The obstetric patient in the Covid pandemic: anaesthesia and perioperative care.
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.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pregnancy Complications, Infectious
/
Pandemics
/
COVID-19
/
Anesthesia
Type of study:
Observational study
/
Prognostic study
/
Randomized controlled trials
Topics:
Vaccines
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
English
Journal:
Curr Opin Obstet Gynecol
Journal subject:
Gynecology
/
Obstetrics
Year:
2021
Document Type:
Article
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