A new multiplatform model for outpatient prenatal and postpartum care in a cohort of covid-19-affected obstetric patients
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Authors
Gutiérrez, Mar Muñoz-Chápuli
Durán-Vila, Ana
Ruiz-Labarta, Javier
Payá-Martínez, Pilar
Recarte, Pilar Pintado
Bujan, Julia
Ortega, Miguel A.
León-Luis, Juan De
Issue Date
2021-05-12
Type
Article
Language
en_US
Keywords
COVID-19 , Pregnancy , Prenatal Care , Prenatal Diagnosis , Telemedicine , Postpartum Care
Alternative Title
Abstract
Spain was one of the epicenters of the first wave of the COVID-19 pandemic. We describe in this article the design and results of a new telephone-and-telematic multiplatform model of systematic prenatal and postpartum follow-up for COVID-19-affected women implemented in a tertiary reference hospital in Madrid. We included patients with RT-PCR-confirmed COVID-19 during pregnancy or delivery from 10 March 2020 to 15 December 2020. We had a total of 211 obstetric patients: 148 (70.1%) were tested at the onset of suspicious clinical manifestations and 62 (29.4%) were tested in the context of routine screening. Of all the patients, 60 women (28.4%) were asymptomatic and 97 (46%) presented mild symptoms. Fifty-one women (24.2%) were admitted to our hospital for specific treatment because of moderate or severe symptoms. We had no missed cases and a good adherence. The mean number of calls per patient was 2.3. We performed 55 in-person visits. We analyzed the complexity of our program over time, showing a two-wave-like pattern. One patient was identified as needing hospitalization and we did not record major morbidity. Telemedicine programs are a strong and reproducible tool to reach to pregnant population affected by COVID-19, to assess its symptoms and severity, and to record for pregnancy-related symptoms both in an outpatient regime and after discharge from hospital.
Description
Citation
Gutiérrez, M. M., Durán-Vila, A., Ruiz-Labarta, J., Payá-Martínez, P., Pintado Recarte, P., Bujan, J., Ortega, M. A., & De León-Luis, J. (2021). A New Multiplatform Model for Outpatient Prenatal and Postpartum Care in a Cohort of COVID-19-Affected Obstetric Patients. International journal of environmental research and public health, 18(10), 5144. https://doi.org/10.3390/ijerph18105144
Publisher
International Journal of Environmental Research and Public Health