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10.5603/GP.a2020.0130

http://scihub22266oqcxt.onion/10.5603/GP.a2020.0130
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33447995!ä!33447995

suck abstract from ncbi


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pmid33447995      Ginekol+Pol 2020 ; 91 (12): 755-763
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  • COVID-19 infection in symptomatic pregnant women at the midpoint of the pandemic in Spain: a retrospective analysis #MMPMID33447995
  • Ortiz Molina E; Hernandez Pailos R; Pola Guillen M; Pascual Pedreno A; Rodriguez Rodriguez E; Hernandez Martinez A
  • Ginekol Pol 2020[]; 91 (12): 755-763 PMID33447995show ga
  • OBJECTIVES: Determine the strengths and weakness of a symptomatic screening for COVID-19 in pregnant women. Analyze the clinical presentation, management, and outcomes. DESIGN: Descriptive retrospective observational study. SETTING: Mancha-Centro Hospital (Spain). MATERIAL AND METHODS: Population: Symptomatic pregnant women with confirmed diagnosis of COVID-19. Between the 12th of March and 17th of April 2020, all the symptomatic pregnancies were screened with diagnostic test for SARS-CoV-2. Data collection was done by reviewing the medical records and telephone interviews. MAIN OUTCOME MEASURES: Clinical characteristics, management, treatment, and obstetric and neonatal outcomes. RESULTS: Twenty patients with positive COVID-19 diagnostic test out of thirty-four suspected. The most common symptoms were fever (70%), cough (65%) and myalgia (35%). A unique symptom of presentation in 20% of cases. COVID-19 pneumonia was diagnosed in 30% by chest X-ray and one case had pulmonary embolism associated diagnosed by CT-Scan. Thromboprophylaxis was indicated in 16 out of 20 patients. Eight women finished their pregnancy during the observation period. Type of birth: 25% natural birth, 12.5% assisted vaginal delivery and 62.5% caesarean section. We had three severe cases, two of them with intensive care support. All neonates had negative test for COVID 19 infection. CONCLUSIONS: We recommend universal screening of all pregnant woman for COVID-19 during the pandemic because of the limits of the symptomatic screening seen in this studio and the ratio of asymptomatic pregnancies with positive test for COVID-19 recently published.
  • |*Cesarean Section[MESH]
  • |Adult[MESH]
  • |Anosmia/physiopathology[MESH]
  • |Anti-Bacterial Agents[MESH]
  • |Anticoagulants/therapeutic use[MESH]
  • |Antiviral Agents/therapeutic use[MESH]
  • |C-Reactive Protein/metabolism[MESH]
  • |COVID-19/complications/metabolism/*physiopathology/therapy[MESH]
  • |Cough/*physiopathology[MESH]
  • |Critical Care[MESH]
  • |Delivery, Obstetric[MESH]
  • |Dysgeusia/physiopathology[MESH]
  • |Dyspnea/physiopathology[MESH]
  • |Enzyme Inhibitors/therapeutic use[MESH]
  • |Extraction, Obstetrical[MESH]
  • |Female[MESH]
  • |Fever/*physiopathology[MESH]
  • |Fibrin Fibrinogen Degradation Products/metabolism[MESH]
  • |Gestational Age[MESH]
  • |Heparin, Low-Molecular-Weight/therapeutic use[MESH]
  • |Hospitalization[MESH]
  • |Humans[MESH]
  • |Hydroxychloroquine/therapeutic use[MESH]
  • |Lung/*diagnostic imaging[MESH]
  • |Lymphocyte Count[MESH]
  • |Lymphopenia/physiopathology[MESH]
  • |Middle Aged[MESH]
  • |Myalgia/*physiopathology[MESH]
  • |Obesity, Maternal/complications[MESH]
  • |Oxygen Inhalation Therapy[MESH]
  • |Pre-Eclampsia[MESH]
  • |Pregnancy[MESH]
  • |Pregnancy Complications, Cardiovascular/etiology/physiopathology/therapy[MESH]
  • |Pregnancy Complications, Infectious/*physiopathology/therapy[MESH]
  • |Premature Birth[MESH]
  • |Pulmonary Embolism/etiology/physiopathology/therapy[MESH]
  • |Respiration, Artificial[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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