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Curr Opin Obstet Gynecol ; 33(5): 361-369, 2021 10 01.
Article in English | MEDLINE | ID: covidwho-1360370

ABSTRACT

PURPOSE OF REVIEW: : The Coronavirus Disease 2019 (COVID-19) pandemic has had an unprecedented impact on pregnant women, maternity services and healthcare workers. We review recent literature on the course of COVID-19 infection in pregnancy, and recommendations for treatment and service provision. RECENT FINDINGS: It has been increasingly recognised that pregnant women are at higher risk of severe disease associated with COVID-19 infection. Early critical care input is crucial to guide respiratory support and techniques such as prone positioning, with a low threshold for intubation in critical illness. Timing of delivery remains a highly individualised decision. Following the RECOVERY trial, the use of a course of steroids in cases of severe COVID-19 infection has been widely adopted, and emerging guidance recommends vaccination in pregnant women. SUMMARY: Rapidly emerging evidence has helped guide clinicians to identify those patients most at risk of severe disease in COVID-19 and implement early interventions to reduce morbidity and mortality.


Subject(s)
Anesthesia , COVID-19/prevention & control , Pandemics , Pregnancy Complications, Infectious/prevention & control , Adult , COVID-19/epidemiology , Female , Humans , Pandemics/prevention & control , Perioperative Care , Pregnancy , Pregnancy Complications, Infectious/virology , SARS-CoV-2
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