%0 Journal Article
%A Cruz-Lemini, Monica
%A Ferriols Perez, Elena
%A de la Cruz Conty, Maria Luisa
%A Caño Aguilar, Africa
%A Encinas Pardilla, Maria Begoña
%A Prats Rodríguez, Pilar
%A Muner Hernando, Marta
%A Forcen Acebal, Laura
%A Pintado Recarte, Pilar
%A Medina Mallen, Maria Del Carmen
%A Perez Perez, Noelia
%A Canet Rodriguez, Judit
%A Villalba Yarza, Ana
%A Nieto Velasco, Olga
%A Del Barrio Fernandez, Pablo Guillermo
%A Orizales Lago, Carmen Maria
%A Marcos Puig, Beatriz
%A Muñoz Abellana, Begoña
%A Fuentes Ricoy, Laura
%A Rodriguez Vicente, Agueda
%A Janeiro Freire, Maria Jesus
%A Alferez Alvarez-Mallo, Macarena
%A Casanova Pedraz, Cristina
%A Alomar Mateu, Onofre
%A Lesmes Heredia, Cristina
%A Wizner de Alva, Juan Carlos
%A Posadas San Juan, Alma
%A Macia Badia, Montserrat
%A Alvarez Colomo, Cristina
%A Sanchez Muñoz, Antonio
%A Pratcorona Alicart, Laia
%A Alonso Saiz, Ruben
%A Lopez Rodriguez, Monica
%A Barbancho Lopez, Maria Carmen
%A Meca Casbas, Marta Ruth
%A Vaquerizo Ruiz, Oscar
%A Moran Antolin, Eva
%A Nuñez Valera, Maria Jose
%A Fernandez Fernandez, Camino
%A Tubau Navarra, Albert
%A Cano Garcia, Alejandra Maria
%A Soldevilla Perez, Susana
%A Gattaca Abasolo, Irene
%A Adanez Garcia, Jose
%A Puertas Prieto, Alberto
%A Ostos Serna, Rosa
%A Guadix Martin, Maria Del Pilar
%A Catalina Coello, Monica
%A Espuelas Malon, Silvia
%A Sainz Bueno, Jose Antonio
%A Granell Escobar, Maria Reyes
%A Cruz Melguizo, Sara
%A Martinez Perez, Oscar
%A On Behalf Of The Spanish Obstetric Emergency Group,
%T Obstetric Outcomes of SARS-CoV-2 Infection in Asymptomatic Pregnant Women.
%D 2021
%U http://hdl.handle.net/10668/17004
%X Around two percent of asymptomatic women in labor test positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in Spain. Families and care providers face childbirth with uncertainty. We determined if SARS-CoV-2 infection at delivery among asymptomatic mothers had different obstetric outcomes compared to negative patients. This was a multicenter prospective study based on universal antenatal screening for SARS-CoV-2 infection. A total of 42 hospitals tested women admitted for delivery using polymerase chain reaction, from March to May 2020. We included positive mothers and a sample of negative mothers asymptomatic throughout the antenatal period, with 6-week postpartum follow-up. Association between SARS-CoV-2 and obstetric outcomes was evaluated by multivariate logistic regression analyses. In total, 174 asymptomatic SARS-CoV-2 positive pregnancies were compared with 430 asymptomatic negative pregnancies. No differences were observed between both groups in key maternal and neonatal outcomes at delivery and follow-up, with the exception of prelabor rupture of membranes at term (adjusted odds ratio 1.88, 95% confidence interval 1.13-3.11; p = 0.015). Asymptomatic SARS-CoV-2 positive mothers have higher odds of prelabor rupture of membranes at term, without an increase in perinatal complications, compared to negative mothers. Pregnant women testing positive for SARS-CoV-2 at admission for delivery should be reassured by their healthcare workers in the absence of symptoms.
%K SARS-CoV-2
%K asymptomatic infection
%K coronavirus
%K delivery
%K maternal complications
%K perinatal outcomes
%K pregnancy
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