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[Perinatal COVID-19 in Latin America]. / COVID-19 perinatal en América Latina.
Sola, Augusto; Rodríguez, Susana; Cardetti, Marcelo; Dávila, Carmen.
  • Sola A; Sociedad Iberoamericana de Neonatología Wellington Estados Unidos de América Sociedad Iberoamericana de Neonatología, Wellington, Estados Unidos de América; ORCID 0000-0002-7608-3872.
  • Rodríguez S; Sociedad Iberoamericana de Neonatología Buenos Aires Argentina Sociedad Iberoamericana de Neonatología, Buenos Aires, Argentina; ORCID 0000-0001-6015-6048.
  • Cardetti M; Sociedad Iberoamericana de Neonatología San Luis Argentina Sociedad Iberoamericana de Neonatología, San Luis, Argentina; ORCID 0000-0001-6697-6389.
  • Dávila C; Instituto Nacional Materno Perinatal Lima Perú Instituto Nacional Materno Perinatal, Lima, Perú; ORCID 0000-0001-9411-5703.
Rev Panam Salud Publica ; 44: e47, 2020.
Article in Spanish | MEDLINE | ID: covidwho-1791386
ABSTRACT

OBJECTIVE:

To evaluate and report the clinical characteristics and outcomes of SARS-CoV-2 infection in pregnant women and newborns in Latin America.

METHODS:

Descriptive study based on the prospective report of the units of the Ibero-American Society of Neonatology Network.

RESULTS:

Of 86 pregnant women with COVID-19 confirmed by RT-PCR in seven countries (6 from Latin America, and Equatorial Guinea) 68% (59) were asymptomatic. Of 32% of symptomatic women, 89% (24) had mild symptoms and 3.5% (3) had severe respiratory symptoms. No women died. The cesarean section rate was 38%; gestational age was < 37 weeks in 6% of cases. RT-PCR was performed on all newborns between 16 and 36 hours of age; 6 (7%) were positive. All of them presented mild and transient respiratory distress; none died. Two newborns with negative RT-PCR died from other causes. Breastfeeding was authorized in only 24% of mothers; in 13% milk was expressed and 63% of newborns were fed with formula. In 76% of cases the motherchild pair was separated, and in 95% of cases the mother could not be accompanied at delivery or during the postpartum period.

CONCLUSIONS:

The lack of maternal accompaniment, the low rate of breastfeeding and the frequent separation of the mother-child dyad are of concern. The health care team must reflect on the need to defend humanized and family-centered care during this pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study Language: Spanish Journal: Rev Panam Salud Publica Journal subject: Public Health Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Prognostic study Language: Spanish Journal: Rev Panam Salud Publica Journal subject: Public Health Year: 2020 Document Type: Article