Obstetric–Neonatal Care during Birth and Postpartum in Symptomatic and Asymptomatic Women Infected with SARS-CoV-2: A Retrospective Multicenter Study

Rafael Vila-Candel, Víctor M. González-Chordá, Francisco Javier Soriano-Vidal, Enrique Castro-Sánchez, Noelia Rodríguez-Blanco, Ana Gómez-Seguí, Laura Andreu-Pejó, Cristina Martínez-Porcar, Carmen Rodríguez Gonzálvez, Patricia Torrent-Ramos, Nieves Asensio-Tomás, Yolanda Herraiz-Soler, Ramon Escuriet and Desirée Mena-Tudela
Additional contact information
Rafael Vila-Candel: Department of Nursing, Faculty of Nursing and Podiatry, Universitat de València, 46010 Valencia, Spain
Víctor M. González-Chordá: GIENF-281 Nursing Research Group, Nursing Department, Univesitat Jaume I, 12006 Castelló de la Plana, Spain
Francisco Javier Soriano-Vidal: Department of Obstetrics and Gynaecology, Hospital Universitario de la Ribera, 46600 Alcira, Spain
Enrique Castro-Sánchez: College of Nursing, Midwifery and Healthcare, University of West London, London TW8 9GB, UK
Noelia Rodríguez-Blanco: Department of Nursing, Universidad CEU Cardenal Herrera, Plaza Reyes Católicos, 19, 03204 Elche, Spain
Ana Gómez-Seguí: Department of Obstetrics and Gynaecology, Hospital Universitario y Politécnico La Fe, 46026 Valencia, Spain
Laura Andreu-Pejó: GIENF-281 Nursing Research Group, Nursing Department, Univesitat Jaume I, 12006 Castelló de la Plana, Spain
Cristina Martínez-Porcar: Department of Paediatrics, Hospital Universitario de la Ribera, 46600 Alzira, Spain
Carmen Rodríguez Gonzálvez: Department of Obstetrics and Gynaecology, Hospital Universitario de Vinalopó, 03293 Elche, Spain
Patricia Torrent-Ramos: Preventive Medicine Service, Hospital General de Castellón, 12071 Castelló de la Plana, Spain
Nieves Asensio-Tomás: Department of Obstetrics and Gynaecology, Hospital Universitario y Politécnico La Fe, 46026 Valencia, Spain
Yolanda Herraiz-Soler: Department of Obstetrics and Gynaecology, Consorcio Hospital General Universitario Valencia, 46014 Valencia, Spain
Ramon Escuriet: Ghenders Research Group, School of Health Sciences Blanquerna, Universitat Ramon Lull, Carrer Padilla 326, 08025 Barcelona, Spain
Desirée Mena-Tudela: GIENF-281 Nursing Research Group, Nursing Department, Univesitat Jaume I, 12006 Castelló de la Plana, Spain

IJERPH, 2022, vol. 19, issue 9, 1-14

Abstract: This study analyses the obstetric–neonatal outcomes of women in labour with symptomatic and asymptomatic COVID-19. A retrospective, multicenter, observational study was carried out between 1 March 2020 and 28 February 2021 in eight public hospitals in the Valencian community (Spain). The chi-squared test compared the obstetric–neonatal outcomes and general care for symptomatic and asymptomatic women. In total, 11,883 births were assisted in participating centers, with 10.9 per 1000 maternities ( n = 130) infected with SARS-CoV-2. The 20.8% were symptomatic and had more complications both upon admission ( p = 0.042) and during puerperium ( p = 0.042), as well as transfer to the intensive care unit (ICU). The percentage of admission to the Neonatal Intensive Care Unit (NICU) was greater among offspring of symptomatic women compared to infants born of asymptomatic women ( p < 0.001). Compared with asymptomatic women, those with symptoms underwent less labour companionship ( p = 0.028), less early skin-to-skin contact ( p = 0.029) and greater mother–infant separation ( p = 0.005). The overall maternal mortality rate was 0.8%. No vertical transmission was recorded. In conclusion, symptomatic infected women are at increased risk of lack of labour companionship, mother–infant separation, and admission to the ICU, as well as to have preterm births and for NICU admissions.

Keywords: COVID-19; SARS-CoV-2; obstetric nursing; neonatal nursing; labour; obstetric (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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