Spain was one of the epicenters of the first wave of the COVID-19 pandemic. We describe in this article the design and results of a new telephone-and-telematic multiplatform model of systematic prenatal and postpartum follow-up for COVID-19-affected women implemented in a tertiary reference hospital in Madrid. We included patients with RT-PCR-confirmed COVID-19 during pregnancy or delivery from 10 March 2020 to 15 December 2020. We had a total of 211 obstetric patients: 148 (70.1%) were tested at the onset of suspicious clinical manifestations and 62 (29.4%) were tested in the context of routine screening. Of all the patients, 60 women (28.4%) were asymptomatic and 97 (46%) presented mild symptoms. Fifty-one women (24.2%) were admitted to our hospital for specific treatment because of moderate or severe symptoms. We had no missed cases and a good adherence. The mean number of calls per patient was 2.3. We performed 55 in-person visits. We analyzed the complexity of our program over time, showing a two-wave-like pattern. One patient was identified as needing hospitalization and we did not record major morbidity. Telemedicine programs are a strong and reproducible tool to reach to pregnant population affected by COVID-19, to assess its symptoms and severity, and to record for pregnancy-related symptoms both in an outpatient regime and after discharge from hospital.
【저자키워드】 COVID-19, Telemedicine, prenatal diagnosis, Pregnancy, prenatal care, 【초록키워드】 Hospitalization, COVID-19 pandemic, severity, hospital, Symptom, discharge, Asymptomatic, morbidity, Patient, Spain, Follow-up, women, First wave, moderate, patients, mild symptoms, Obstetric, clinical manifestation, one patient, severe symptoms, specific treatment, prenatal, pregnant population, tested, analyzed, performed, affected, had no, 【제목키워드】 Model, Postpartum, Outpatient, New,