Universal SARS-Cov-2 Screening in Women Admitted for Delivery in a Large Managed Care Organization.


Journal

American journal of perinatology
ISSN: 1098-8785
Titre abrégé: Am J Perinatol
Pays: United States
ID NLM: 8405212

Informations de publication

Date de publication:
09 2020
Historique:
pubmed: 4 7 2020
medline: 17 9 2020
entrez: 4 7 2020
Statut: ppublish

Résumé

The coronavirus disease 2019 (COVID-19) pandemic has created a need for data regarding the prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in pregnant women. After implementing universal screening for COVID-19 in women admitted for delivery, we sought to describe the characteristics of COVID-19 in this large cohort of women. An observational study of women admitted to labor and delivery units in Kaiser Permanente Southern California (KPSC) hospitals between April 6 and May 11, 2020 who were universally offered testing for SARS-CoV-2 infection ( Of women delivered during the study period, 3,923 (99.0%) underwent SARS-CoV-2 testing. A total of 17 (0.43%; 95% confidence interval: 0.23-0.63%) women tested positive, and none of them were symptomatic on admission. There was no difference in terms of characteristics between SARS-CoV-2 positive and negative tested women. One woman developed a headache attributed to COVID-19 3 days postpartum. No neonates had a positive test at 24 hours of life. The findings suggest that in pregnant women admitted for delivery between April 6 and May 11, 2020 in this large integrated health care system in Southern California, prevalence of SARS-CoV-2 test positive was very low and all patients were asymptomatic on admission. · The prevalence of SARS-CoV-2 infection in a large diverse cohort of term pregnant women was 0.43%.. · 99% of women accepted SARS-CoV-2 screening on admission to labor and delivery.. · All women with positive test results were asymptomatic at the time of testing..

Identifiants

pubmed: 32620022
doi: 10.1055/s-0040-1714060
pmc: PMC7516390
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1110-1114

Informations de copyright

Thieme. All rights reserved.

Déclaration de conflit d'intérêts

None declared.

Références

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pubmed: 32119083
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pubmed: 32305046
JAMA Pediatr. 2020 Jul 1;174(7):722-725
pubmed: 32215598
Transl Pediatr. 2020 Feb;9(1):51-60
pubmed: 32154135
N Engl J Med. 2020 May 28;382(22):2163-2164
pubmed: 32283004
Lancet. 2020 Mar 7;395(10226):809-815
pubmed: 32151335
JAMA. 2020 May 12;323(18):1846-1848
pubmed: 32215581

Auteurs

Michael J Fassett (MJ)

Department of Maternal-Fetal Medicine, Kaiser Permanente West Los Angeles Medical Center, Los Angeles, California.

Lawrence D Lurvey (LD)

Southern California Permanente Medical Group, Pasadena, California.

Lyn Yasumura (L)

Department of Obstetrics and Gynecology, Kaiser Permanente Baldwin Park Medical Center, Baldwin Park, California.

Marielle Nguyen (M)

Department of Neonatal Medicine, Kaiser Permanente Anaheim Medical Center, Anaheim, California.

Joseph J Colli (JJ)

Department of Neonatal Medicine, Kaiser Permanente South Bay Medical Center, Los Angeles, California.

Marianna Volodarskiy (M)

Kaiser Foundation Hospitals, Pasadena, California.

Jonathan C Gullett (JC)

Southern California Permanente Medical Group Regional Reference Laboratories, North Hollywood, California.

David Braun (D)

Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California.

Alex Fong (A)

Department of Maternal-Fetal Medicine, Kaiser Permanente Irvine Medical Center, Irvine, California.

Neha Trivedi (N)

Department of Maternal-Fetal Medicine, Kaiser Permanente San Diego Medical Center, San Diego, California.

Katia Bruxvoort (K)

Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California.

Vicki Chiu (V)

Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California.

Darios Getahun (D)

Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California.
Department of Health Systems Science at the Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California.

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