ISUOG Interim Guidance on coronavirus disease 2019 (COVID‐19) during pregnancy and puerperium: information for healthcare professionals – an update

Impact of Covid-19 in pregnancy on mother’s psychological status and infant’s neurobehavioral development: a longitudinal cohort study in China

“…We found that all pregnant patients infected in the first trimester and one third of those infected in the second trimester had an abortion but without any maternal indication and that the rate of cesarean section in the delivery group reached to nearly 90.0%. With the better understanding of Covid-19 in pregnancy and delivery, obstetricians and researchers have realized that pregnancy is not a poor prognostic factor in patients suffering from Covid-19 [ 25 ], the timing and mode of terminating pregnancy should be directed by obstetric factors and clinical urgency, and Covid-19 itself is not an indication for abortion or delivery [ 26 , 27 ].…”

Obstetrical and intensive care strategies in a high-risk pregnancy with critical respiratory failure due to COVID-19: a case report

“…Some reports have warned against the use of corticosteroids in critically ill patients, due to risk of delivery postponement and worsening of the clinical course [9], including delayed viral clearance. The International Society of Ultrasound in Obstetrics and Gynaecology advises against antenatal steroid treatment in preterm COVID-19 cases (GW 34-36) and recommends caution at earlier gestations [10]. In contrast, the Swedish Federation of Obstetricians and Gynaecologists supports the use of antenatal steroids before GW 34 in COVID-19 cases [11].…”

ISUOG Safety Committee Position Statement on use of personal protective equipment and hazard mitigation in relation to SARS‐CoV‐2 for practitioners undertaking obstetric and gynecological ultrasound

“…From an epidemiological point of view, the SARS-CoV-2 virus first emerged in the Hubei province in China. Therefore, in the early phase of the epidemic, history of travel to the Hubei province, as well as contact with people known to have been infected by SARS-CoV-2, obtained via TOCC assessment, was advocated as the first measure to identify potential carriers of the SARS-CoV-2 virus 14,15 . Nonetheless, the rapid spread of the disease across countries and continents, as well as the evidence of existence of asymptomatic carriers 16 , has led to circumstances in which all patients are to be considered at risk of infection and hence potential carriers of the SARS-CoV-2 virus.…”

“…On this basis, and following the available recommendations 2,9,15 , in the most affected areas, such as northern Italy, several maternity units have implemented strict protocols for the triage of women accessing the unit. Such measures include the arrangement of 'check point' triage areas in which dedicated medical personnel equipped with PPE take the temperature and assess the medical history, in terms of symptoms and contact, of women attending the maternity units and the ultrasound departments.…”

“…Women should be advised that triage of their symptoms and contact represents the first-line assessment in order to allow the identification of contacts should they develop symptoms at a later stage. According to ISUOG's Interim Guidance, patients identified to be at risk for SARS-CoV-2 infection should delay their antenatal visit and routine ultrasound assessment by 14 days 15 . We recommend that this advice is considered on a local basis after taking into account the potential implications of a delayed ultrasound examination in the context of local/national regulations.…”