Department of Neonatology, Shaare Zedek Medical Center, Jerusalem, Israel.
Sackler School of Medicine, Tel Aviv, Israel.
J Perinatol. 2020 May;40(5):820-826. doi: 10.1038/s41372-020-0665-6. Epub 2020 Apr 10.
Little is known about the perinatal aspects of COVID-19.
To summarize available evidence and provide perinatologists/neonatologists with tools for managing their patients.
Analysis of available literature on COVID-19 using Medline and Google scholar.
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.
As the pandemic continues, more data will be available that could lead to changes in current knowledge and recommendations.
关于 COVID-19 的围产期方面知之甚少。
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。
使用 Medline 和 Google Scholar 分析 COVID-19 的现有文献。
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。
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。