SARS-CoV-2 in Pregnancy: A Comprehensive Summary of Current Guidelines

Since the declaration of the global pandemic of COVID-19 by the World Health Organization on 11 March 2020, we have continued to see a steady rise in the number of patients infected by SARS-CoV-2. However, there is still very limited data on the course and outcomes of this serious infection in a vul...

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Published in:	Journal of clinical medicine 2020-05, Vol.9 (5), p.1521
Main Authors:	Narang, Kavita, Ibirogba, Eniola R, Elrefaei, Amro, Trad, Ayssa Teles Abrao, Theiler, Regan, Nomura, Roseli, Picone, Olivier, Kilby, Mark, Escuriet, Ramón, Suy, Anna, Carreras, Elena, Tonni, Gabriele, Ruano, Rodrigo
Format:	Article
Language:	eng
Subjects:	Cesarean section Childbirth & labor coronavirus Coronaviruses COVID-19 Disease transmission Emerging diseases guidelines Gynecology Gynecology and obstetrics Human health and pathology Infections Life Sciences Medical personnel Microbiology and Parasitology Obstetrics pandemic Pandemics Patients Postpartum period Pregnancy Review SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Steroids Telemedicine Ultrasonic imaging Virology
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Summary:	Since the declaration of the global pandemic of COVID-19 by the World Health Organization on 11 March 2020, we have continued to see a steady rise in the number of patients infected by SARS-CoV-2. However, there is still very limited data on the course and outcomes of this serious infection in a vulnerable population of pregnant patients and their fetuses. International perinatal societies and institutions including SMFM, ACOG, RCOG, ISUOG, CDC, CNGOF, ISS/SIEOG, and CatSalut have released guidelines for the care of these patients. We aim to summarize these current guidelines in a comprehensive review for patients, healthcare workers, and healthcare institutions. We included 15 papers from 10 societies through a literature search of direct review of society's websites and their journal publications up till 20 April 2020. Recommendations specific to antepartum, intrapartum, and postpartum were abstracted from the publications and summarized into Tables. The summary of guidelines for the management of COVID-19 in pregnancy across different perinatal societies is fairly consistent, with some variation in the strength of recommendations. It is important to recognize that these guidelines are frequently updated, as we continue to learn more about the course and impact of COVID-19 in pregnancy.
ISSN:	2077-0383 2077-0383