Clinical characterization of obstetric patients with suspected COVID-19

RESUMEN Introduccion: La pandemia por la COVID-19 ha causado mas 350 000 muertes a nivel mundial Objetivo: Caracterizar clinicamente a las pacientes obstetricas con sospecha de la COVID-19 Metodos: Se realizo un estudio retrospectivo, descriptivo, de corte transversal Fueron incluidas todas las pacientes obstetricas que ingresaron en el Hospital Militar Central "Dr Luis Diaz Soto", entre el 12 de marzo y 20 de mayo de 2020 Se dividieron en dos grupos;en el I se incluyeron las que presentaron el PCR en tiempo real para SARS-CoV-2 negativo y en el grupo II, las que resultaron positivas Las variables analizadas fueron la edad, antecedentes obstetricos, antecedentes patologicos personales, historia epidemiologica, cuadro clinico, complicaciones, ingreso en la unidad de terapia intensiva y mortalidad materna Resultados: Ingresaron 60 pacientes obstetricas y 6 (10 %) resultaron positivas al SARS-CoV-2, de las provincias La Habana, Mayabeque y Artemisa La edad promedio fue de 25 anos Se encontraban en el primer trimestre del embarazo el 25,9 % del grupo I y el 66,6 % del grupo II Presento comorbilidad el 38,8 % y 16,6 %, del grupo I y grupo II respectivamente Se encontraban asintomaticas 50 % de las positivas Se observo leucopenia en 10 (18,5 %) del grupo I y en 5 (83,3 %) del grupo II Se presento un aborto espontaneo en el grupo II No hubo neumonia por la COVID-19, ni muertes maternas Conclusiones: La COVID -19 se presento con mayor frecuencia en las gestantes durante el primer trimestre, predomino la forma leve de la enfermedad, no existio neumonia por la COVID-19 ni muertes ABSTRACT Introduction: The COVID-19 pandemic has caused more than 350,000 deaths worldwide Objective: To clinically characterize obstetric patients with suspected COVID-19 Methods: A retrospective, descriptive, cross-sectional study was performed All obstetric patients admitted to the Hospital Militar Central "Dr Luis Diaz Soto" between March 12 and May 20, 2020 They were divided into two groups;Group I included those with negative RT-PCR for SARS-CoV-2 and group II with positive results The variables analyzed were age, obstetric history, personal pathological history, epidemiological history, clinical picture, complications, admission to the intensive care unit and maternal mortality Results: 60 obstetric patients were admitted and 6 (10%) were positive for SARS-CoV-2, from the provinces of Havana, Mayabeque and Artemisa The average age was 25 years 25 9% of group I and 66 6% of group II were in the 1st trimester of pregnancy 38 8% and 16 6%, of group I and group II, respectively, presented comorbidity 50% of the positives were asymptomatic Leukopenia was observed in 10 (18 5%) cases in group I and in 5 (83 3%) in group II Spontaneous abortion occurred in group II There was no COVID-19 pneumonia, nor maternal death Conclusions: COVID-19 occurred more frequently in pregnant women during the first trimester, the mild form of the disease prevailed, with no COVID-19 pneumonia or deaths from this disease