Infección por coronavirus (COVID-19) durante el embarazo y su manejo terapéutico. Una revisión bibliográfica
DOI:
https://doi.org/10.29166/rfcmq.v47i1.3345Palabras clave:
Infecciones por coronavirus, Embarazo, Protección personal, Terapia, corticosteroidesResumen
Introducción: La COVID-19, produjo una emergencia sanitaria global. Además de los pocos conocimientos sobre el efecto de esta infección en la gestación, hay dudas sobre su impacto en el producto de la gestación. A pesar de que se sabe que las embarazadas son particularmente vulnerables, no se cuenta con un esquema de manejo particular para estas; aunque hay reportes del uso de varios fármacos, de forma similar al tratamiento en otros adultos sin gestación.
Objetivo: Conocer sobre la infección por la COVID-19 en la gestación y su tratamiento.
Materiales y Métodos: se llevó a cabo una revisión teórica, como fuentes de información se tuvieron en cuenta las bibliotecas: MEDLlNE, EMBASE, PubMed y Cochrane. Se realizó una búsqueda basada en términos MeSH. Se incluyeron publicaciones sobre este tema, con diseño de revisión bibliográfica, observacional o analítico.
Resultados: Se encontraron 43 publicaciones, de las que se suprimieron diez y se incluyeron 33. Las acciones terapéuticas para el abordaje de la COVID-19 en la gestación abarca tres pilares: las acciones de prevención, el ingreso hospitalario y el manejo terapéutico individualizado.
Conclusión: En las embarazadas con la COVID-19, el manejo no es diferente del utilizado en el resto de los adultos; incluye cuidados individualizados, según el estado de la paciente, encaminados a garantizar la sobrevida del binomio madre – feto. Se necesita más estudios para argumentar de forma objetiva estos resultados a favor de los puntos críticos de discusión que están descritos en la presente revisión, ya que se trata de una enfermedad de aparición reciente.
Citas
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