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围产期应对新冠疫情:围产-新生儿科专家实用资源

Perinatal aspects on the covid-19 pandemic: a practical resource for perinatal-neonatal specialists.

机构信息

Department of Neonatology, Shaare Zedek Medical Center, Jerusalem, Israel.

Sackler School of Medicine, Tel Aviv, Israel.

出版信息

J Perinatol. 2020 May;40(5):820-826. doi: 10.1038/s41372-020-0665-6. Epub 2020 Apr 10.

Abstract

BACKGROUND

Little is known about the perinatal aspects of COVID-19.

OBJECTIVE

To summarize available evidence and provide perinatologists/neonatologists with tools for managing their patients.

METHODS

Analysis of available literature on COVID-19 using Medline and Google scholar.

RESULTS

From scant data: vertical transmission from maternal infection during the third trimester probably does not occur or likely it occurs very rarely. Consequences of COVID-19 infection among women during early pregnancy remain unknown. We cannot conclude if pregnancy is a risk factor for more severe disease in women with COVID-19. Little is known about disease severity in neonates, and from very few samples, the presence of SARS-CoV-2 has not been documented in human milk. Links to websites of organizations with updated COVID-19 information are provided. Infographics summarize an approach to the pregnant woman or neonate with suspected or confirmed COVID-19.

CONCLUSIONS

As the pandemic continues, more data will be available that could lead to changes in current knowledge and recommendations.

摘要

背景

关于 COVID-19 的围产期方面知之甚少。

目的

总结现有证据,并为围产学家/新生儿科医生提供管理患者的工具。

方法

使用 Medline 和 Google Scholar 分析 COVID-19 的现有文献。

结果

从有限的数据来看:母亲在妊娠晚期感染 COVID-19 时垂直传播可能不会发生,或者可能很少发生。妊娠早期 COVID-19 感染对女性的后果仍不清楚。我们不能确定 COVID-19 孕妇是否是病情更严重的危险因素。关于新生儿疾病严重程度的信息知之甚少,并且从很少的样本中,尚未在人乳中检测到 SARS-CoV-2 的存在。提供了与更新 COVID-19 信息的组织网站的链接。信息图表总结了疑似或确诊 COVID-19 的孕妇或新生儿的处理方法。

结论

随着大流行的持续,将有更多的数据可用,这可能会导致当前知识和建议的改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70d4/7147357/5cc1a9f73044/41372_2020_665_Fig1_HTML.jpg

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