Resultados materno-perinatales en gestantes con COVID-19 en un hospital nivel III del Perú

Carmen Dávila-Aliaga; Rosmary Hinojoza-Pérez; Marcos Espinola-Sánchez; Elsa Torres-Marcos; Enrique Guevara-Ríos; Ylia Espinoza-Vivas; Elina Mendoza-Ibañez; Claudia Saldaña-Díaz

doi:10.17843/rpmesp.2021.381.6358

Authors

Carmen Dávila-Aliaga Instituto Nacional Materno Perinatal, Lima, Perú.Universidad Nacional Federico Villarreal, Lima, Perú.Médica/o cirujana/oespecialista en Neonatología https://orcid.org/0000-0001-9411-5703
Rosmary Hinojoza-Pérez Instituto Nacional Materno Perinatal. Lima, Perú.Médica/o cirujana/o; especialista en Neonatología https://orcid.org/0000-0002-6640-5102
Marcos Espinola-Sánchez Instituto Nacional Materno Perinatal, Lima, Perú.Universidad Privada del Norte, Lima, Perú.Médica/o cirujana/o;magíster en Razonamiento y Práctica Clínica https://orcid.org/0000-0002-1005-5158
Elsa Torres-Marcos Instituto Nacional Materno Perinatal. Lima, Perú.Médica/o cirujana/o; especialista en Neonatología https://orcid.org/0000-0002-2718-6621
Enrique Guevara-Ríos Instituto Nacional Materno Perinatal, Lima, Perú.Universidad Nacional Mayor de San Marcos, Lima, Perú.Médica/o cirujana/o;especialista en Ginecología y Obstetricia. https://orcid.org/0000-0002-6962-2639
Ylia Espinoza-Vivas Instituto Nacional Materno Perinatal, Lima, Perú.Médica/o cirujana/o;especialista en Neonatología https://orcid.org/0000-0003-3466-7236
Elina Mendoza-Ibañez Instituto Nacional Materno Perinatal, Lima, Perú.Médica/o cirujana/o;especialista en Neonatología https://orcid.org/0000-0001-6285-4464
Claudia Saldaña-Díaz Instituto Nacional Materno Perinatal, Lima, Perú.Médica/o cirujana/o https://orcid.org/0000-0003-3117-5332

DOI:

https://doi.org/10.17843/rpmesp.2021.381.6358

Keywords:

Covid-19, Pandemics, Coronavirus-2019-nCoV, Coronavirus infection, Pregnancy, Newborn, Infants

Abstract

The present study aimed to describe the perinatal outcomes of newborns of mothers with 2019 coronavirus infection identified before delivery in a level III hospital in Peru. Sociodemographic variables, obstetric complications, and neonatal morbidities were evaluated in the births that occurred between April 1 and June 30, 2020, at the National Maternal Perinatal Institute of Peru. 43 newborns were registered: 93% came from asymptomatic mothers, the most frequent obstetric complications were premature rupture of membranes (18.6%) and pre-eclampsia (11.6%), 65.1% of the births were vaginally, only one of the newborns had a positive result to RT-PCR for COVID-19, the comorbidities of the newborns were prematurity (11.3%) and low birth weight (9.3%); four were admitted to intermediate care and two to intensive care. It is concluded that 2.4% of newborns born to mothers with COVID-19 presented positive molecular test of RT-PCR, 14% of newborns presented morbidity as prematurity, low birth weight, sepsis and pneumonia that required ventilation. Neonatal morbidity was found in newborns whose RT-PCR test was negative for COVID-19.