Coronavirus in pregnancy and delivery: rapid review.
Edward MullinsD EvansR M VinerP O'BrienE MorrisPublished in: Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology (2020)
Serious morbidity occurred in 2/32 women with COVID-19, both of whom required ICU care. Compared with SARS and MERS, COVID-19 appears less lethal, acknowledging the limited number of cases reported to date and that one woman remains in a critical condition. Preterm delivery affected 47% of women hospitalized with COVID-19, which may put considerable pressure on neonatal services if the UK's reasonable worst-case scenario of 80% of the population being affected is realized. Based on this review, RCOG, in consultation with RCPCH, developed guidance for delivery and neonatal care in pregnancies affected by COVID-19, which recommends that delivery mode be determined primarily by obstetric indication and recommends against routine separation of affected mothers and their babies. We hope that this review will be helpful for maternity and neonatal services planning their response to COVID-19. © 2020 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of the International Society of Ultrasound in Obstetrics and Gynecology.
Keyphrases
- sars cov
- coronavirus disease
- healthcare
- respiratory syndrome coronavirus
- palliative care
- preterm birth
- primary care
- magnetic resonance imaging
- pregnancy outcomes
- intensive care unit
- gestational age
- systematic review
- pregnant women
- quality improvement
- mental health
- metabolic syndrome
- affordable care act
- randomized controlled trial
- polycystic ovary syndrome
- acute respiratory distress syndrome
- pain management
- ultrasound guided
- insulin resistance
- extracorporeal membrane oxygenation
- health insurance
- mechanical ventilation
- quantum dots
- meta analyses