Usefulness of COVID-19 screen-and-test approach in pregnant women: an experience from a country with low COVID-19 burden.
Adult
COVID-19
/ diagnosis
COVID-19 Serological Testing
/ methods
Cost of Illness
Female
Hospitalization
Humans
Infection Control
/ methods
Mass Screening
/ methods
Practice Patterns, Physicians'
/ standards
Pregnancy
Pregnancy Complications, Infectious
/ diagnosis
Prenatal Care
/ methods
Quality Improvement
Retrospective Studies
Slovenia
/ epidemiology
COVID-19
SARS-CoV-2
pregnancy
screen-and-test
Journal
Journal of perinatal medicine
ISSN: 1619-3997
Titre abrégé: J Perinat Med
Pays: Germany
ID NLM: 0361031
Informations de publication
Date de publication:
26 Mar 2021
26 Mar 2021
Historique:
received:
04
08
2020
accepted:
10
10
2020
pubmed:
23
10
2020
medline:
26
3
2021
entrez:
22
10
2020
Statut:
epublish
Résumé
Information on the usefulness of screen-and-test strategies of pregnant women for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is lacking. We retrospectively reviewed the Ljubljana Maternity Hospital database and searched for pregnant women, who were admitted to the hospital between March 15 and May 16, 2020, for a planned procedure or hospitalization. Their medical records were examined and SARS-CoV-2 test results were retrieved. During the two-month period analyzed, there were a total of 265 scheduled admissions of pregnant women to our hospital. Two hundred two (76.2%) were tested for SARS-CoV-2 1 day prior to admission. All tested negative for SARS-CoV-2 RNA, regardless of having coronavirus disease 2019 (COVID-19)-compatible signs or symptoms (n=28) or not (n=174). In a population with a low SARS-CoV-2 burden, usefulness of universal testing of pregnant women before admission to the hospital is limited. We recommend that obstetric units in regions with low SARS-CoV-2 burden enforce rational use of personal protective equipment and diligent screening protocols using targeted questionnaires, whereas SARS-CoV-2 laboratory testing should be performed only in screen-positives: those with high clinical suspicion of COVID-19 and/or suspected epidemiological history.
Identifiants
pubmed: 33090969
doi: 10.1515/jpm-2020-0368
pii: jpm-2020-0368
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
269-273Informations de copyright
© 2020 Walter de Gruyter GmbH, Berlin/Boston.
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