Clinical and obstetric outcomes in pregnant women with covid-19 in the Brazilian Amazon

Objective: analyze the clinical-obstetric condition and the outcomes of pregnant women diagnosed with COVID-19 in a maternity hospital in the Brazilian Amazon. Methods: This is a case series in which we analyze clinical and obstetric records of pregnant women with COVID-19. The data were collectedin a maternity hospital in the northernmost Brazil. The outcomes evaluated were maternal death and hospital discharge before or after delivery. Results: We identified 17 pregnant women as confirmed COVID-19 cases. 15 patients were symptomatic, with the most common symptoms being dyspnea, cough, fever, and cephalea. One pregnant woman died on the way to the Intensive Care Unit, seven stable patients (41.2%) were discharged without delivery, and nine (52.9%) were discharged after delivery. Of the nine deliveries, six were cesarean sections, with one indication due to the COVID-19 condition, and the others according to obstetric indication. Conclusions: During the month in which Amapá presented the highest incidence of COVID-19 cases in Brazil, the findings of this small case group of COVID-19 in pregnant women suggest a severity level similar to those reported for non-pregnant patients.