Barcelona Centre for Maternal-Fetal and Neonatal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Centre for Biomedical Research on Rare Diseases (CIBER-ER), Barcelona, Spain.
Anaesthesiology Department, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain.
Fetal Diagn Ther. 2020;47(7):519-528. doi: 10.1159/000508487. Epub 2020 Jun 12.
The coronavirus disease 2019 (COVID-19) pandemic has represented a major impact to health systems and societies worldwide. The generation of knowledge about the disease has occurred almost as fast as its global expansion. The mother and fetus do not seem to be at particularly high risk. Nevertheless, obstetrics and maternal-fetal medicine practice have suffered profound changes to adapt to the pandemic. In addition, there are aspects specific to COVID-19 and gestation that should be known by specialists in order to correctly diagnose the disease, classify the severity, distinguish specific signs of COVID-19 from those of obstetric complications, and take the most appropriate management decisions. In this review we present in a highly concise manner an evidence-based protocol for the management of COVID-19 in pregnancy. We briefly contemplate all relevant aspects that we believe a specialist in obstetrics and maternal medicine should know, ranging from basic concepts about the disease and protection measures in the obstetric setting to more specific aspects related to maternal-fetal management and childbirth.
2019 年冠状病毒病（COVID-19）大流行对全球卫生系统和社会造成了重大影响。关于该疾病的知识的产生速度几乎与疾病的全球传播速度一样快。母亲和胎儿似乎没有特别高的风险。然而，为了适应大流行，妇产科和母胎医学实践已经发生了深刻的变化。此外，COVID-19 和妊娠有一些特定的方面，妇产科和母胎医学专家应该了解这些方面，以便正确诊断疾病、分类严重程度、区分 COVID-19 的特定症状与产科并发症的症状，并做出最合适的管理决策。在这篇综述中，我们以高度简洁的方式提出了妊娠合并 COVID-19 的循证管理方案。我们简要地考虑了所有相关方面，我们认为妇产科和母胎医学专家应该了解这些方面，从疾病的基本概念和产科环境中的保护措施到与母婴管理和分娩相关的更具体的方面。
