Department of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Department of Paediatrics, National Institute of Tuberculosis & Respiratory Diseases, New Delhi, India.
Am J Reprod Immunol. 2020 Nov;84(5):e13336. doi: 10.1111/aji.13336. Epub 2020 Sep 21.
The pandemic of coronavirus disease (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has affected more than 19.7 million persons worldwide with 7 28 013 deaths till August 10, 2020. It has put an unprecedented workload on healthcare systems with special reference to labor rooms and obstetrics as deliveries cannot be stopped or postponed. Preparing their facilities using triage (COVID-positive patients, COVID-suspect patients, and COVID-negative patients) can help to better utilize the limited resources and help in prevention of spread of disease, and improve maternal and perinatal outcome. There is a need for proper training of healthcare providers for judicious use of personal protective equipment (PPE) for optimum outcome. Fortunately, the available literature suggests that there is no substantial increased risk of acquiring COVID-19 in pregnancy or its increased virulence in pregnancy and labor and there are no adverse effects on fetus and neonate with negligible fetal transmission rate. Nevertheless, utmost care is needed to manage such pregnancies, their prenatal care, and labor. This review aimed to highlight the main recommendations applied in Indian maternities for better management of pregnancy during the COVID-19 pandemic.
由严重急性呼吸系统综合症冠状病毒 2 （SARS-CoV-2）引起的冠状病毒病（COVID-19）大流行已影响到全球超过 1970 万人，截至 2020 年 8 月 10 日，已有 728013 人死亡。它给医疗保健系统带来了前所未有的工作量，特别是对产房和产科的影响，因为分娩不能停止或推迟。使用分诊（COVID-阳性患者、COVID-疑似患者和 COVID-阴性患者）准备其设施可以帮助更好地利用有限的资源，并有助于预防疾病的传播，改善母婴和围产期结局。需要对医疗保健提供者进行适当的培训，以合理使用个人防护设备（PPE），以获得最佳结果。幸运的是，现有文献表明，COVID-19 在妊娠期间或在妊娠和分娩期间的毒力没有显著增加，也不会对胎儿和新生儿产生不良影响，胎儿传播率可忽略不计。尽管如此，仍需要非常小心地管理这些妊娠，以及其产前护理和分娩。这篇综述旨在强调印度产科应用的主要建议，以更好地管理 COVID-19 大流行期间的妊娠。
