<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1029-3019</journal-id>
<journal-title><![CDATA[MEDISAN]]></journal-title>
<abbrev-journal-title><![CDATA[MEDISAN]]></abbrev-journal-title>
<issn>1029-3019</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1029-30192024000100002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas y epidemiológicas de embarazadas y puérperas con covid-19 ingresadas en cuidados intensivos]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical and epidemiological characteristics of pregnant and newly-delivered women with Covid-19 admitted to intensive care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guzmán Pérez]]></surname>
<given-names><![CDATA[Níger]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliva Corujo]]></surname>
<given-names><![CDATA[Lianne]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz Villalón]]></surname>
<given-names><![CDATA[Reina Aurora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta Arefet]]></surname>
<given-names><![CDATA[Neifi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guzmán Pérez]]></surname>
<given-names><![CDATA[Aliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Docente Dr. Joaquín Castillo Duany  ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Oncológico Docente Provincial Conrado Benítez García  ]]></institution>
<addr-line><![CDATA[Santiago de Cuba ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2024</year>
</pub-date>
<volume>28</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1029-30192024000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1029-30192024000100002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1029-30192024000100002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La infección por el virus SARS-CoV-2 se ha convertido en una pandemia que ha ocasionado gran número de complicaciones y suele ser fatal para embarazadas y puérperas.  Objetivo:  Describir las características clínicas y epidemiológicas de embarazadas y puérperas con covid-19 ingresadas en cuidados intensivos.  Métodos: Se realizó un estudio observacional descriptivo, de corte transversal, de 56 embarazadas y puérperas con diagnóstico confirmado de covid-19, ingresadas en el Servicio de Cuidados Intensivos del Hospital Provincial Docente Dr. Joaquín Castillo Duany de Santiago de Cuba durante el 2021. Las variables analizadas fueron la edad, los antecedentes personales, la causa de ingreso, el estado al egreso y la principal causa de muerte. A tal efecto, se calcularon las frecuencias, los porcentajes y la tasa de letalidad.  Resultados: Hubo predominio de las gestantes en todos los grupos de edades (58,9 %) en relación con las puérperas (41,1 %), principalmente en el grupo etario de 31-35 años (30,3 %). La hipertensión arterial resultó ser la comorbilidad más frecuente con 71,4 y 28,6 %, para embarazadas y puérperas, respectivamente; en tanto, 66,6 % de las primeras y 33,3 % de las segundas fueron ingresadas por neumonía. Todas las embarazadas egresaron vivas y 7 puérperas fallecieron. La tasa de letalidad fue de 12,5 y el síndrome de disfunción multiorgánica apareció en 57,2 % de las afectadas.  Conclusiones:  La hipertensión arterial fue la comorbilidad más frecuente, la neumonía viral, el principal diagnóstico al ingreso y el síndrome de disfunción multiorgánica, la primera causa directa de muerte.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Infection due to SARS-CoV-2 virus has become a pandemic that has caused great number of complications and is usually fatal for pregnant and newly-delivered women.  Objective:  To describe the clinical and epidemiological characteristics of pregnant and newly-delivered women with Covid-19 admitted to intensive care units.  Methods:  An observational descriptive, cross-sectional study of 56 pregnant and newly-delivered women with confirmed diagnosis of Covid-19 was carried out; they were admitted to the Intensive Care Unit of Dr. Joaquín Castillo Duany Teaching Provincial Hospital in Santiago de Cuba during 2021. The analyzed variables were age, past health history, cause of admission, state when discharged from the institution and the main cause of death. For this purpose, the frequencies, percentages and case fatality rate were calculated.  Results:  There was a prevalence of pregnant women in all the age groups (58.9%) relative to the newly-delivered women (41.1%), mainly in the 31- 35 age group (30.3%). Hypertension was the most frequent comorbidity with 71.4 and 28.6%, for pregnant and newly-delivered women, respectively; as long as, 66.6% of the first ones and 33.3% of the second ones were admitted due to pneumonia. All the pregnant women were discharged alive and 7 newly-delivered women died. Case fatality rate was 12.5 and multiple organ dysfunction syndrome appeared in 57.2% of those affected.  Conclusions:  Hypertension was the most frequent comorbidity, viral pneumonia was the main admission diagnosis and multiple organ dysfunction syndrome, the first direct cause of death.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[mujeres embarazadas]]></kwd>
<kwd lng="es"><![CDATA[embarazo de alto riesgo]]></kwd>
<kwd lng="es"><![CDATA[período posparto]]></kwd>
<kwd lng="es"><![CDATA[infecciones por coronavirus]]></kwd>
<kwd lng="en"><![CDATA[pregnant women]]></kwd>
<kwd lng="en"><![CDATA[high risk pregnancy]]></kwd>
<kwd lng="en"><![CDATA[postpartal period]]></kwd>
<kwd lng="en"><![CDATA[coronavirus infections]]></kwd>
</kwd-group>
</article-meta>
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