Escola Anna Nery Revista de Enfermagem
https://eanjournal.org/article/doi/10.1590/2177-9465-EAN-2025-0070en
Escola Anna Nery Revista de Enfermagem
Pesquisa

Implications of COVID-19 for obstetric and neonatal outcomes

Implicaciones de COVID-19 en los resultados obstétricos y neonatales

Implicações da COVID-19 para desfechos obstétricos e neonatais 

Jozéli Fernandes de Lima; Tassiane Ferreira Langendorf; Raquel Einloft Kleinubing; Silvana Silveira; Letícia Becker Vieira; Stela Maris de Mello Padoin

http://dx.doi.org/10.1590/2177-9465-EAN-2025-0070en Esc. Anna Nery, vol.29, e20250070, 2025
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Abstract

Objective  To analyze the implications of COVID-19 on obstetric and neonatal outcomes among hospitalized pregnant women.

Method  This retrospective, documentary, and analytical cohort study was conducted at a hospital in southern Brazil. The study population consisted of 126 pregnant women admitted between 2020 and 2022. Data were collected from April to June 2023 using epidemiological bulletins and electronic medical records and analyzed using the Statistical Package for the Social Sciences software.

Results  The pregnant women had a gestational age of ≥37 weeks (50.4%), obesity (22.2%), and chronic hypertension (19.0%). Emergency cesarean sections occurred in 43.7% of cases, and only 27% of them were vaccinated. Mechanical ventilation was required in 10.3% of cases, and 4.8% of them were admitted to the intensive care unit. Severe Acute Respiratory Syndrome was associated with prematurity and reduced skin-to-skin contact and breastfeeding in the first hour of life.

Conclusion and implications for practice  Pregnant women are a vulnerable group to the implications of COVID-19, which can have negative effects on obstetric and neonatal outcomes. Prevention and adequate monitoring are the main implications for practice when infection occurs.

Keywords

COVID-19; Pregnancy; Hospitalization; Newborn. SARS-CoV-2

Resumen

Objetivo: Analizar las implicaciones de la COVID-19 en los resultados obstétricos y neonatales de gestantes hospitalizadas.

Método: Este estudio de cohorte, retrospectivo, documental y analítico se realizó en un hospital del sur de Brasil. Su población estuvo constituida por 126 gestantes hospitalizadas entre 2020 y 2022. Las variables fueron recolectadas de abril a junio de 2023, mediante boletines epidemiológicos y historias clínicas electrónicas, y analizadas en el software estadístico Statistical Package for the Social Sciences.

Resultados: Las gestantes tenían edad gestacional ≥37 semanas (50.4%), obesidad (22.2%) e hipertensión crónica (19.0%). En el 43.7% de los casos se realizaron cesáreas de urgencia y solo el 27% de ellas estaban vacunadas. En el 10.3% de los casos fue necesaria ventilación mecánica y el 4.8% de ellos fueron ingresados en la unidad de cuidados intensivos. El síndrome respiratorio agudo severo se asoció con prematuridad y reducción del contacto piel con piel y de la lactancia materna en la primera hora de vida.

Conclusión e implicaciones para la práctica: Las gestantes son un grupo vulnerable a las implicaciones del COVID-19, que puede tener efectos negativos en los resultados obstétricos y neonatales. La prevención y un seguimiento adecuado son las principales implicaciones para la práctica cuando se produce la infección.
 

Palabras clave

COVID-19; Embarazo; Hospitalización; Recién Nacido; SARS-CoV-2

Resumo

Objetivo: Analisar as implicações da COVID-19 nos desfechos obstétricos e neonatais de gestantes hospitalizadas.

Método: Este estudo de coorte, retrospectivo, documental e analítico foi realizado em um hospital no Sul do Brasil. Sua população foi composta por 126 gestantes internadas entre 2020 e 2022. As variáveis foram coletadas de abril a junho de 2023, usando boletins epidemiológicos e prontuários eletrônicos, e analisadas no software Statistical Package for the Social Sciences.

Resultados: As gestantes tinham idade gestacional ≥37 semanas (50.4%), obesidade (22.2%) e hipertensão crônica (19.0%). Cesáreas de emergência ocorreram em 43.7% dos casos, e só 27% delas estavam vacinadas. Ventilação mecânica foi necessária em 10.3% dos casos, e 4.8% delas foram internadas em unidade de terapia intensiva. A Síndrome Respiratória Aguda Grave esteve associada à prematuridade e redução no contato pele-a-pele e amamentação na primeira hora de vida.

Conclusão e implicações para a prática: Gestantes são um grupo vulnerável às implicações da COVID-19 que podem ser negativos em desfechos obstétricos e neonatais. A prevenção e o monitoramento adequado são as principais implicações para a prática quando ocorre a infecção.

Palavras-chave

COVID-19; Gravidez; Hospitalização; Recém-Nascido; SARS-CoV-2

Referências

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Aceito em:
09/09/2025

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