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A New Multiplatform Model for Outpatient Prenatal and Postpartum Care in a Cohort of COVID-19-Affected Obstetric Patients

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  • Mar Muñoz-Chápuli Gutiérrez

    (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
    Health Research Institute Gregorio Marañón, 28009 Madrid, Spain)

  • Ana Durán-Vila

    (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
    Health Research Institute Gregorio Marañón, 28009 Madrid, Spain)

  • Javier Ruiz-Labarta

    (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
    Health Research Institute Gregorio Marañón, 28009 Madrid, Spain)

  • Pilar Payá-Martínez

    (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
    Health Research Institute Gregorio Marañón, 28009 Madrid, Spain)

  • Pilar Pintado Recarte

    (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
    Health Research Institute Gregorio Marañón, 28009 Madrid, Spain)

  • Julia Bujan

    (Department of Medicine and Medical Specialties, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, 28801 Madrid, Spain
    Ramón y Cajal Institute of Healthcare Research (IRYCIS), 28034 Madrid, Spain)

  • Miguel A. Ortega

    (Department of Medicine and Medical Specialties, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, 28801 Madrid, Spain
    Ramón y Cajal Institute of Healthcare Research (IRYCIS), 28034 Madrid, Spain
    Cancer Registry and Pathology Department, Hospital Universitario Principe de Asturias, 28806 Alcalá de Henares, Spain)

  • Juan De León-Luis

    (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
    Health Research Institute Gregorio Marañón, 28009 Madrid, Spain)

Abstract

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.

Suggested Citation

  • Mar Muñoz-Chápuli Gutiérrez & Ana Durán-Vila & Javier Ruiz-Labarta & Pilar Payá-Martínez & Pilar Pintado Recarte & Julia Bujan & Miguel A. Ortega & Juan De León-Luis, 2021. "A New Multiplatform Model for Outpatient Prenatal and Postpartum Care in a Cohort of COVID-19-Affected Obstetric Patients," IJERPH, MDPI, vol. 18(10), pages 1-13, May.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5144-:d:553403
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