{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:55:43Z","timestamp":1777859743196,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Patient Experience"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p>The asymptomatic population's role in COVID-19 transmission poses challenges for control efforts. Pregnant women are susceptible to severe manifestations, increasing maternal and perinatal morbidity and mortality. This study describes the clinical characteristics, maternal and fetal outcomes, and our experience in universal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) screening of pregnant women admitted to a high-complexity obstetric unit in Latin America. Of 568 pregnant women tested for SARS-CoV-2, 23 obtained a positive result. Among these patients, 17% had symptoms at admission, and 0.2% reported an epidemiological link. Pregnant women with positive were associated with an increased risk of eclampsia (16.7% vs 4.9%, P\u2009=\u2009.014) and acute respiratory distress (16.7% vs 4.9%, P\u2009=\u2009.014). In this group, 4 patients developed maternal near misses, and no maternal deaths were noted. Two early perinatal deaths occurred in the positive SARS-CoV-2 test group (2, 9.5% vs 17, 4.1%, P\u2009=\u2009.235). The high prevalence of asymptomatic pregnant women with SARS-CoV-2 and the adverse outcomes for those infected during pregnancy highlights the importance of universal screening upon hospital admission. This approach streamlines risk management, and enhances service structure, resource allocation, care pathways, patient management, follow-up, and overall outcomes.<\/jats:p>","DOI":"10.1177\/23743735231213764","type":"journal-article","created":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T00:50:00Z","timestamp":1700095800000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Universal Screening for SARS-CoV-2 in Obstetric Care: Clinical Characteristics and Maternofetal Outcomes in a Latin American High-Complexity Unit"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1441-0890","authenticated-orcid":false,"given":"Mar\u00eda Fernanda","family":"Escobar Vidarte","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fundaci\u00f3n Valle del Lili, Cali, Valle del Cauca, Colombia"},{"name":"Facultad de Ciencias de la Salud, Universidad ICESI, Cali, Valle del Cauca, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Paula","family":"Echavarria","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fundaci\u00f3n Valle del Lili, Cali, Valle del Cauca, Colombia"},{"name":"Facultad de Ciencias de la Salud, Universidad ICESI, Cali, Valle del Cauca, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier Andr\u00e9s","family":"Carvajal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fundaci\u00f3n Valle del Lili, Cali, Valle del Cauca, Colombia"},{"name":"Facultad de Ciencias de la Salud, Universidad ICESI, Cali, Valle del Cauca, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludwig Luis","family":"Albornoz","sequence":"additional","affiliation":[{"name":"Department of Pathology, Fundaci\u00f3n Valle del Lili, Cali, Valle del Cauca, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evelyn E.","family":"Pe\u00f1a-Zarate","sequence":"additional","affiliation":[{"name":"Centro de Investigaciones Cl\u00ednicas, Fundaci\u00f3n Valle del Lili, Cali, Valle del Cauca, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Libreros","sequence":"additional","affiliation":[{"name":"Centro de Investigaciones Cl\u00ednicas, Fundaci\u00f3n Valle del Lili, Cali, Valle del Cauca, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Nasner","sequence":"additional","affiliation":[{"name":"Centro de Investigaciones Cl\u00ednicas, Fundaci\u00f3n Valle del Lili, Cali, Valle del Cauca, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Diego","family":"V\u00e9lez","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease, Fundaci\u00f3n Valle del Lili, Cali, Valle del Cauca, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,15]]},"reference":[{"key":"bibr1-23743735231213764","doi-asserted-by":"publisher","DOI":"10.1186\/s12941-021-00438-7"},{"key":"bibr2-23743735231213764","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.12839"},{"key":"bibr3-23743735231213764","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.587374"},{"issue":"3","key":"bibr4-23743735231213764","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1016\/j.fmc.2021.01.005","volume":"28","author":"Langa LS","year":"2021","journal-title":"Form M\u00e9dica Contin En Aten 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