ASSOCIATION BETWEEN NUTRITIONAL STATE AND MATERNAL AND PERINATAL OUTCOMES OF PREGNANT AND POSTPARTUM WOMEN WITH COVID-19

Objective: To assess the nutritional status of pregnant and postpartum women with COVID-19 and to verify the association with clinical outcomes of mortality and prematurity of childbirth. Design: Retrospective observational longitudinal study. Setting: University hospital in Goiânia-Goiás-Brazil. Population or sample: 34 patients with confirmed diagnosis of COVID-19, between June and September 2020. Methods: Medical records was analysided. All eligble cases was included. The collected data refer to demographic, clinical, obstetric and neonatal and anthropometric variables. Main outcome measures: Maternal deaths and prematury of childbirth. Results: 34 patients were evaluated (n=29 pregnants and n=5 postpartum women), with a mean age of 28.71±4.79 years. Of the total, 91.20% were overweight or obese with a current average BMI of 32.10±7.67 kg/m2. Of these cases, 14 had previous diseases, as well as the majority of these are in the overweight group (n=11) and had clinical complications, with ICU stay and use of ventilatory support. The clinical outcomes of mortality and premature birth accounted for 14.70% vs 68.70% of the sample, respectively, with one death in the eutrophic group and four in those with overweight/obesity (p=0.38), as well as the 11 premature births, 90.0% occurred in this group (p=0.47), with an average gestational age of delivery of 33.56±3.98 weeks. Conclusion: There was no association between nutritional status and maternal and perinatal outcomes, although most patients are overweight or obese, with severe clinical complications.