[A clinical management protocol for COVID-19 infection in pregnant women]
- PMID: 32834309
- PMCID: PMC7328537
- DOI: 10.1016/j.gine.2020.06.014
[A clinical management protocol for COVID-19 infection in pregnant women]
Abstract
The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease (COVID-19) has caused a large global outbreak and has had a major impact on health systems and societies worldwide. The generation of knowledge about the disease has occurred almost as fast as its global expansion. Very few studies have reported on the effects of the infection on maternal health, since its onset. The mother and foetus do not seem to be at particularly high risk. Nevertheless, obstetrics and maternal-foetal medicine practice have made profound changes in order to adapt to the pandemic. In addition, there are aspects specific to COVID-19 and gestation that should be known by specialists. In this review an evidenced-based protocol is presented for the management of COVID-19 in pregnancy.
La infección causada por el nuevo coronavirus SARS-CoV-2 (COVID-19) representa actualmente una de las mayores emergencias sanitarias a nivel mundial. La aparición de una nueva infección potencialmente grave y la situación de pandemia actual ha implicado importantes ajustes en la práctica clínica en medicina materno-fetal. Aunque no parece existir una mayor afectación o susceptibilidad al virus de las mujeres embarazadas respecto la población general, existen aspectos específicos ligados a la gestación que deben tenerse en cuenta de cara al diagnóstico y manejo de la COVID-19 en pacientes embarazadas. En el siguiente documento se exponen las recomendaciones y el protocolo de actuación ante la infección por COVID-19 durante el embarazo desarrollado en nuestro centro, basado en la evidencia científica disponible hasta la fecha y las principales recomendaciones internacionales.
Keywords: COVID-19; Coronavirus; Delivery; Management; Pregnancy; SARS-CoV-2.
© 2020 Elsevier España, S.L.U. All rights reserved.
Similar articles
-
Coronavirus disease 2019 (COVID-19) pandemic and pregnancy.Am J Obstet Gynecol. 2020 Jun;222(6):521-531. doi: 10.1016/j.ajog.2020.03.021. Epub 2020 Mar 23. Am J Obstet Gynecol. 2020. PMID: 32217113 Free PMC article. Review.
-
Counseling in maternal-fetal medicine: SARS-CoV-2 infection in pregnancy.Ultrasound Obstet Gynecol. 2021 May;57(5):687-697. doi: 10.1002/uog.23628. Ultrasound Obstet Gynecol. 2021. PMID: 33724545 Free PMC article.
-
Clinical and epidemiological aspects of SARS-CoV-2 infection among pregnant and postpartum women in Mozambique: a prospective cohort study.Reprod Health. 2022 Jul 19;19(1):164. doi: 10.1186/s12978-022-01469-9. Reprod Health. 2022. PMID: 35854384 Free PMC article.
-
Hydroxychloroquine efficacy and safety in preventing SARS-CoV-2 infection and COVID-19 disease severity during pregnancy (COVID-Preg): a structured summary of a study protocol for a randomised placebo controlled trial.Trials. 2020 Jul 2;21(1):607. doi: 10.1186/s13063-020-04557-y. Trials. 2020. PMID: 32616063 Free PMC article.
-
An Analysis of 38 Pregnant Women With COVID-19, Their Newborn Infants, and Maternal-Fetal Transmission of SARS-CoV-2: Maternal Coronavirus Infections and Pregnancy Outcomes.Arch Pathol Lab Med. 2020 Jul 1;144(7):799-805. doi: 10.5858/arpa.2020-0901-SA. Arch Pathol Lab Med. 2020. PMID: 32180426 Review.
Cited by
-
Social support and mental health in maternity: Effects of the COVID-19 pandemic.Midwifery. 2023 Mar;118:103580. doi: 10.1016/j.midw.2022.103580. Epub 2022 Dec 24. Midwifery. 2023. PMID: 36584610 Free PMC article.
References
-
- Coronavirus disease (COVID-19) [consultado 26 May 2020]. Disponible en: https://www.who.int
-
- Chen H., Guo J., Wang C., Luo F., Yu X., Zhang W., et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: A retrospective review of medical records. Lancet. 2020;395:809–815. doi: 10.1016/s0140-6736(20)30360-3. - DOI - PMC - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Miscellaneous