• Rev Assoc Med Bras (1992) · Jan 2023

    Observational Study

    Screening for coronavirus disease 2019 in pregnant women admitted for delivery: an observational study.

    • Ana Nery Melo Cavalcante, AlmeidaRosa Lívia Freitas deRLF0000-0001-6423-543XUniversidade de Fortaleza, Public Health Postgraduate Program - Fortaleza (CE), Brazil., Denise Nunes Oliveira, Danielle Malta Lima, CavalcanteCandice Torres de Melo BezerraCTMB0000-0003-2184-1223Gonzaga Mota of Messejana Hospital, Department of Obstetrics and Neonatology - Fortaleza (CE), Brazil.Universidade de Fortaleza, Medical Course - Fortaleza (CE), Brazil., Lohanna Valeska de Sousa Tavares, Renata Parente Almeida, Rosângela Pinheiro Gonçalves Machado, Edward Araujo Júnior, and Marcelo Borges Cavalcante.
    • Gonzaga Mota of Messejana Hospital, Department of Obstetrics and Neonatology - Fortaleza (CE), Brazil.
    • Rev Assoc Med Bras (1992). 2023 Jan 1; 69 (7): e20230084e20230084.

    ObjectiveThe aim of this study was to examine the impact of symptom-based screening on the prevalence and outcomes of neonatal coronavirus disease 2019 in pregnant women admitted for delivery.MethodsA retrospective observational study was conducted from June to August 2020 at Gonzaga Mota of Messejana Hospital, Fortaleza, CE, Brazil. All pregnant women were screened for coronavirus disease 2019 based on symptoms. Reverse transcription-polymerase chain reaction or immunology assays for severe acute respiratory syndrome coronavirus 2 were performed when a patient reported a symptom. All newborns of symptomatic patients were submitted for Reverse transcription-polymerase chain reaction. Newborns were divided into groups according to the Reverse transcription-polymerase chain reaction results to identify the relationship between maternal symptoms and neonatal coronavirus disease 2019.ResultsA total of 55 (55/1,026, 5.4%) and 50 (50/1,026, 4.8%) pregnant women reported symptoms and had a positive confirmatory test, respectively. The most common symptom of coronavirus disease 2019 among the pregnant women with positive confirmatory test was cough (n=23, 46%). Seven newborns (7/50, 14%) of symptomatic mothers had positive Reverse transcription-polymerase chain reaction. Upon birth, no newborn had serious complications.ConclusionUniversal screening of pregnant women admitted for delivery can reduce the perinatal transmission of coronavirus disease 2019. Symptom-based screening can be an alternative for regions with a low prevalence of the disease where a better allocation of financial resources is necessary.

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