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COVID-19 患者的产科管理。

Inpatient obstetric management of COVID-19.

机构信息

Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, 622 East 168th St PH 16-66, New York, NY, 10032, United States.

Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, 622 East 168th St PH 16-66, New York, NY, 10032, United States.

出版信息

Semin Perinatol. 2020 Nov;44(7):151280. doi: 10.1016/j.semperi.2020.151280. Epub 2020 Jul 21.

Abstract

OBJECTIVE

To describe inpatient management strategies and considerations for pregnant patients with severe acute respiratory syndrome coronavirus 2 infection.

FINDINGS

The novel coronavirus has posed challenges to both obstetric patients and the staff caring for them, due to its variable presentation and current limited knowledge about the disease. Inpatient antepartum, intrapartum and postpartum management can be informed by risk stratification, severity of disease, and gestational age. Careful planning and anticipation of emergent situations can prevent unnecessary exposures to patients and clinical staff.

CONCLUSION

As new data arises, management recommendations will evolve, thus practitioners must maintain a low threshold for adaptation of their clinical practice during obstetric care for patients with severe acute respiratory syndrome coronavirus 2 infection.

摘要

目的

描述严重急性呼吸综合征冠状病毒 2 感染的孕妇住院管理策略和注意事项。

发现

新型冠状病毒因其多变的表现和目前对该疾病的有限认识,给产科患者及其护理人员带来了挑战。通过风险分层、疾病严重程度和妊娠年龄,可以为产前、产时和产后的住院管理提供信息。仔细规划和预测紧急情况可以防止患者和临床工作人员不必要的暴露。

结论

随着新数据的出现,管理建议将不断发展,因此在为严重急性呼吸综合征冠状病毒 2 感染患者提供产科护理时,临床医生必须对其临床实践的调整保持低门槛。

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Am J Obstet Gynecol MFM. 2020 May;2(2):100111. doi: 10.1016/j.ajogmf.2020.100111. Epub 2020 Mar 27.
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