Department of Gynecology and Obstetrics, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Rev Bras Ginecol Obstet. 2021 Nov;43(11):862-869. doi: 10.1055/s-0041-1736304. Epub 2021 Dec 6.
The puerperium is a complex period that begins with placental delivery and lasts for 6 weeks, during which readaptation of the female organism and redistribution of blood volume occur. This period is conducive to the occurrence of thromboembolic events. In the context of the SARS-CoV-2 pandemic, the virus responsible for COVID-19, the attention of the scientific community and health professionals has been focused on obtaining insights on different aspects of this disease, including etiology, transmission, diagnosis, and treatment. Regarding the pregnancy-postpartum cycle, it is opportune to review the clinical conditions that can occur during this period and to investigate dyspnea as a postpartum symptom in order to avoid its immediate association with COVID-19 without further investigation, which can lead to overlooking the diagnosis of other important and occasionally fatal conditions.
产褥期是一个复杂的时期，始于胎盘娩出，持续 6 周，在此期间，女性机体进行重新适应，血容量重新分布。这一时期有利于血栓栓塞事件的发生。在 SARS-CoV-2 大流行的背景下，COVID-19 由负责该病毒的病毒引起，科学界和卫生专业人员的注意力一直集中在获得有关该病不同方面的见解上，包括病因、传播、诊断和治疗。关于妊娠-产后周期，及时回顾在此期间可能发生的临床情况，并研究呼吸困难作为产后症状，以避免在没有进一步调查的情况下立即将其与 COVID-19 联系起来，这可能导致忽视其他重要且偶尔致命情况的诊断。
