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- W3129000695 abstract "Since Covid-19 emerged it has become one of the toughest challenges our healthcare systems have faced worldwide. One of the most difficult problems has been identifying asymptomatic positive patients who are unknowingly infecting others. Some studies have stated this may be the case for up to one third of the population. Within Ireland, a nationwide lockdown commenced on 27th March, lasting until May 18th then slowly eased. The measures taken included advising all at-risk groups, including pregnant women, to stay home. In our institution a screening program began to identify these asymptomatic positive cases, so they may be treated and isolated appropriately if found. We sought to examine the prevalence of Covid-19, and how it changed over time as lockdown restrictions eased, among asymptomatic elective admissions to a large university teaching hospital. We included all women presenting for induction of labor(IOL), elective caesarean delivery(CD) and elective gynecology surgical admissions in a university teaching hospital in an area of high Covid-19 prevalence (our capital city) from 13th March until 1st September 2020. Data was gathered from hospital records and charts were checked for Covid-19 swab results. 2,359 women were included in this retrospective cohort study. 1,980 were pregnant. Among the elective admissions for IOL or CD there were 9 positive tests, a prevalence of 0.45%. Among the 379 elective gynecology admissions there were 2 positives – a prevalence of 0.52%. Among this entire cohort the overall prevalence was 0.47%. The cases began to emerge in April, with 5 asymptomatic positive cases, a further 3 in June and 3 more in July. The geographical spread of cases ranged from 2-16 miles from the hospital. It is reassuring that our population displayed a low prevalence of asymptomatic Covid-19, and with easing of restrictions from May 18th onwards, that numbers remained low. What we can conclude is that not only do pregnant women, and those anticipating surgery adhere to guidelines, but these guidelines did work in protecting our vulnerable population." @default.
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- W3129000695 date "2021-02-01" @default.
- W3129000695 modified "2023-09-23" @default.
- W3129000695 title "434 Asymptomatic covid-19 in pregnancy – does “lockdown” work?" @default.
- W3129000695 doi "https://doi.org/10.1016/j.ajog.2020.12.455" @default.
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