Novel coronavirus infection (covid-19): guiding principles for obstetric care under pandemic conditions

Ignatko, I.V.; Стрижаков, А.Н.; Timokhina, Timokhina E.V.; Denisova, Yulia V.

doi:10.18565/aig.2020.5.22-33

Cited by 3 publications

(7 citation statements)

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“…Of the recommendations with a non-country specific scope, 40% of publications (9 out of 22) recommended cesarean section for patients severely ill with COVID-19 [ 24 , 25 , 26 , 35 , 36 , 37 , 38 , 39 , 40 ]. In contrast, on the national level, 65% of the available publications (15 out of 23) provided details in terms of the recommendation of cesarean section for severely ill pregnant women [ 18 , 30 , 31 , 32 , 33 , 34 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…Available recommendations regarding the week of delivery in women with confirmed or suspected COVID-19 infection are limited. Only five publications recommended considering delaying the delivery date, but only if maternal and fetal conditions permitted [ 25 , 27 , 45 , 47 , 49 ]. On the other hand, only one publication indicated that COVID-19 is not an indication for preterm delivery [ 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…The remaining recommendations, 6 made at the non-country specific level [ 25 , 26 , 36 , 38 , 39 , 56 ] and 11 at the national level [ 29 , 30 , 42 , 44 , 45 , 47 , 48 , 52 , 53 , 57 , 58 ], allowed for family births with 1 person arranged by the mother. Making the possibility of family birth dependent on local conditions and leaving the final decision to the authorities of each hospital were included in four papers, one on the non-country specific level [ 49 ] and three on the national level [ 23 , 24 , 53 ].…”

Section: Resultsmentioning

confidence: 99%

“…When support and companions during delivery were allowed, the authors recommended additional specific requirements for such persons, independent of the general pandemic restriction in hospitals, such as wearing masks (as highlighted as obligatory for companion persons in three papers on a non-country specific level [ 25 , 26 , 39 ] and six on a national level) [ 30 , 44 , 47 , 51 , 53 , 54 ] as well as washing hands (stressed in one of the recommendations issued non-country specific [ 38 ] and one [ 29 ] country-specific). Moreover, an obligatory screening test for COVID-19 of a support person during labor and delivery was recommended in 13 publications [ 29 , 30 , 38 , 39 , 42 , 45 , 48 , 51 , 53 , 55 , 56 , 58 , 59 ]. Less restrictive conditions, namely that the accompanying person must be asymptomatic without the need for a test, were recommended in three publications on the non-country specific level [ 25 , 26 , 36 ] and three papers on the national level [ 44 , 52 , 54 ] ( Figure 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…None of them was published on a non-country-specific level. The publications came from the first three months of the pandemics and referred to China [ 31 ] and Russia [ 45 ]. A total of 12 publications (6 of them on a non-country specific and 5 on a local level), published between March 2020 and February 2021, recommended separation when the mother or the newborn had SASR-CoV-2 infection confirmed [ 27 , 28 , 30 , 35 , 40 , 58 , 61 , 64 , 77 , 95 , 96 ].…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Protecting Breastfeeding during the COVID-19 Pandemic: A Scoping Review of Perinatal Care Recommendations in the Context of Maternal and Child Well-Being

Wesołowska

Orczyk-Pawiłowicz

Bzikowska‐Jura

et al. 2022

IJERPH

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The objective of this scoping review is to determine to what extent the recommendations on perinatal care protect breastfeeding during the COVID-19 pandemic. The review follows the PRISMA ScR Extension guidelines. The research was conducted in Scopus, Medline via Pubmed, and Web of Science databases from 1 March 2020 to 31 May 2021, using 392 combinations of keywords. We searched for reviews and original papers published in English providing recommendations on delivery mode, companion during labor, the possibility of skin-to-skin contact (SSC), breastfeeding, and visitors policy. After screening, 86 out of 8416 publications qualified for data extraction. The majority of them indicated that COVID-19 infection is not a sufficient reason for a cesarean section; however, on a national level, cesarean births in severely ill patients were overrepresented. A significant number of recommendations deprived mothers of the necessary support during their labor and stay in the maternity ward. A shared decision-making model was hardly visible. Only the earliest COVID-19 recommendations suspended direct breastfeeding; in later publications, decisions were related to the mother’s health, but other options of natural feeding were rarely discussed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Protecting Breastfeeding during the COVID-19 Pandemic: A Scoping Review of Perinatal Care Recommendations in the Context of Maternal and Child Well-Being

Wesołowska

Orczyk-Pawiłowicz

Bzikowska‐Jura

et al. 2022

IJERPH

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Clinical observation of severe novel coronavirus infection COVID-19 that complicated the postpartum period in puerpera after caesarean section

Maltseva

Yupatov

Замалеева

et al. 2021

Akušerstvo, ginekologiâ i reprodukciâ

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The article presents a clinical case of a severe course of a novel coronavirus infection (COVID-19) that complicated the postpartum period in a patient who underwent cesarean section and resulted in lethal outcome on day 43 after delivery. This observation demonstrates the variety of clinical manifestations of a novel coronavirus infection, masking a severe systemic intravascular catastrophe in a puerperal woman.

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Possible Health Consequences for Newborns From Mothers Who Suffered Covid-19 During Pregnancy

et al. 2021

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According to the WHO statement dated March 11, 2020, the coronavirus infection SARS-CoV-2 has reached the scale of a pandemic and is currently a world health problem. A special group of the population that requires increased attention is pregnant women due to the fact that pneumonia occupies the third place in the structure of indirect causes of maternal mortality. Pregnant women whose immune system has changed appeared to be at an increased risk of infection. Pregnancy is a risk factor for the development of a more severe course of acute respiratory viral diseases and influenza. To date, the issue of intrauterine transmission of coronavirus disease remains completely unexplored, which causes fear among pregnant women for the future generation. Addition of a new coronavirus infection SARS-CoV-2 has a negative impact on pregnancy, childbirth and the postpartum period, the health of newborns, especially in patients with a burdened obstetric history. Pregnancy itself and childbirth do not affect the course of COVID-19, but the infection addition can complicate the course of gestation, causing respiratory distress syndrome, premature birth and spontaneous miscarriages, congenital pneumonia and antenatal death of newborns born from covid-positive mothers. The literature published from December 1, 2019 to July 30, 2021 was searched in several databases, including PubMed, Web of Science, Google Scholar and the WHO COVID-19 database, of which 52 articles were selected for detailed consideration. The relevant literature was searched to understand the issues of infection transmission to newborns from infected mothers and the clinical manifestations of the disease in the former. As a result, it was found that newborns can become infected with SARS-Cov-2 in close contact with infected patients or asymptomatic virus carriers. However, based on the data of modern literature, it is impossible to unequivocally answer the questions posed, more facts are needed to solve the problem. The practical significance of the work is that the results of the study should be used for further studying the consequences of COVID-19 for the health of newborn children.

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Novel coronavirus infection (covid-19): guiding principles for obstetric care under pandemic conditions

Cited by 3 publications

References 0 publications

Protecting Breastfeeding during the COVID-19 Pandemic: A Scoping Review of Perinatal Care Recommendations in the Context of Maternal and Child Well-Being

Protecting Breastfeeding during the COVID-19 Pandemic: A Scoping Review of Perinatal Care Recommendations in the Context of Maternal and Child Well-Being

Clinical observation of severe novel coronavirus infection COVID-19 that complicated the postpartum period in puerpera after caesarean section

Possible Health Consequences for Newborns From Mothers Who Suffered Covid-19 During Pregnancy

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