COVID-19 in pregnancy - Revision history

Rossdonaldson1: /* References */

2024-02-07T18:33:01Z

References

← Older revision		Revision as of 18:33, 7 February 2024
Line 63:		Line 63:
	<references/>		<references/>

	~~[[Category:COVID-19]]~~
	[[Category:ID]]		[[Category:ID]]
	[[Category:OBGYN]]		[[Category:OBGYN]]

Ostermayer: /* See Also */

2020-04-13T00:01:59Z

Rossdonaldson1: /* References */

2020-04-03T17:14:14Z

References

← Older revision		Revision as of 17:14, 3 April 2020
Line 63:		Line 63:
	<references/>		<references/>

			[[Category:COVID-19]]
	[[Category:ID]]		[[Category:ID]]
	[[Category:OBGYN]]		[[Category:OBGYN]]

Rossdonaldson1 at 19:30, 21 March 2020

2020-03-21T19:30:20Z

← Older revision		Revision as of 19:30, 21 March 2020
Line 62:		Line 62:
	==References==		==References==
	<references/>		<references/>

			[[Category:ID]]
			[[Category:OBGYN]]

Rossdonaldson1 at 12:54, 21 March 2020

2020-03-21T12:54:29Z

← Older revision		Revision as of 12:54, 21 March 2020
Line 1:		Line 1:
	''See [[COVID-19]] for main article''		''See [[COVID-19]] for main article. For transmission precautions see: [[Prevention of COVID-19 transmission in the healthcare setting]].''
	==Background==		==Background==
	* Reported data and outcomes for pregnant patients similar to non-pregnant patients		* Reported data and outcomes for pregnant patients similar to non-pregnant patients

Rossdonaldson1: /* Epidemiology */

2020-03-21T11:51:37Z

Epidemiology

← Older revision		Revision as of 11:51, 21 March 2020
Line 5:		Line 5:

	===Epidemiology===		===Epidemiology===
	* 34 pregnant women reported with COVID		* 34 pregnant women reported with COVID; 0 deaths reported.
	* Median age: 30 years (mostly 2nd and 3rd trimester -- median gestation 36 weeks)		* Median age: 30 years (mostly 2nd and 3rd trimester -- median gestation 36 weeks)
	* Symptom onset within 13 days prior to, and 3 days after, delivery		* Symptom onset within 13 days prior to, and 3 days after, delivery

Rossdonaldson1: /* See Also */

2020-03-21T11:24:27Z

Rossdonaldson1: /* See Also */

2020-03-21T10:32:01Z

Rossdonaldson1 at 20:06, 19 March 2020

2020-03-19T20:06:43Z

@@ Line 1: / Line 1: @@
 ''See [[COVID-19]] for main article''
 ==Background==
 ==Clinical Features==
@@ Line 13: / Line 21: @@
 ==Management==
 ===Infection Prevention===
@@ Line 67: / Line 40: @@
 **** Dedicated breast pump if nursing
 **** Entire pump should be entirely disinfected per manufacturer recommendations between each feed

Rossdonaldson1 at 20:05, 19 March 2020

2020-03-19T20:05:30Z

← Older revision		Revision as of 20:05, 19 March 2020
Line 26:		Line 26:
	==References==		==References==
	<references/>		<references/>

			==Special Population: Pregnant Women==
			===Background Epidemiology===
			* 34 pregnant women reported with COVID
			* Median age: 30 years (mostly 2nd and 3rd trimester -- median gestation 36 weeks)
			* Symptom onset within 13 days prior to, and 3 days after, delivery
			* Infants of affected mothers all tested negative
			* No maternal/pregnant deaths reported from COVID

			===Bottom Line for Pregnant Patients===
			* Reported data and outcomes for pregnant patients similar to non-pregnant patients
			** Physiologic and immunologic changes in pregnancy may make them more susceptible to contracting viral respiratory illness but symptoms and outcomes demonstrate no significant differences from non-pregnant COVID19

			===Q&A Scenarios===
			* Are pregnant women at increased risk of adverse pregnancy outcomes?
			** No data exists on this (regarding pregnancy loss, misscarriage, etc)
			** High fevers in early pregnancy previously demonstrated (in SARS and MERS) to increase risk of birth defects. May be possible here. But no data.
			* Lactation
			** No evidence of virus found in breastmilk. (but no good data on this). Most transmission noted to be due to close respiratory droplet contact during feeding
			* Should pregnant patients not be out and about in the community?
			** Prenatal care still encouraged
			** Usual precautions encouraged (as with general population)

			===Infection Prevention===
			* Applies to broader infection prevention
			* Isolation of pregnant patients with COVID19 and PUIs
			* Pre-hospital (for confirmed COVID19 or PUI):
			** Notify OB unit prior to arrival
			** EMS: driver should contact receiving unit to follow local protocols
			** Hospitalization: usual hospital protocols for isolation
			* Infants born to mothers with COVID should be considered PUI
			** Prevention of mother-to-child transmission (PMTCT): may temporarily separate mother from baby until mother’s transmission based isolation precautions are discontinued (due to respiratory secretions)
			*** No data on vertical transmission
			**** Thought to spread mostly by close contact with respiratory droplet
			*** Very limited data on routes of transmission other than contact with respiratory droplet - however small cohorts tested didn’t demonstrate transmission via these others routes (note amniotic fluid and other sources were not tested)
			*** Discontinuation of isolation made on local ID guidance and case-by-case
			*** Discontinuation criteria same as for other COVID19
			**** Resolution of fever without anti-pyretic, resolution of symptoms, and negative COVID19 testing
			*** Face mask, hand hygiene before each feeding
			**** Dedicated breast pump if nursing
			**** Entire pump should be entirely disinfected per manufacturer recommendations between each feed

← Older revision		Revision as of 00:01, 13 April 2020
Line 55:		Line 55:

	==See Also==		==See Also==
	{{COVID ~~see also~~}}		{{Special:Prefixindex/COVID-19 \|hideredirects=1}}

	==External Links==		==External Links==

← Older revision		Revision as of 11:24, 21 March 2020
Line 55:		Line 55:

	==See Also==		==See Also==
	*[[COVID~~-19]]~~		{{COVID see also}}
	**[[Prevention of COVID-19 transmission in the healthcare setting]]

	==External Links==		==External Links==

← Older revision		Revision as of 10:32, 21 March 2020
Line 56:		Line 56:
	==See Also==		==See Also==
	*[[COVID-19]]		*[[COVID-19]]
			**[[Prevention of COVID-19 transmission in the healthcare setting]]

	==External Links==		==External Links==