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专家共识:管理疑似或确诊新型冠状病毒(COVID-19)感染孕妇及其新生儿。

Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID-19) infection.

机构信息

Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou City, Guangdong Province, China.

Department of Obstetrics and Gynecology, Peking University First Hospital, Beijing, China.

出版信息

Int J Gynaecol Obstet. 2020 May;149(2):130-136. doi: 10.1002/ijgo.13146. Epub 2020 Apr 1.

DOI:10.1002/ijgo.13146
PMID:32196655
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9087756/
Abstract

OBJECTIVE

To provide clinical management guidelines for novel coronavirus (COVID-19) in pregnancy.

METHODS

On February 5, 2020, a multidisciplinary teleconference comprising Chinese physicians and researchers was held and medical management strategies of COVID-19 infection in pregnancy were discussed.

RESULTS

Ten key recommendations were provided for the management of COVID-19 infections in pregnancy.

CONCLUSION

Currently, there is no clear evidence regarding optimal delivery timing, the safety of vaginal delivery, or whether cesarean delivery prevents vertical transmission at the time of delivery; therefore, route of delivery and delivery timing should be individualized based on obstetrical indications and maternal-fetal status.

摘要

目的

为新型冠状病毒(COVID-19)感染孕妇的临床管理提供指导。

方法

2020 年 2 月 5 日,召开了一次多学科远程会议,由中国医生和研究人员参加,讨论了 COVID-19 感染孕妇的医疗管理策略。

结果

针对妊娠合并 COVID-19 感染,提出了 10 项关键管理建议。

结论

目前,尚无明确证据表明最佳分娩时机、阴道分娩的安全性,或剖宫产是否能在分娩时防止垂直传播;因此,应根据产科指征和母婴状况个体化选择分娩方式和分娩时机。

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本文引用的文献

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Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study.中国武汉 99 例 2019 年新型冠状病毒肺炎患者的流行病学和临床特征:描述性研究。
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Antiviral Inflammation during Early Pregnancy Reduces Placental and Fetal Growth Trajectories.早孕期抗病毒炎症会降低胎盘和胎儿生长轨迹。
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Treatment of Viral Infections During Pregnancy.妊娠期病毒感染的治疗。
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SMFM Consult Series #47: Sepsis during pregnancy and the puerperium.SMFM 咨询系列 #47:妊娠和产褥期脓毒症。
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