WITHDRAWN: SOGC Committee Opinion – COVID-19 in Pregnancy

Elwood, Chelsea; Boucoiran, Isabelle; VanSchalkwyk, Julie; Money, Deborah; Yudin, Mark H.; Poliquin, Vanessa

doi:10.1016/j.jogc.2020.03.012

Cited by 24 publications

(34 citation statements)

References 9 publications

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“…Both the WHO and SOGC recommend considering to delay routine visits in pregnant women who are positive until they recover and in those who are being tested for COVID-19 until they test negative. [8,9]. The FIGO recommends follow up appointments be postponed until 2wks or until 2 negative results [10].…”

Section: Antenatal Carementioning

confidence: 99%

“…The mode of ANC services delivery should be modi ed, and innovative ways of care provision (such as telemedicine) are recommended with due consideration of individualized care plan. In those pregnant women with mild illness home con nement can be considered provided that this is possible logistically and that monitoring of the woman's condition can be ensured without compromising the safety of her family [9,10] Anatomic scanning It is not still well known if Covid-19 infection is associated with congenital anomalies because of limited number of pregnant patients with Covid-19. The consensus statement from China obstetricians society who have managed several pregnant mothers is to do anatomic scanning in those who have acquired the Covid-19 infection in the rst trimester.…”

Section: Antenatal Carementioning

confidence: 99%

“…But in those women with preterm pregnancy (<34 wks.) and mild illness administration of a single course of antenatal steroids is recommended [9,15] Low dose Aspirin The use of NSAID (esp. Ibuprofen) has been associated with a theoretical risk of facilitating Covid-19 infection.…”

Section: Antenatal Corticosteroidsmentioning

confidence: 99%

“…The room should be disinfected immediately after each delivery (10). Guidance on intrapartum fetal monitoring is very limited and has been addressed in only 2 of the guidelines [9,10]. Fetal monitoring in the form of EFM should be considered given evidence showing fetal distress during labor is common in women with Covid-19 infection [9].…”

Section: Conduct Of Labor and Deliverymentioning

confidence: 99%

“…Guidance on intrapartum fetal monitoring is very limited and has been addressed in only 2 of the guidelines [9,10]. Fetal monitoring in the form of EFM should be considered given evidence showing fetal distress during labor is common in women with Covid-19 infection [9]. Early epidural to minimize need for GA in the event of emergent CD is recommended in the MFM guidance [15].…”

Section: Conduct Of Labor and Deliverymentioning

confidence: 99%

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Guidelines and practice recommendations on Obstetric care of pregnant patients with Covid-19 infection: Scoping review.

Gudu¹,

Tolu²,

Abdulkadir³

2020

Preprint

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Introduction: The Management of pregnant women with Covid-19 infection is usually based on limited evidence from care reports and expert opinions. The aim of this scoping review is to identify available guidelines and practice recommendations on obstetric care of pregnant women with COVID-19.Methods: We searched guideline databases and websites of professional associations and international organizations working on sexual and reproductive health. We looked for guidelines, protocols, consensus statements and practice recommendations on management of pregnant women with COVID-19. Additionally, we searched: MEDLINE, EMBASE and Google Scholar. Data extraction was done by two independent reviewers using a customized tool that was developed to record the key information of the source that’s relevant to the review question.Results: The antenatal care for covid-19 positive mothers should be delayed until they test negative twice. Anatomic scanning may be considered in women who had the infection in the first trimester. Growth monitoring is recommended every 2-4wks. Antenatal corticosteroids can be administered in those women with preterm pregnancy (<34 wks) and mild illness. Low dose Aspirin can be continued safely. Tocolytics, particularly NSAIDs should be used cautiously. Covid-19 infection is not an indication for delivery. Termination is recommended in those with organ failure and in pts with severe respiratory failure. A single, asymptomatic or screen negative birth partner be permitted to stay with the woman. Continuous electronic fetal monitoring in labor is recommended. Cesarean delivery only in those with severe respiratory distress on ventilators & organ failure. Shortening of the second stage is considered in Covid-19 parturients who are on face masks. There are no consistent recommendations on immediate cord clamping and options of breast feeding. Universal isolation of mother from the neonate is not a standard of practice. Postpartum care can be provided with telemedicine.Conclusions: Obstetric care provision for Covid-19 infected mothers is primarily based on limited experience from case reports and expert opinions. Updated guidance for clinical practice are imperative as new scientific evidence emerges.

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Section: Antenatal Carementioning

confidence: 99%

Section: Antenatal Carementioning

confidence: 99%

Section: Antenatal Corticosteroidsmentioning

confidence: 99%

Section: Conduct Of Labor and Deliverymentioning

confidence: 99%

Section: Conduct Of Labor and Deliverymentioning

confidence: 99%

See 3 more Smart Citations

Guidelines and practice recommendations on Obstetric care of pregnant patients with Covid-19 infection: Scoping review.

Gudu¹,

Tolu²,

Abdulkadir³

2020

Preprint

View full text Add to dashboard Cite

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Coronavirus disease 2019 (Covid‐19) vaccination recommendations in special populations and patients with existing comorbidities

Afshar

Babazadeh

Janbakhsh

et al. 2021

Reviews in Medical Virology

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Summary Vaccination against severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) is a crucial step in ending the current worldwide pandemic. However, several particularly vulnerable groups in the population were not included in sufficient numbers in coronavirus disease 2019 (Covid‐19) vaccine trials. Therefore, as science advances, the advice for vaccinating these special populations against Covid‐19 will continue to evolve. This focused review provides the latest recommendations and considerations for these special populations (i.e., patients with rheumatologic and autoimmune disorders, cancer, transplant recipients, chronic liver diseases, end‐stage renal disease, neurologic disorders, psychiatric disorders, diabetes mellitus, obesity, cardiovascular diseases, chronic obstructive pulmonary disease, human immunodeficiency virus, current smokers, pregnant and breastfeeding women, the elderly, children, and patients with allergic reactions) using the currently available research evidence.

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Protection challenges of pregnant women against vertical transmission during COVID-19 epidemic: A narrative review

Hasnain

Pasha

Ghani

et al. 2020

American Journal of Infection Control

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This paper presents a narrative review study of 5 popular data repositories focusing on challenges of pregnant women protection during the COVID-19 pandemic. The study concludes that the likelihood of a vertical transmission of COVID-19 infection from pregnant women to neonates was not observed. Nevertheless, it remains a serious risk for them during their earlier stage of pregnancy, thus, special attention from health professionals has been recommended.

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WITHDRAWN: SOGC Committee Opinion – COVID-19 in Pregnancy

Cited by 24 publications

References 9 publications

Guidelines and practice recommendations on Obstetric care of pregnant patients with Covid-19 infection: Scoping review.

Guidelines and practice recommendations on Obstetric care of pregnant patients with Covid-19 infection: Scoping review.

Coronavirus disease 2019 (Covid‐19) vaccination recommendations in special populations and patients with existing comorbidities

Protection challenges of pregnant women against vertical transmission during COVID-19 epidemic: A narrative review

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