Serum 25(OH) Vitamin D Levels in Pregnant Women with Coronavirus Disease 2019 (COVID-19): A Case-Control Study.

The physiological changes during pregnancy may increase the risk of complications in pregnant women with coronavirus disease 2019 (COVID-19). Vitamin D is a fat-soluble secosteroid hormone and its role in immunity is appears to be of particular importance in this recent pandemic. Nevertheless, there is little research about the role of vitamin D levels regarding COVID-19 in pregnant women to date. This study aimed to establish a relationship between serum 25-hydroxyvitamin D (25(OH)D) levels in pregnant women and COVID-19. A comparative case-control study was performed with a study population of 256 pregnant women (82 pregnant women with infection and 174 women in control group). Serum 25(OH)D levels were significantly lower in pregnant women with COVID-19 infection than in those without infection. In addition, 89% of COVID-19-positive pregnant women had 25(OH)D deficiency, while in the control group the percentage was 75.30%, finding statistically significant differences (ORa = 2.68; 95% CI 1.19-6.06; p = 0.01). Our results find a relationship between vitamin D deficiency in pregnant women and COVID-19 infection. This finding could be relevant for actual clinical practice. Thus, more research is needed in this field.

Situación obstétrica en Melilla en relación con el control o no de la gestación / Obstetric situation in Melilla in relation to pregnancy control

Objetivo: Estudiar exhaustivamente los datos obtenidos en los partos del año 2016 en el Hospital Comarcal de Melilla. Método: Estudio descriptivo, retrospectivo de corte transversal. Para el análisis de los datos se utilizó el programa estadístico SPSS 22.0. Resultados: El total de la muestra fue de 2601 partos, el 40.8 % fueron embarazos controlados, frente al 59.2 % de embarazos no controlados. De dichos partos, el 75.7 % terminaron siendo partos eutócicos, el 16.8 % acabaron en cesárea y el 7.6 % fueron partos distócicos. Conclusiones: En nuestro estudio el control o no de la gestación tuvo asociación estadísticamente significativa con la terminación del parto. Se obtuvo en las gestantes no controladas un mayor número de casos de partos eutócicos y de instrumentales que en las gestantes controladas, y menor número de cesáreas. Sin embargo, en nuestro estudio el control del embarazo no se asocia a peores cifras en el test de Apgar al minuto y a los 5 minutos, ni a mayor morbilidad perineal tras el parto

Aim: To study in depth the data obtained from the births in 2016 at the Hospital Cormarcal de Melilla (Spain). Method: A retrospective, cross sectional, descriptive study. For the data analysis, the statistic programme SPSS 22.0 was used. Results: The study sample consisted of 2601 births, the 40.8 % were controlled pregnancies, compared to the 59.2 % that were non-controlled pregnancies. From such births the 75.7 % ended as normal births, the 16.8 % ended by caesarean sections and the 7.6 % were complicated births. Conclusion: It is remarkable that in our study whether the pregnancy was controlled or non-controlled had a significant statistic association with the birth result, obtaining a higher number of normal and instrumental deliveries in the controlled pregnancies and a lower number of caesarean sections, however, the management of pregnancy in our study it is not associated with worst Apgar scores at one minute and 5 minutes, or with increased perineal morbidity after birth

[PREVALENCE OF THE STREPTOCOCUS AGALACTIAE IN THE PREGNANT WOMAN FROM THE AUTONOMIC CITY OF MELILLA: IS CULTURE A DETERMINANT FACTOR?]. / Prevalencia del Streptococcus agalactiae en la mujer embarazada en la ciudad autónoma de Melilla. ES LA CULTURA UN FACTOR DETERMINANTE?

BACKGROUND: The neonatal infection by Streptococcus group B is one of the main causes of neonatal morbi-mortality rate. For this reason a screening is made to each pregnant woman in order to detect its presence, and if it was the case, to apply an antibiotic treatment during labour. The aim of this study was to know the prevalence of this Streptococcus in the pregnant women from Melilla, as well as the differences according to culture and age. METHOD: A descriptive cross-sectional study located in the Hospital Comarcal from Melilla. RESULTS: The sample is taken from 280 women: 194 are from Muslim culture (69.3%), 68 are from Christian culture (24.3%) and 18 women from unknown cultures (6.4%). Also it is known that 78 of them are 25 years old or less (27.85%), 158 are between 26 and 34 years old (56.42%) and 44 are 35 years old or more (15.71%). CONCLUSIONS: The prevalence of vagino-rectal colonization by Streptococcus group B in the pregnant women from Melilla is within the national estimated figures, however it is different if they are from Muslim or Christian culture, being higher in the Muslim population. On one hand both prevalences are within the national statistics, and on the other hand it is observed that there is not any difference according to age.

Prevalencia del Streptococcus agalactiae en la mujer embarazada en la ciudad autónoma de Melilla. ¿Es la cultura un factor determinante? / Prevalence of the Streptococus agalactiae in the pregnant woman from the autonomic city of Melilla: is culture a determinant factor?

Contexto. La infección neonatal por estreptococo grupo B es una de las principales causas de morbimortalidad neonatal. Por ello se realiza un cribado a todas las gestantes para detectar su presencia y, en tal caso, administrar un tratamiento antibiótico durante el trabajo de parto. El objetivo del estudio fue conocer la prevalencia de estreptococo en las gestantes de Melilla, así como sus diferencias en función de la cultura y la edad. Método. Estudio descriptivo trasversal con emplazamiento en el Hospital Comarcal de Melilla. Resultados. La muestra tomada está formada por 280 individuos; 194 son de cultura musulmana (69.3 %) y 68 son de cultura cristiana (24.3 %), con 18 individuos de cultura desconocida (6.4 %). Asimismo, se sabe que 78 tienen una edad menor o igual a 25 años (27.85 %), 158 individuos tienen una edad comprendida entre los 26 y 34 años (56.42 %) y 44 individuos tienen una edad igual o mayor a 35 años (15.71 %). Conclusiones. La prevalencia de colonización vagino-rectal por estreptococo grupo B en las gestantes de Melilla está dentro de las cifras estimadas a nivel nacional. Sin embargo, es diferente en función de si pertenecen a la cultura musulmana o cristiana, siendo mayor en la población musulmana. Ambas prevalencias se encuentran dentro de las estadísticas nacionales. Por otro lado, se observa que no existen diferencias en la prevalencia en función de la franja etárea (AU)

Background. The neonatal infection by Streptococcus group B is one of the main causes of neonatal morbi-mortality rate. For this reason a screening is made to each pregnant woman in order to detect its presence, and if it was the case, to apply an antibiotic treatment during labour. The aim of this study was to know the prevalence of this Streptococcus in the pregnant women from Melilla, as well as the differences according to culture and age. Method. A descriptive cross-sectional study located in the Hospital Comarcal from Melilla. Results. The sample is taken from 280 women: 194 are from Muslim culture (69.3 %), 68 are from Christian culture (24.3 %) and 18 women from unknown cultures (6.4 %). Also it is known that 78 of them are 25 years old or less (27.85 %), 158 are between 26 and 34 years old (56.42 %) and 44 are 35 years old or more (15.71 %). Conclusions. The prevalence of vagino-rectal colonization by Streptococcus group B in the pregnant women from Melilla is within the national estimated figures, however it is different if they are from Muslim or Christian culture, being higher in the Muslim population. On one hand both prevalences are within the national statistics, and on the other hand it is observed that there is not any difference according to age (AU)