<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902023000301204</article-id>
<article-id pub-id-type="doi">10.29193/rmu.39.3.4</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados obstétricos y perinatales de la enfermedad materna por COVID-19. Estudio de casos y controles]]></article-title>
<article-title xml:lang="en"><![CDATA[Obstetric and Perinatal Outcomes of Maternal COVID-19 Disease. Case-Control Study]]></article-title>
<article-title xml:lang="pt"><![CDATA[Resultados obstétricos e perinatais da doença materna COVID-19. Estudo de casos e controles]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Cecilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magallanes]]></surname>
<given-names><![CDATA[Danilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rubiños]]></surname>
<given-names><![CDATA[Melina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Danza]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Asociación Española Primera de Socorros Mutuos Departamento de Ginecología y Obstetricia ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Asociación Española Primera de Socorros Mutuos Departamento Clínico de Medicina ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Hospital Pasteur]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2023</year>
</pub-date>
<volume>39</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902023000301204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902023000301204&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902023000301204&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  las infecciones virales durante el embarazo pueden provocar complicaciones maternas y fetales. Es importante describir las repercusiones maternas y fetales de la enfermedad COVID-19.  Objetivos:  describir y analizar las características de las pacientes que presentaron infección a SARS-CoV-2 durante la gestación y los resultados maternos y fetales.  Material y método:  se realizó un estudio de casos y controles. Se incluyeron todas las pacientes embarazadas que presentaron infección por SARS-CoV-2 y que fueran hospitalizadas en una institución de asistencia privada (casos) en el período 1/3/2021 - 31/7/2021. Los controles se tomaron de pacientes embarazadas que estuvieran ingresadas en igual período de tiempo pero que resultaron negativas para las pruebas de SARS-CoV-2. Se incluyeron dos controles por cada caso. Las variables maternas consideradas fueron: trabajo de parto prematuro, diabetes gestacional, estado hipertensivo del embarazo, preeclampsia (severa o no severa), muerte fetal, restricción del crecimiento fetal, abruptio placentae. Las variables neonatales consideradas fueron: estado vital, peso del recién nacido (RN), Apgar al minuto y a los cinco minutos, necesidad de ingreso a una unidad especializada en cuidados neonatales y días de estadía. Se registraron las pruebas para COVID-19 y la condición del RN al alta.  Resultados:  las características demográficas maternas fueron comparables en ambos grupos. Se observaron 21 (55%) complicaciones obstétricas en el grupo casos y 117 (44,7%) en el grupo controles; OR = 4,2 (IC 95%: 1,9-9,7). Se identificaron 12 (30,8%) complicaciones neonatales en el grupo casos y 3 (3,8%) en el grupo control; OR = 11,2 (IC 95%: 2,9-42,9). El grupo casos estuvo asociado con una menor probabilidad de estar vacunados; OR = 0,3 (IC 95%: 0,13-0,75).  Conclusiones:  reportamos un riesgo aumentado de resultados maternos y neonatales adversos relacionados con la infección por el virus SARS-CoV-2. La vacunación confirma ser una herramienta valiosa contra esta infección viral.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Viral infections during pregnancy can lead to maternal and fetal complications. It is important to describe the maternal and fetal implications of COVID-19 disease.  Objetives:  To describe and analyze the characteristics of patients who experienced SARS-CoV-2 infection during gestation, and maternal and fetal outcomes.  Method:  A case-control study was conducted. All pregnant patients who presented SARS-CoV-2 infection and were hospitalized in a private healthcare institution (cases) during the period 1/03/2021 - 31/07/2021 were included in the study. Controls were selected from pregnant patients who were admitted during the same time but tested negative for SARS-CoV-2. Two controls were included for each case. The maternal variables considered were preterm labor, gestational diabetes, preeclampsia, (severe or non-severe) preeclampsia, fetal death, fetal growth restriction, placental abruption. The neonatal variables considered were vital status, newborn weight, one-minute and five-minute Apgar scores, need for admission to a specialized neonatal care unit, and length of stay in days. COVID-19 tests for the newborn and their condition at discharge were recorded.  Results:  Maternal demographic characteristics were comparable in both groups. Twenty-one (55%) obstetric complications were observed in the case group, and 117 (44.7%) in the control group; OR= 4.2 (95% CI: 1.9-9.7). Twenty-one (30.8%) neonatal complications were observed in the case group, and 3 (3.8%) in the control group; OR= 11.2 (95% CI: 2.9-42.9). The case group was associated with a lower likelihood of being vaccinated; OR = 0.3 (95% CI: 0.13-0.75).  Conclusions:  We report an increased risk of adverse maternal and neonatal outcomes associated with SARS-CoV-2 virus infection. Vaccination proves to be a valuable tool against this viral infection.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  as infecções virais durante a gravidez podem causar complicações maternas e fetais. É importante descrever as repercussões maternas e fetais da COVID-19.  Objetivos:  descrever e analisar as características das pacientes que apresentaram infecção por SARS-CoV-2 durante a gravidez e os desfechos maternos e fetais.  Material e métodos:  foi realizado um estudo caso-controle. Foram incluídas todas as gestantes que apresentaram infecção por SARS-CoV-2 e que estiveram internadas em instituição privada (casos) no período de 01 de março a 31 de julho de 2021. Os controles foram pacientes grávidas hospitalizadas durante o mesmo período de tempo, mas com teste negativo para SARS-CoV-2. Dois controles foram incluídos para cada caso. As variáveis maternas consideradas foram: trabalho de parto prematuro, diabetes gestacional, estado hipertensivo da gravidez, pré-eclâmpsia (grave ou não grave), óbito fetal, restrição do crescimento fetal, descolamento prematuro da placenta. As variáveis neonatais consideradas foram: estado vital, peso do recém-nascido (RN), Apgar de um e cinco minutos, necessidade de internação em unidade especializada em cuidados neonatais e dias de internação. Os resultados dos testes para COVID-19 e a condição do recém-nascido na alta foram registrados.  Resultados:  As características demográficas maternas foram comparáveis em ambos os grupos. 21 (55%) complicações obstétricas foram observadas no grupo caso e 117 (44,7%) no grupo controle; OR= 4,2 (IC 95%: 1,9-9,7). 12 (30,8%) complicações neonatais foram identificadas no grupo caso e 3 (3,8%) no grupo controle; OR = 11,2 (IC 95%: 2,9-42,9). O grupo de casos foi associado a uma menor probabilidade de ser vacinado; OR = 0,3 (IC 95%: 0,13-0,75).  Conclusões:  Relatamos um risco aumentado de resultados maternos e neonatais adversos relacionados à infecção pelo vírus SARS-CoV-2. A vacinação confirma ser uma ferramenta valiosa contra esta infecção viral.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[Embarazo]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones infecciosas del embarazo]]></kwd>
<kwd lng="es"><![CDATA[Recién nacido]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Infectious complications of pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Newborn]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[Gravidez]]></kwd>
<kwd lng="pt"><![CDATA[Complicações infecciosas na gravidez]]></kwd>
<kwd lng="pt"><![CDATA[Recém-nascido]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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