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Recommendations for prenatal, intrapartum, and postpartum care during COVID-19 pandemic in India.
American Journal of Reproductive Immunology ( IF 3.6 ) Pub Date : 2020-09-02 , DOI: 10.1111/aji.13336
Jai B Sharma 1 , Eshani Sharma 1 , Sangeeta Sharma 2 , Janmeeta Singh 1
Affiliation  

The pandemic of coronavirus disease (COVID‐19) caused by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) has affected more than 19.7 million persons worldwide with 7 28 013 deaths till August 10, 2020. It has put an unprecedented workload on healthcare systems with special reference to labor rooms and obstetrics as deliveries cannot be stopped or postponed. Preparing their facilities using triage (COVID‐positive patients, COVID‐suspect patients, and COVID‐negative patients) can help to better utilize the limited resources and help in prevention of spread of disease, and improve maternal and perinatal outcome. There is a need for proper training of healthcare providers for judicious use of personal protective equipment (PPE) for optimum outcome. Fortunately, the available literature suggests that there is no substantial increased risk of acquiring COVID‐19 in pregnancy or its increased virulence in pregnancy and labor and there are no adverse effects on fetus and neonate with negligible fetal transmission rate. Nevertheless, utmost care is needed to manage such pregnancies, their prenatal care, and labor. This review aimed to highlight the main recommendations applied in Indian maternities for better management of pregnancy during the COVID‐19 pandemic.

中文翻译:

在印度,COVID-19大流行期间对产前,产中和产后护理的建议。

严重的急性呼吸系统综合症冠状病毒2(SARS-CoV-2)引起的冠状病毒疾病(COVID-19)大流行已影响到2020年8月10日,全球超过1970万人,有7 28 013例死亡。尤其要注意分娩室和产科的医疗保健系统,因为不能停止或推迟分娩。使用分流(COVID阳性患者,COVID可疑患者和COVID阴性患者)进行分诊准备设施可以帮助更好地利用有限的资源,并有助于预防疾病的传播,并改善孕产妇和围产期的结局。需要对医疗服务提供者进行适当的培训,以明智地使用个人防护设备(PPE)以获得最佳效果。幸好,现有文献表明,在妊娠中获得COVID-19的风险没有显着增加,在妊娠和分娩中其毒力也没有增加,并且胎儿传播率可忽略不计对胎儿和新生儿没有不利影响。尽管如此,仍需要最大限度的照料来管理这些怀孕,产前检查和分娩。这篇综述旨在突出印度产妇在COVID-19大流行期间更好地管理妊娠的主要建议。
更新日期:2020-10-29
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