Experience of “Purple code” to Manage COVID-19 Pregnant Women

Abstract

Objective. The world is facing a SARS-CoV-2 coronavirus pandemic. One of the greatest challenges of the current pandemic is its high speed of transmission, such that its global spread has caused more deaths than its predecessors along with the collapse of health services. Patients and methods. This retrospective, cross-sectional study performed on the second half of 2020 was designed to describe the experience in managing COVID-19 pregnant women through a logistic called “Purple code”. Results. During the study period, 70 women (mean age 24.33 years old) were subjected to be managed under the “purple code”. Gestational age <35 WG prevailed in the study. The analysis showed that the most frequent procedures performed in the toco-surgery service were cesarean section (91%), followed by natural childbirth (7%), instrumented uterine curettage (1%), and tracheostomy (1%). Among the health staff involved in the direct treatment of the patients there were no fatal cases or hospitalizations. Discussion. The protocol established in the HMPMPS is in accordance with the recommendations of international guidelines for maternal and perinatal care, preventing at the same time the risk of infection in the health staff. Conclusion. A positive impact has been achieved in the case management of patients with COVID-19 where strict and rigorous measures were established, classified as “purple code”.