Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (<scp>COVID</scp>‐19) infection

Chen, Dunjin; Yang, Huixia; Cao, Yun; Cheng, Weiwei; Duan, Tao; Fan, Cuifang; Fan, Shang­rong; Li, Feng; Gao, Yuanmei; He, Fang; He, Jing; Hu, Yali; Jiang, Yi; Li, Yimin; Li, Jiafu; Li, Xiaotian; Li, Xuelan; Lin, Kangguang; Liu, Caixia; Liu, Juntao; Liu, Xinghui; Pan, Xingfei; Pang, Qiumei; Pu, Meihua; Qi, Hongbo; Shi, Changhong; Sun, Yu; Sun, Jian; Wang, Xietong; Wang, Yichun; Wang, Zilian; Wang, Zhijian; Wang, Cheng; Wu, Suqiu; Xin, Hong; Yan, Jian­ying; Zhao, Yangyu; Zheng, Jun; Zhou, Yi‐Hua; Zou, Li; Zeng, Yingchun; Zhang, Yuanzhen; Guan, Xiaoming

doi:10.1002/ijgo.13146

Cited by 264 publications

(406 citation statements)

References 33 publications

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“…Serology as a diagnostic procedure should be used only if RT-PCR is not available. 5 Other diagnostic signs include lymphopenia, elevated C-reactive protein, elevated liver transaminases, and radiographic findings consistent with pneumonia. 7,8,11,12 COVID-19 has variable clinical presentations.…”

Section: Background On Coronavirusmentioning

confidence: 99%

“…7,8,11,12 COVID-19 has variable clinical presentations. 1,5 Symptoms are typically mild and may include fever, fatigue, anorexia, malaise, myalgias, headache, cough, rhinorrhea, nasal congestion, sore throat, shortness of breath, nausea, emesis, or diarrhea. 4,5 Approximately 14% of affected individuals develop severe disease requiring hospitalization.…”

Section: Background On Coronavirusmentioning

confidence: 99%

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General Guidelines in the Management of an Obstetrical Patient on the Labor and Delivery Unit during the COVID-19 Pandemic

et al. 2020

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Novel coronavirus disease 2019 (COVID-19) is a respiratory tract infection that was first identified in China. Since its emergence in December 2019, the virus has rapidly spread, transcending geographic barriers. The World Health Organization and the Centers for Disease Control and Prevention have declared COVID-19 as a public health crisis. Data regarding COVID-19 in pregnancy is limited, consisting of case reports and small cohort studies. However, obstetric patients are not immune from the current COVID-19 pandemic, and obstetric care will inevitably be impacted by the current epidemic. As such, clinical protocols and practice on labor and delivery units must adapt to optimize the safety of patients and health care workers and to better conserve health care resources. In this commentary, we provide suggestions to meet these goals without impacting maternal or neonatal outcomes. Key Points • Novel coronavirus disease 2019 (COVID-19) is a pandemic.• COVID-19 impacts care of obstetric patients.• Health care should be adapted for the COVID-19 pandemic.

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Section: Background On Coronavirusmentioning

confidence: 99%

Section: Background On Coronavirusmentioning

confidence: 99%

General Guidelines in the Management of an Obstetrical Patient on the Labor and Delivery Unit during the COVID-19 Pandemic

et al. 2020

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“…Regarding other coronaviruses, SARS and MERS epidemics showed no correlation with frequencies of malformations. Moreover, data from the current epidemic should be considered for managing COVID-19 infections during pregnancy, as the clinical course of this disease and the response to treatments seem to differ from those of previous outbreaks of other types of coronaviruses (Chen et al, 2020d;Liang & Acharya, 2020). Further research is needed in order to understand pathogenesis and epidemiology of SARS-CoV-2 during pregnancy, including aspects such as the time of maternal infection, gestational age, effects of comorbidity factors, and frequencies of adverse outcomes; however, preliminary observations of pregnant women infected with SARS-CoV-2 suggest an optimistic outlook regarding the clinical course.…”

