Magíster en Salud Reproductiva, Obstetra asistencial, Hospital Alberto Sabogal Sologuren, Lima (Perú)..
Doctor en Salud Pública, Obstetra asistencial, Hospital Alberto Sabogal Sologuren, Lima (Perú)..
Rev Colomb Obstet Ginecol. 2021 Dec 30;72(4):356-367. doi: 10.18597/rcog.3737.
To evaluate if there is association between delay II in maternal care and complications of Pregnancy-induced hypertension (PIH) at the Alberto Sabogal Hospital in the context of the Covid19 pandemic.
Case-control study carried out in a reference hospital in the Callao region, Peru. The study included women aged 19 or over, treated for emergency caesarean section attended in the obstetric areas COVID-19 and non-COVID-19 in the months of January to April 2021. Pregnant women with pre-existing diseases, as well as those with other obstetric complication were excluded. Patients with complications of pregnancy-induced hypertension (PIH) were included as cases, and those without these complications as controls. Age, origin, occupation, type of delay and type of complication of PIH were measured. A questionnaire was used according to the Thadeus and Mayne model and documentary review. The association between delay II and complications of PIH was evaluated through the odds ratio (OR).
It was found that the cases had a higher risk of having been exposed to type II delays than the controls (OR: 7.72; 95% CI: 3.44-17.35). There was an association between delay II and hypertensive complications. It was identified that delay II was associated with the origin of the patient.
In the period of the Covid-19 pandemic, women who had complications from PIH were more exposed to type II delays than controls at the Alberto Sabogal hospital in Callao, Peru. Prospective studies are required to confirm this association and the effects of congestion of hospital services by patients with covid-19 on other maternal-perinatal outcomes in the region.
评估在科维德 19 大流行背景下，母亲护理的 II 期延迟与妊娠高血压（PIH）并发症之间是否存在关联。
在秘鲁卡亚俄地区的一家参考医院进行的病例对照研究。该研究包括年龄在 19 岁或以上的妇女，她们在 2021 年 1 月至 4 月期间因紧急剖宫产而在产科 COVID-19 和非 COVID-19 区域接受治疗。排除有先前疾病的孕妇以及有其他产科并发症的孕妇。将患有妊娠高血压并发症（PIH）的孕妇作为病例，而无这些并发症的孕妇作为对照。测量了年龄、来源、职业、PIH 的 II 期延迟类型和并发症类型。根据 Thadeus 和 Mayne 模型和文献回顾使用了问卷。通过优势比（OR）评估 II 期延迟与 PIH 并发症之间的关联。
结果发现，与对照组相比，病例组暴露于 II 期延迟的风险更高（OR：7.72；95%置信区间：3.44-17.35）。II 期延迟与高血压并发症之间存在关联。确定 II 期延迟与患者的来源有关。
在科维德 19 大流行期间，秘鲁卡亚俄的 Alberto Sabogal 医院的患有 PIH 并发症的妇女比对照组更有可能经历 II 期延迟。需要进行前瞻性研究来证实这种关联以及因 covid-19 而使医院服务拥堵对该地区其他母婴围产期结局的影响。
