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      Nacer en los tiempos del COVID-19 Translated title: Born in the time of COVID-19

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          Abstract

          Resumen Nos hallamos ante una situación epidemiológica causada por un coronavirus del cual todavía desconocemos muchos datos. Pese a esa carencia de información, los sistemas sanitarios están implantando protocolos para intentar proteger no sólo a los pacientes, si no a los sanitarios que en ellos trabajan. Además, tampoco sabemos demasiado del impacto del COVID-19 sobre poblaciones teóricamente más vulnerables, como las gestantes, en las cual se hace más necesario si cabe adoptar protocolos de actuación lo más basados en la evidencia posible para no caer en una deshumanización en su atención.

          Translated abstract

          Abstract We are facing a epidemiological situation caused by a coronavirus for which we still don´t know much data. Despite this lack of information, health systems are implementing protocols to try to protect the patients, and also its health workers. Furthermore, we also don´t know too much about the theoric impact of COVID-19 on vulnerable populations, such pregnant women, in which it becomes more necessary if it possible to adopt evidence-based protocols and not to fall into dehumanized treatment.

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          Maternal and perinatal outcomes with COVID‐19: A systematic review of 108 pregnancies

          Abstract Introduction The pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) has exposed vulnerable populations to an unprecedented global health crisis. The knowledge gained from previous human coronavirus outbreaks suggests that pregnant women and their fetuses are particularly susceptible to poor outcomes. The objective of this study was to summarize the clinical manifestations and maternal and perinatal outcomes of COVID‐19 during pregnancy. Material and methods We searched databases for all case reports and series from 12 February to 4 April 2020. Multiple terms and combinations were used including COVID‐19, pregnancy, maternal mortality, maternal morbidity, complications, clinical manifestations, neonatal morbidity, intrauterine fetal death, neonatal mortality and SARS‐CoV‐2. Eligibility criteria included peer‐reviewed publications written in English or Chinese and quantitative real‐time polymerase chain reaction (PCR) or dual fluorescence PCR‐confirmed SARS‐CoV‐2 infection. Unpublished reports, unspecified date and location of the study or suspicion of duplicate reporting, cases with suspected COVID‐19 that were not confirmed by a laboratory test, and unreported maternal or perinatal outcomes were excluded. Data on clinical manifestations, maternal and perinatal outcomes including vertical transmission were extracted and analyzed. Results Eighteen articles reporting data from 108 pregnancies between 8 December 2019 and 1 April 2020 were included in the current study. Most reports described women presenting in the third trimester with fever (68%) and coughing (34%). Lymphocytopenia (59%) with elevated C‐reactive protein (70%) was observed and 91% of the women were delivered by cesarean section. Three maternal intensive care unit admissions were noted but no maternal deaths. One neonatal death and one intrauterine death were also reported. Conclusions Although the majority of mothers were discharged without any major complications, severe maternal morbidity as a result of COVID‐19 and perinatal deaths were reported. Vertical transmission of the COVID‐19 could not be ruled out. Careful monitoring of pregnancies with COVID‐19 and measures to prevent neonatal infection are warranted.
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            Novel corona virus disease (COVID‐19) in pregnancy: What clinical recommendations to follow?

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              Global interim guidance on coronavirus disease 2019 (COVID‐19) during pregnancy and puerperium from FIGO and allied partners: Information for healthcare professionals

              In response to the World Health Organization (WHO) statements and international concerns regarding the coronavirus disease 2019 (COVID‐19) outbreak, FIGO has issued comprehensive guidance for the management of pregnant women.
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                Author and article information

                Journal
                jonnpr
                Journal of Negative and No Positive Results
                JONNPR
                Research and Science S.L. (Madrid, Madrid, Spain )
                2529-850X
                2020
                : 5
                : 6
                : 597-602
                Affiliations
                [1] Albacete orgnameSESCAM orgdiv1Complejo Hospitalario Universitario de Albacete España
                Article
                S2529-850X2020000600597 S2529-850X(20)00500600597
                10.19230/jonnpr.3681
                f78c053f-0a20-4c8c-b80c-d9e354fa5e34

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 16 April 2020
                : 10 April 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 13, Pages: 6
                Product

                SciELO Spain

                Categories
                Artículo Especial

                humanization,pandemia,humanización,control prenatal,embarazo,coronavirus,COVID-19,pandemic,prenatal care,pregnancy

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