Department of Public and Maternal and Child Health, School of Medicine, Complutense University of Madrid, 28040 Madrid, Spain.
Department of Obstetrics and Gynecology, University Hospital Gregorio Marañón, 28009 Madrid, Spain.
Int J Environ Res Public Health. 2021 May 12;18(10):5144. doi: 10.3390/ijerph18105144.
Spain was one of the epicenters of the first wave of the COVID-19 pandemic. We describe in this article the design and results of a new telephone-and-telematic multiplatform model of systematic prenatal and postpartum follow-up for COVID-19-affected women implemented in a tertiary reference hospital in Madrid. We included patients with RT-PCR-confirmed COVID-19 during pregnancy or delivery from 10 March 2020 to 15 December 2020. We had a total of 211 obstetric patients: 148 (70.1%) were tested at the onset of suspicious clinical manifestations and 62 (29.4%) were tested in the context of routine screening. Of all the patients, 60 women (28.4%) were asymptomatic and 97 (46%) presented mild symptoms. Fifty-one women (24.2%) were admitted to our hospital for specific treatment because of moderate or severe symptoms. We had no missed cases and a good adherence. The mean number of calls per patient was 2.3. We performed 55 in-person visits. We analyzed the complexity of our program over time, showing a two-wave-like pattern. One patient was identified as needing hospitalization and we did not record major morbidity. Telemedicine programs are a strong and reproducible tool to reach to pregnant population affected by COVID-19, to assess its symptoms and severity, and to record for pregnancy-related symptoms both in an outpatient regime and after discharge from hospital.
西班牙是 COVID-19 大流行第一波的中心之一。本文描述了一种新的电话和远程多媒体多平台模型，用于对马德里一家三级参考医院中受 COVID-19 影响的女性进行系统的产前和产后随访，该模型是为 COVID-19 孕妇或产妇设计的。我们纳入了 2020 年 3 月 10 日至 2020 年 12 月 15 日期间经 RT-PCR 确诊为 COVID-19 的孕妇或产妇。共有 211 名产科患者：148 例（70.1%）在出现可疑临床表现时进行了检测，62 例（29.4%）在常规筛查时进行了检测。所有患者中，60 名女性（28.4%）无症状，97 名（46%）症状轻微。51 名女性（24.2%）因中度或重度症状需要住院接受特定治疗。我们没有漏诊病例，且患者的依从性良好。每位患者的平均通话次数为 2.3 次。我们进行了 55 次面对面访问。我们分析了我们的计划随时间的复杂性，显示出双峰样模式。有一位患者需要住院治疗，我们没有记录到主要的发病率。远程医疗计划是一种强大且可重复使用的工具，可用于接触受 COVID-19 影响的孕妇人群，评估其症状和严重程度，并记录与妊娠相关的症状，无论是在门诊还是出院后。
