Infección por coronavirus, evolución clínica en el embarazo y relación con la mortalidad materno-fetal

Abstract

Objective: to analyze coronavirus infection and clinical evolution during pregnancy in relation to maternal-fetal mortality in prenatal care. Methods: observational, descriptive, analytical quantitative, prospective study, with correlation between variables, carried out with secondary data from pregnant women admitted to a reference hospital in the interior of the state of São Paulo, Brazil. Analysis of independence and prediction between the proposed variables was used, with the Mann-Whitney U Test. Results: data from 113 previously hospitalized pregnant women affected by COVID-19 were considered, with emphasis on: age group 21 to 40 years, in the third trimester of pregnancy; the pregnancies were terminated by cesarean indication in most cases, hospitalization in the intensive care unit of 37.17%. Prenatal follow-up had no statistic influence on the clinical evolution of the coronavirus during pregnancy. Conclusion: maternal deaths occurred between 21 and 30 years old, twin pregnancy, in the third trimester and the main cause of fetal death was fetal distress in the first and second trimester.