The Profile of the Obstetric Patients with SARS-CoV-2 Infection According to Country of Origin of the Publication: A Systematic Review of the Literature

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dc.contributor.authorCuñarro López, Yolanda
dc.contributor.authorPintado Recarte, Pilar
dc.contributor.authorCueto Hernandez, Ignacio
dc.contributor.authorHernández Martín, Concepción
dc.contributor.authorPayá Martínez, María Pilar
dc.contributor.authorMuñóz Chápuli, María del Mar
dc.contributor.authorCano Valderrama, Óscar
dc.contributor.authorBravo Arribas, Coral
dc.contributor.authorBujan, Julia
dc.contributor.authorÁlvarez Mon, Melchor
dc.contributor.authorOrtega, Miguel A.
dc.contributor.authorDe León Luis, Juan Antonio
dc.date.accessioned2023-06-17T08:31:14Z
dc.date.available2023-06-17T08:31:14Z
dc.date.issued2021-01-19
dc.descriptionThe research was funded by the University of Alcalá (COVID-19 UAH 2019/00003/016/001/023) and by (FIS-PI18/00912) the Instituto de Salud Carlos III (Plan Estatal de I + D+I 2013-2016) and cofinanced by the European Development Regional Fund “A way to achieve Europe” (ERDF) and B2017/BMD-3804 MITIC-CM.
dc.description.abstractSARS-CoV-2 is the novel member of coronavirus responsible for the worldwide pandemic COVID-19, affecting all types of people. In this context, established research identified pregnant women as a susceptible group of SARS-CoV-2 infection, although there is still limited data regarding the real impact of COVID-19 in this group. With that purpose, we conducted a systematic review describing the maternal-fetal results of pregnant women infected by SARS-CoV-2, in aim to analyze the profile of the obstetric patients according to the country of origin of the publication. A total of 38 articles were included in this systematic review with 2670 patients from 7 countries, with 20 works published from China (52.6%). We reported significative differences according to the median maternal age, with Spain as the country with the highest age (34.6 years); The percentage of tabaquism; proportion of symptomatic patients in the triage; type of radiological exam (China and France conduct CT scans on all their patients in comparison to the use of chest X-Ray in the rest of the countries studied); percentages of C-sections (83.9% in China; 35.9% Spain, p < 0.001); maternal mortality rate, proportion of patients who need treatments, the use of antivirals, antibiotics, and anticoagulants as well as measurements of the newborns. Perinatal results are favorable in the majority of countries, with very low rates of vertical transmission in the majority of works. The studies collected in this review showed moderate to high index of quality. The different works describe the affectation during the first wave of the pandemic, where the pregnant woman with SARS-CoV-2 infection is generally symptomatic during the third trimester of gestation along with other factors associated with worse prognosis of the disease, such as higher age, body mass index, and further comorbidities developed during pregnancy. In the obstetric patient, proportion of C-sections are elevated together with prematurity, increasing maternal perinatal morbimortality. Differences found between countries could be based on the proper profile of the patient in each region, the period of the pandemic directly affecting how it was managed, and the variations regarding in situ medical attention.
dc.description.departmentDepto. de Salud Pública y Materno - Infantil
dc.description.facultyFac. de Medicina
dc.description.refereedTRUE
dc.description.sponsorshipUnión Europea
dc.description.sponsorshipComunidad de Madrid
dc.description.sponsorshipUniversidad de Alcalá
dc.description.sponsorshipInstituto de Salud Carlos III
dc.description.statuspub
dc.eprint.idhttps://eprints.ucm.es/id/eprint/77304
dc.identifier.doi10.3390/jcm10020360
dc.identifier.issn2077-0383
dc.identifier.officialurlhttps://doi.org/10.3390/jcm10020360
dc.identifier.relatedurlhttps://www.mdpi.com/2077-0383/10/2/360
dc.identifier.relatedurlhttps://www.mdpi.com/journal/jcm
dc.identifier.urihttps://hdl.handle.net/20.500.14352/7351
dc.issue.number2
dc.journal.titleJournal of Clinical Medicine
dc.language.isoeng
dc.page.initial360
dc.publisherMDPI
dc.relation.projectIDFEDER
dc.relation.projectIDB2017/BMD-3804 MITIC-CM
dc.relation.projectIDCOVID-19 UAH 2019/00003/016/001/023
dc.relation.projectIDFIS-PI18/00912
dc.rightsAtribución 3.0 España
dc.rights.accessRightsopen access
dc.rights.urihttps://creativecommons.org/licenses/by/3.0/es/
dc.subject.cdu614
dc.subject.cdu618.1
dc.subject.cdu616.9
dc.subject.keywordCOVID-19
dc.subject.keywordGestation
dc.subject.keywordSystematic review
dc.subject.keywordMaternal-perinatal outcomes
dc.subject.keywordMaternal-perinatal morbidity and mortality
dc.subject.keywordMaternal characteristics and COVID-19
dc.subject.keywordCountry profile
dc.subject.ucmMedicina
dc.subject.ucmEnfermedades infecciosas
dc.subject.ucmGinecología y obstetricia
dc.subject.ucmSalud pública (Medicina)
dc.subject.unesco32 Ciencias Médicas
dc.subject.unesco3205.05 Enfermedades Infecciosas
dc.subject.unesco3201.08 Ginecología
dc.subject.unesco3212 Salud Pública
dc.titleThe Profile of the Obstetric Patients with SARS-CoV-2 Infection According to Country of Origin of the Publication: A Systematic Review of the Literature
dc.typejournal article
dc.volume.number10
dspace.entity.typePublication
relation.isAuthorOfPublicationf15d18d3-b4f8-43a7-922b-78fa5e26664b
relation.isAuthorOfPublicatione2778567-7775-46c0-b81b-1f4f22c18a6c
relation.isAuthorOfPublication.latestForDiscoveryf15d18d3-b4f8-43a7-922b-78fa5e26664b
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