COVID in Pregnancy: Lessons Learnt
Keywords:
COVID-19 and pregnancy, antenatal positive case, screening guidelines, PPE, labor room management
Abstract
The COVID-19 infection, a global pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has taken a devastating toll on public health with the widespread transmission. To date, it has affected over 160 million people, with as many as 3 million deaths. We present to you the understanding we have about covid in pregnancy, its effects and management. The clinical features, mode of transmission, outcome and management protocols are constantly changing and still unclear. The second wave has impacted pregnant women quite adversely. Obstetricians have called for close monitoring of all pregnant women contracting COVID–19.
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4. Bachani S, Arora R, Dabral A, Marwah S, Anand P, Reddy KS, et al. Clinical Profile, Viral Load, Maternal-Fetal Outcomes of Pregnancy With COVID-19: 4-Week Retrospective, Tertiary Care Single-Centre Descriptive Study. J Obstet Gynaecol Can. 2021 Apr;43(4):474-482. Epub 2020 Oct 28.
5. Bellos I, Pandita A, Panza R. Maternal and perinatal outcomes in pregnant women infected by SARS-CoV-2: A metaanalysis. Eur J Obstet Gynecol Reprod Biol. 2021 Jan; 256:194- 204. Epub 2020 Nov 13.
6. Vardhelli V, Pandita A, Pillai A, Badatya SK. Perinatal COVID-19: review of current evidence and practical approach towards prevention and management. Eur J Pediatr. 2021 Apr;180(4):1009-1031. Epub 2020 Nov 12.
7. Centeno-Tablante E, Medina-Rivera M, et al. Transmission of SARS-CoV-2 through breast milk and breastfeeding: a living systematic review. Ann N Y Acad Sci. 2021 Jan;1484(1):32-54. Epub 2020 Aug 28.
8. Rotshenker-Olshinka K, Volodarsky-Perel A, Steiner N, et al. COVID-19 pandemic effect on early pregnancy: are miscarriage rates altered, in asymptomatic women? Arch Gynecol Obstet. 2021 Mar;303(3):839-845. Epub 2020 Nov 9.
9. Khalil A, von Dadelszen P, Draycott T, et al. Change in the Incidence of Stillbirth and Preterm Delivery During the COVID-19 Pandemic. JAMA. 2020 Jul 10;324(7):705–6. Epub ahead of print.
10. Khalil A., Kalafat E., Benlioglu C, et al. SARS-CoV-2 infection in pregnancy: A systematic review and meta-analysis of clinical features and pregnancy outcomes. Clinical Medicine. 2020; 25:100446.
11. Wong YP, Khong TY, Tan GC. The Effects of COVID-19 on Placenta and Pregnancy: What Do We Know So Far? Diagnostics (Basel). 2021 Jan 8;11(1):94.
12. Nayak AH, Kapote DS, Fonseca M, et al. Impact of the Coronavirus Infection in Pregnancy: A Preliminary Study of 141 Patients. J Obstet Gynaecol India. 2020 Aug;70(4):256-261. Epub 2020 Jul 7.
13. National Neonatology Forum, India, Federation of Obstetric & Gynaecological Societies of India, Indian Academy of Pediatrics. Perinatal-Neonatal Management of COVID-19. [Internet]. Ver 3.0. Release date: 16 June 2021 Available from: https://www.fogsi.org/wp-content/uploads/gcpr/perinatalneonatal- management-of-covid-19.pdf
14. Gandhi A, Ganatra A, Tank P. FOGSI Good Clinical Practice Recommendation on Pregnancy with COVID-19 infection. Available from: https://www.fogsi.org/wp-content/uploads/ covid19/fogsi_gcpr_on_pregnancy_with_COVID_19_version_ 2.pdf
15. Guidance for Management of Pregnant Women in COVID-19 Pandemic [Internet]. [cited 2020 Apr 24]. Available from: https://icmr.nic.in/sites/default/files/upload_documents/ Guidance_for_Management_of_Pregnant_Women_in_ COVID19_Pandemic_12042020.pdf
Published
2021-07-24
How to Cite
Dr. Anahita Chauhan, Dr. Madhuri Mehendale, Dr. Madhva Prasad. (2021). COVID in Pregnancy: Lessons Learnt. The Indian Practitioner, 74(7), 23-28. Retrieved from https://articles.theindianpractitioner.com/index.php/tip/article/view/1214
Section
Special Article