A systematic scoping review of COVID‐19 during pregnancy and childbirth

Abstract

Background: Clinical presentation and outcomes of COVID-19 infection during pregnancy remain limited and fragmented. Objectives: To summarize the existing literature on COVID-19 infection during pregnancy and childbirth, particularly concerning clinical presentation and outcomes. Search strategy: A systematic search of LitCovid, EBSCO MEDLINE, CENTRAL, CINAHL, Web of Science, and Scopus electronic databases. The references of relevant studies were also searched.Selection criteria: Identified titles and abstracts were screened to select original reports and cross-checked for overlap of cases. Data collection and analysis:A descriptive summary organized by aspects of clinical presentations (symptoms, imaging, and laboratory) and outcomes (maternal and perinatal). Main results:We identified 33 studies reporting 385 pregnant women with COVID-19 infection: 368 (95.6%) mild; 14 (3.6%) severe; and 3 (0.8%) critical. Seventeen women were admitted to intensive care, including six who were mechanically ventilated and one maternal mortality. A total of 252 women gave birth, comprising 175 (69.4%) cesarean and 77 (30.6%) vaginal births. Outcomes for 256 newborns included four RT-PCR positive neonates, two stillbirths, and one neonatal death.

Aktualisierte Empfehlungen zu SARS-CoV-2/COVID-19 und Schwangerschaft, Geburt und Wochenbett

“…Inwiefern schwangerschaftsphysiologische Veränderungen den Verlauf einer COVID19 Erkrankung beeinflussen, ist unklar. Symptome sind bei Schwangeren in Art und Schwere vergleichbar zu NichtSchwangeren im gebärfähigen Alter [12,13] (▶tab. 1).…”

DGGG und weitere Fachgesellschaften – Aktualisierte Empfehlungen zu SARS-CoV-2/COVID-19 in Schwangerschaft, Geburt und Wochenbett

“…Fehlgeburten treten während der SARS-CoV-2-Pandemie bisher nicht häufiger auf, die Datenlage ist aber für eine ab-▶ Tab. 1 Symptome der COVID-19-Erkrankung nach [12]. In den bisherigen COVID-19-Fallserien werden fetale Wachstumsrestriktionen und vermehrte intrauterine Fruchttode berichtet [24].…”

“…Das Virus wurde in Muttermilch bislang in einem Fall in China [55] und jüngst in einem Fall in Deutschland nachgewiesen [56]. Weitere Analysen erbrachten keinen Virusnachweis [12].…”

Sexual Health and COVID-19: Protocol for a Living Scoping Review

“…Several published reviews have focused on COVID-19 and health outcomes across various populations [9,10]. However, these reviews did not center on sexual health, an area of health and well-being potentially negatively affected by the pandemic.…”