Harenberg Jennifer L, Church Robert, Tubog Tito D
is employed by Texas Wesleyan University in Fort Worth, Texas, and Denver Health Medical Center in Denver, Colorado.
is employed by Denver Health Medical Center.
AANA J. 2020 Aug;88(4):47-53.
Physiologic changes during pregnancy may increase the risk of coronavirus disease 2019 (COVID-19) infection. Limited data show serious complications of COVID-19 infection and pregnancy. Severe adverse maternal and perinatal outcomes such as preterm delivery, intensive care unit admission, and neonatal and intrauterine death have been reported. Our knowledge of the epidemiology, pathogenesis, disease progression, and clinical course of COVID-19 is continually changing as more information and evidence emerge. The present case adds further insights on COVID-19 and anesthesia considerations for patients undergoing cesarean delivery. In this case report, we describe a successful spinal anesthetic in a pregnant woman with confirmed COVID-19. To prepare for the likelihood of caring for women during labor and cesarean delivery, anesthesia professionals must know how to provide safe, patient-centered care and how to protect every member of the obstetric team from exposure to the virus. In addition, it is paramount that our profession shares our experiences and practices to help guide our multidisciplinary approach in delivering the best care possible to these women.
孕期的生理变化可能会增加感染2019冠状病毒病（COVID-19）的风险。有限的数据显示了COVID-19感染与妊娠的严重并发症。已有报告称出现了诸如早产、入住重症监护病房以及新生儿和宫内死亡等严重不良的孕产妇和围产期结局。随着更多信息和证据的出现，我们对COVID-19的流行病学、发病机制、疾病进展和临床过程的认识也在不断变化。本病例为COVID-19以及剖宫产患者的麻醉考量提供了更多见解。在本病例报告中，我们描述了一例对确诊COVID-19的孕妇实施成功脊髓麻醉的情况。为了应对分娩和剖宫产期间护理此类女性的可能性，麻醉专业人员必须知道如何提供安全、以患者为中心的护理，以及如何保护产科团队的每一位成员免受病毒感染。此外，我们这个行业分享经验和做法以帮助指导我们采取多学科方法为这些女性提供尽可能最佳的护理至关重要。