Section: Covid-19 and Pregnancymentioning

confidence: 99%

A review of initial data on pregnancy during the COVID-19 outbreak: implications for assisted reproductive treatments

Monteleone¹,

Nakano²,

Lazar³

et al. 2020

JBRA Assisted Reproduction

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The current outbreak of the novel 2019 coronavirus disease started in China in December 2019 and has since spread to several other countries. On March 25, 2020, a total of 375,498 cases had been confirmed globally with 2,201 cases in Brazil, showing the urgency of reacting to this international public health emergency. While in most cases, mild symptoms are observed, in some cases the infection leads to serious pulmonary disease. As a result, the possible consequences of the COVID-19 outbreak for pregnant women and its potential effects on the management of assisted reproductive treatments, demand attention. In this review, we summarize the latest research progress related to COVID-19 epidemiology and the reported data of pregnant women, and discuss the current evidence of COVID-19 infections during pregnancy and its potential consequences for assisted reproductive treatments. Reported data suggest that symptoms in pregnant women are similar to those in other people, and that there is no evidence for higher maternal or fetal risks. However, considering the initial data and lack of comprehensive knowledge on the pathogenesis of SARS-CoV-2 during pregnancy, human reproduction societies have recommended postponing the embryo transfers and do not initiate new treatment cycles. New evidence must be considered carefully in order to adjust these recommendations accordingly at any time and to guide assisted reproductive treatments.

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“…6,7 However, there is little information on Covid-19 infection during pregnancy. [7][8][9] There are limited case series reporting the impact on women affected by coronaviruses (CoV) during pregnancy. 1,2,6 In women affected by other coronavirus infections such as .…”

Section: Introductionmentioning

confidence: 99%

Knowledge and practice of preventive measures against COVID-19 infection among pregnant women in a low-resource African setting

Nwafor

Aniukwu

Anozie

et al. 2020

Preprint

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Background:Coronavirus disease pandemic has resulted in death of thousands of people across several countries. Several preventive measures have been recommended to halt the spread of the disease and its associated mortality. However, the level knowledge and practice of these preventive measures against COVID-19 infection among pregnant women, which constitute vulnerable groups, are yet to be evaluated. Aim:To determine the knowledge and practice of preventive measures against COVID-19 infection among pregnant women in Abakaliki. Materials and Methods:This was a self-administered questionnaire-based cross-sectional study conducted from February 1, 2020 to March 31, 2020 among 284 antenatal clinic attendees at Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Ebonyi State. A pretested and validated questionnaire was used to collect the data. Data analysis was done using SPSS version 22.Results: Of 284 participants, 60.9% (n=173) had adequate knowledge of the preventive measures against COVID-19 infection. However, the overall practice of these preventive measures among the participants were poor as 69.7% of the participants were not practicing the preventive measures against the coronavirus. The determinants of poor practice of the preventive measures among the participants were being in age group 31-40 years (AOR=2.04, 95%CI: 1.26 -5.37, p=0.022), married (AOR=2.99, 95%CI: 1.40 -6.33, p=0.035) grandmultiparous (AOR=3.11, 95%CI:1.32 -6.56, p=0.021), residing in rural area (AOR=2.08, 95%CI: 1.32 -4.05, p=0.031), and having no formal education (AOR=6.73, 95%CI: 2.66 -18.34, p=0.002).

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Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID‐19) infection

Cited by 264 publications

References 33 publications

General Guidelines in the Management of an Obstetrical Patient on the Labor and Delivery Unit during the COVID-19 Pandemic

General Guidelines in the Management of an Obstetrical Patient on the Labor and Delivery Unit during the COVID-19 Pandemic

A review of initial data on pregnancy during the COVID-19 outbreak: implications for assisted reproductive treatments

Knowledge and practice of preventive measures against COVID-19 infection among pregnant women in a low-resource African setting

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