Ver el código de «COVID-19 in pregnancy»

''See [[COVID-19]] for main article. For transmission precautions see: [[Prevention of COVID-19 transmission in the healthcare setting]].''
==Background==
* 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

===Epidemiology===
* 34 pregnant women reported with COVID; 0  deaths reported.
* 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

==Clinical Features==


==Differential Diagnosis==


==Evaluation==


==Management==

===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

===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)

==Disposition==


==See Also==
{{Special:Prefixindex/COVID-19 |hideredirects=1}}

==External Links==


==References==
<references/>

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