Wu Di, Fang Dong, Wang Renjie, Deng Dongrui, Liao Shujie
Department of Obstetrics and Gynecology Tongji Hospital Tongji Medical College Huazhong University of Science and Technology 1095 Jiefang Rd. Wuhan Hubei 430030 China.
Andrology Center and Department of Urology Peking University First Hospital Institute of Urology Peking University Beijing 100034 China.
Glob Chall. 2020 Oct 22;5(2):2000052. doi: 10.1002/gch2.202000052. eCollection 2021 Feb.
Coronavirus disease 2019 (COVID-19) is spreading worldwide. All aspects of pregnancy management from conception to delivery to puerperium as risks facing newborns are herein, reviewed. Maternal home management and prenatal care management protection, delivery timing or mode selection, delivery process management, and subsequent puerperal protection are crucial. In this Review, the features and treatment strategies, especially emphasizing the safety of antiviral drugs for pregnant women, the wearing of face masks, and practicing of personal hygiene (e.g., handwashing, disinfection, home cleaning, and ventilation) are reviewed as essential protective measures. It is recommended to provide online consultation, telemedicine, and remote fetal heart rate monitoring and set the flow point for prenatal examination to encourage prenatal examination at home or postponing examinations (except nuchal translucency at 11-13+6 weeks, Oscar Test at 16 weeks, and fetal ultrasound at 20-24 weeks). It is shown that the precise formulation of follow-up strategies for pregnant women with COVID-19 is necessary.
2019冠状病毒病（COVID-19）正在全球范围内传播。本文回顾了从受孕到分娩再到产褥期妊娠管理的各个方面，以及新生儿面临的风险。孕产妇居家管理和产前保健管理保护、分娩时机或方式选择、分娩过程管理以及随后的产褥期保护至关重要。在本综述中，对抗病毒药物对孕妇的安全性、佩戴口罩以及个人卫生习惯（如洗手、消毒、家庭清洁和通风）等特征和治疗策略进行了回顾，这些被视为基本的保护措施。建议提供在线咨询、远程医疗和远程胎心监测，并设定产前检查的流程点，以鼓励在家进行产前检查或推迟检查（11-13⁺⁶周的颈部透明带检查、16周的奥斯卡试验以及20-24周的胎儿超声检查除外）。结果表明，为COVID-19孕妇制定精确的随访策略是必要的。
