Search

Aim Our aim was to describe the clinical features of mothers infected with COVID‐19 and examine any potential vertical mother to newborn transmission. We also assessed how effective the discharge recommendations were in preventing transmission during the first month of life. Methods This multicentre descriptive study involved 16 Spanish hospitals. We reviewed the medical records of 42 pregnant women diagnosed with COVID‐19 from March 13, 2020, to March 29, 2020, when they were in their third trimester of pregnancy. They and their newborn infants were monitored until the infant was 1 month old. Results Over half (52.4%) of the women had a vaginal delivery. The initial clinical symptoms were coughing (66.6%) and fever (59.5%), and one mother died due to thrombo‐embolic events. We admitted 37 newborn infants to the neonatal unit (88%), and 28 were then admitted to intermediate care for organisational virus‐related reasons. No infants died, and no vertical transmission was detected during hospitalisation or follow‐up. Only six were exclusively breastfed at discharge. Conclusion There was no evidence of COVID‐19 transmission in any of the infants born to COVID‐19 mothers, and the post‐discharge advice seemed effective. The measures to avoid transmission appeared to reduce exclusive breastfeeding at discharge.

[ES] La Enfermedad de Chagas es una infección crónica y sistémica causada por Trypanosoma cruzi y según estimaciones de la OMS afecta a 10 millones de personas en el mundo. En los últimos años, en la Comunidad Autónoma de Madrid (CAM), la tasa de natalidad en mujeres inmigrantes de origen latino-americano ha aumentado, y como T. cruzi puede transmitirse de madre a niño, al menos 11 casos de transmisión vertical se han confirmado en la CAM. Por ello, este documento tiene por objeto promover la máxima cobertura en la detección de anticuerpos anti-T. cruzi en gestantes procedentes de zona endémica. Así mediante esta estrategia realizar una búsqueda activa de embarazadas y recién nacidos infectados para la instauración precoz de un tratamiento específico. De esta forma, contribuir en el control de la enfermedad de Chagas en área no endémica. [EN] Chagas disease is a chronic and systemic infection caused by Trypanosoma cruzi. According to estimates from WHO, 10 million people are affected by this parasite. In the last years, birthrate among the immigrant women from Latin America settled in the Comunidad Autónoma de Madrid has been increasing, and as T. cruzi can be transmitted from mother to child, in fact 11 cases of congenital Chagas disease have been confirmed. Therefore, the aim of this paper is encouraging improvements in the coverage of the anti-T. cruzi antibodies detection in pregnant women from endemic areas. By this strategy, an active search for infected pregnant women and early detection of her infected newborns could be conducted, and then an early specific treatment could be administrated. Thus, there could be an important contribution to the control of Chagas disease in non-endemic area. Sí

[ES] La Enfermedad de Chagas es una infección crónica y sistémica causada por Trypanosoma cruzi y según estimaciones de la OMS afecta a 10 millones de personas en el mundo. En los últimos años, en la Comunidad Autónoma de Madrid (CAM), la tasa de natalidad en mujeres inmigrantes de origen latino-americano ha aumentado, y como T. cruzi puede transmitirse de madre a niño, al menos 11 casos de transmisión vertical se han confirmado en la CAM. Por ello, este documento tiene por objeto promover la máxima cobertura en la detección de anticuerpos anti-T. cruzi en gestantes procedentes de zona endémica. Así mediante esta estrategia realizar una búsqueda activa de embarazadas y recién nacidos infectados para la instauración precoz de un tratamiento específico. De esta forma, contribuir en el control de la enfermedad de Chagas en área no endémica. [EN] Chagas disease is a chronic and systemic infection caused by Trypanosoma cruzi. According to estimates from WHO, 10 million people are affected by this parasite. In the last years, birthrate among the immigrant women from Latin America settled in the Comunidad Autónoma de Madrid has been increasing, and as T. cruzi can be transmitted from mother to child, in fact 11 cases of congenital Chagas disease have been confirmed. Therefore, the aim of this paper is encouraging improvements in the coverage of the anti-T. cruzi antibodies detection in pregnant women from endemic areas. By this strategy, an active search for infected pregnant women and early detection of her infected newborns could be conducted, and then an early specific treatment could be administrated. Thus, there could be an important contribution to the control of Chagas disease in non-endemic area. Sí