LITERATURE REVIEW
COVID-19 and pregnancy: A scoping review on pregnancy characteristics and outcomes
Karoline Faria de Oliveira RN, PhD,
Jacqueline Faria de Oliveira RN, PhD,
Monika Wernet PhD,
Marina Carvalho Paschoini PhD,
Mariana Torreglosa Ruiz PhD,
Karoline Faria de Oliveira RN, PhD
Registered Nurse
Department of Nursing in Hospital Assistance, Federal University of Triângulo Mineiro, Uberaba, Brazil
Search for more papers by this authorJacqueline Faria de Oliveira RN, PhD
Registered Nurse
Hospital de Clínicas, Federal University of Triângulo Mineiro, Uberaba, MG, Brazil
Search for more papers by this authorMonika Wernet PhD
Associate Professor
Department of Nursing, Federal University of Sāo Carlos, Sāo Paulo, Brazil
Search for more papers by this authorMarina Carvalho Paschoini PhD
Obstetrician, Adjunct Professor
Department of Gynecology and Obstetrics, Federal University of Triângulo Mineiro, Uberaba, Brazil
Search for more papers by this authorCorresponding Author
Mariana Torreglosa Ruiz PhD
Nurse-midwife, Adjunct Professor
Department of Nursing in Hospital Assistance, Federal University of Triângulo Mineiro, Uberaba, Brazil
Correspondence
Mariana Torreglosa Ruiz, Universidade Federal do Triângulo Mineiro, Praça Manoel Terra, 330, Centro, CEP 38025-015. Uberaba, Minas Gerais, Brazil.
Email: [email protected]
Search for more papers by this authorKaroline Faria de Oliveira RN, PhD,
Jacqueline Faria de Oliveira RN, PhD,
Monika Wernet PhD,
Marina Carvalho Paschoini PhD,
Mariana Torreglosa Ruiz PhD,
Karoline Faria de Oliveira RN, PhD
Registered Nurse
Department of Nursing in Hospital Assistance, Federal University of Triângulo Mineiro, Uberaba, Brazil
Search for more papers by this authorJacqueline Faria de Oliveira RN, PhD
Registered Nurse
Hospital de Clínicas, Federal University of Triângulo Mineiro, Uberaba, MG, Brazil
Search for more papers by this authorMonika Wernet PhD
Associate Professor
Department of Nursing, Federal University of Sāo Carlos, Sāo Paulo, Brazil
Search for more papers by this authorMarina Carvalho Paschoini PhD
Obstetrician, Adjunct Professor
Department of Gynecology and Obstetrics, Federal University of Triângulo Mineiro, Uberaba, Brazil
Search for more papers by this authorCorresponding Author
Mariana Torreglosa Ruiz PhD
Nurse-midwife, Adjunct Professor
Department of Nursing in Hospital Assistance, Federal University of Triângulo Mineiro, Uberaba, Brazil
Correspondence
Mariana Torreglosa Ruiz, Universidade Federal do Triângulo Mineiro, Praça Manoel Terra, 330, Centro, CEP 38025-015. Uberaba, Minas Gerais, Brazil.
Email: [email protected]
Search for more papers by this authorFunding information: CNPq, Grant/Award Number: 141513/2020-3
Abstract
Aim
The study aim was to map clinical characteristics and the evolution of pregnancies in pregnant women with confirmed diagnosis of SARS-CoV-2 infection.
Methods
Searching four databases, studies were investigated that described the evolution of pregnancies in women diagnosed with SARS-CoV-2 infection through laboratory tests. A scoping review was undertaken, including 35 articles published in English. Two pairs of independent researchers synthesized the data.
Results
Most studies were case studies or case series and had a low risk of bias. A predominance of cases was found in women over the age of 30 years who got infected in the third term of pregnancy and who had comorbidities. The prematurity index varied with the heterogeneity of the samples, and the cases of abortion occurred in combination with severe forms of infection. Caesarean section deliveries predominated, indicated mainly by respiratory decompensation caused by infection. Most women were discharged.
Conclusion
Based on the reviewed studies, the profile and evolution of pregnant women infected with COVID-19 could be evaluated.
Summary statement
What is already known about this topic?
- In 2020, the COVID-19 pandemic was decreed, currently accounting for more than 105 million cases and more than two million deaths.
- Physiological changes of pregnancy predispose pregnant women to COVID-19 infection.
- The characteristics of pregnancy associated with COVID-19 infection turn obstetric care into a constant challenge.
What this paper adds?
- The review presents the profile of pregnant women infected by SARS-CoV-2, with laboratory confirmation using the diagnostic reference standard (PCR).
- This review presents the profile of pregnant women infected with SARS-CoV-2 and the outcomes of the infection and pregnancy.
The implications of this paper:
- Based on the knowledge of the profile, public policies can be planned to prevent and manage infection among pregnant and postpartum women.
- Further studies are suggested, mainly follow-up studies of cohorts with pregnant women infected with SARS-CoV-2 to expand knowledge about the profile and obstetric outcomes.
CONFLICT OF INTEREST
The authors declare no conflict of interest.
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