Abstract

OSORIO, Alberto Antonio Sosa; GUARDADO, Yuleydi Alcaide; CABRERA, Yoan Hernández  and  PEREZ, Yadira Nualla. Update on COVID-19 and pregnancy. Medisur [online]. 2022, vol.20, n.5, pp. 946-955.  Epub Oct 30, 2022. ISSN 1727-897X.

Since the confirmation of the COVID -19 first cases, multiple studies have been published that reflect its high incidence, transmissibility, morbidity and mortality, with great repercussion and severity in the population groups at risk. Pregnancy does not escape this, and the physiological immunosuppression that occurs in this condition makes the pregnant woman more susceptible to infectious diseases. The objective of this review is to describe the main aspects related to the diagnosis and management of pregnant women with COVID-19 and the relevant obstetric behavior in each case. For this, a bibliographic review was carried out between July and September 2021, in the databases: Mediline, SciELO, SCOPUS, Dialnet, Cumed and Lilacs. Of the 35 articles initially obtained, 30 met the inclusion criteria. It was found that the increase in notifications of pregnant women grew exponentially with respect to the beginning of the pandemic outbreak, which brought with it the fatal outcome in women who presented associated comorbidities. Delivery in these circumstances should be attempted vaginally, there is no evidence of mother-to-child vertical transmission, and exclusive breastfeeding is promoted, taking all biosafety measures. Pregnant women are considered to be at increased risk for complications from COVID-19, obstetric morbidity, and perinatal mortality. The therapeutic plan for pregnant women does not differ from that established for the rest of the population groups and is based on compliance with isolation and general measures.

Keywords : COVID-19; pregnancy.

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