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COVID-19 Pandemic and Pregnancy in Kidney Disease.
Bajpai, Divya; Shah, Silvi.
  • Bajpai D; Department of Nephrology, Seth G.S.M.C & K.E.M. Hospital, Mumbai, India.
  • Shah S; Kidney C.A.R.E. Program, Division of Nephrology, University of Cincinnati, Cincinnati, OH. Electronic address: shah2sv@ucmail.uc.edu.
Adv Chronic Kidney Dis ; 27(5): 397-403, 2020 09.
Article in English | MEDLINE | ID: covidwho-695253
ABSTRACT
Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is a rapidly spreading pandemic. Owing to changes in the immune system and respiratory physiology, pregnant women are vulnerable to severe viral pneumonia. We review the clinical course, pregnancy outcomes, and management of women with COVID-19 in pregnancy with a focus on those with kidney involvement. Current evidence does not show an increased risk of acquiring SARS-CoV-2 during pregnancy and the maternal course appears to be similar to nonpregnant patients. However, severe maternal disease can lead to complex management challenges and has shown to be associated with higher incidence of preterm and caesarean births. The risk of congenital infection with SARS-CoV-2 is not known. All neonates must be considered as high-risk contacts and should be screened at birth and isolated. Pregnant women should follow all measures to prevent SARS-CoV-2 exposure and this fear should not compromise antenatal care. Use of telemedicine, videoconferencing, and noninvasive fetal and maternal home monitoring devices should be encouraged. High-risk pregnant patients with comorbidities and COVID-19 require hospitalization and close monitoring. Pregnant women with COVID-19 and kidney disease are a high-risk group and should be managed by a multidisciplinary team approach including a nephrologist and neonatologist.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications / Pregnancy Complications, Infectious / Kidney Transplantation / Renal Insufficiency, Chronic / Acute Kidney Injury / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Female / Humans / Pregnancy Language: English Journal: Adv Chronic Kidney Dis Journal subject: Nephrology Year: 2020 Document Type: Article Affiliation country: J.ackd.2020.08.005

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications / Pregnancy Complications, Infectious / Kidney Transplantation / Renal Insufficiency, Chronic / Acute Kidney Injury / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study Topics: Long Covid Limits: Female / Humans / Pregnancy Language: English Journal: Adv Chronic Kidney Dis Journal subject: Nephrology Year: 2020 Document Type: Article Affiliation country: J.ackd.2020.08.005