Desfechos da gestação frente à contaminação por COVID-19: uma revisão sistemática

Abstract

This study investigates the possible outcomes of pregnancy due to contamination by the COVID-19 virus. Me-thod: systematic review where scientific studies published between the years 2019 and 2021, with themes about COVID-19 in pregnant women and its complications, as well as its influence on pregnancy outcome, were analy-zed. A total of 3830 articles were selected; after applying inclusion and exclusion criteria, bias evaluation, 13 articles were used. Results: The immune system is possibly strongly altered by the virus; other factors that also influence are patients who have comorbidities, especially hypertension and obesity, which often produce prema-ture labor, premature rupture of membranes, miscarriage and restricted intrauterine growth. Asymptomatic pre-gnant women or those with mild symptoms show a significant improvement without the need for further inter-ventions; on the other hand, patients who show signs of aggravation may require monitoring in Intensive Care Units. There is a prevalence of cesarean section compared to vaginal delivery. Conclusion: Gestational outcomes are mostly positive; it was found that pregnant women who have comorbidities may present worsening in their clinical status.