Objective: Determine the strengths and weakness of asymptomatic screening for COVID-19 in pregnant women. Analyze the results an percentage of positives in asyntomatic pregnant women. Design: Descriptive retrospective observational study. Setting: Mancha-Centro Hospital (Spain). Population: Asymptomatic pregnant women that get in to the hospital. Methods: Between the 12th of April and 1th of June 2020, all the asymptomatic pregnancies were screened with diagnostic test for SARS-CoV-2. Data collection was done by reviewing the medical records. Main outcomes measures: Clinical characteristics, management, treatment, and obstetric and neonatal outcomes. Results: A total of 117 patients were routinely screened using serological tests in maternal blood and PCR in nasopharyngeal exudate to detect COVID-19 patients. Of the 117 patients screened, 24 (20.5%) were positive in at least one of the two tests used for screening, of which 19 (79%) were asymptomatic and 5 (21%) symptomatic. Conclusions: We recommend universal screening of all pregnant woman for COVID-19 during the pandemic because of the limits of the symptomatic screening seen in the actual literature and the importance of transmission between asymptomatics patients.
Faculty Opinions recommendation of Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records.
