. Ctra. de Sagunto-Burgos, Km. 254. 50300 Calatayud (Zaragoza).

Contact email: carmen.serna.garcia@gmail.com

Abstract

Objective: to collect and confirm the scientific information available regarding SARS-CoV-2 during the gestational process and its effects on the obstetric patient during delivery and puerperium, and on the newborn.
Method: a bibliographic review of the evidence available was conducted in three international databases: PubMed, Science Direct and Cochrane. Standardized terms were used, as well as free language, synonyms and truncation, combining them with Boolean operators based on the capacity of each database. Likewise, the webpages of official organizations and scientific societies addressing the matter of pregnancy and COVID-19 were also consulted.
Results: in total, 14 articles and 9 clinical practice guidelines were selected, as well as technical reports from different national and international organizations. There is limited bibliography, and with low scientific evidence, given the novelty of the pandemic caused by this coronavirus, but scientific documents were retrieved which addressed pregnancy and fetus, delivery, puerperium and newborns. It is believed that the SARS-CoV-2 virus has less adverse reactions in the pregnant woman and her newborn than other viruses from the same class. Each pregnant woman infected and her newborn should be subject to early identification and evaluation, in an individual and multidisciplinary way, in order to prevent adverse results and complications. There is no evidence of the vertical transmission of the SARS-CoV-2 virus. There are discrepancies regarding the management of newborns of pregnant women infected by COVID-19.
Conclusion: there are many knowledge gaps regarding the management of pregnant women, delivery, puerperium and newborns, because there is limited evidence available.

Keywords:

pregnancy; newborn; neonate; COVID-19; SARS-CoV-2; coronavirus

Versión en Español

Título:

Enfermedad infecciosa por coronavirus (COVID-19) en la mujer embarazada y el neonato: impacto clínico y recomendaciones

Artículo completo no disponible en este idioma / Full article is not available in this language

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