Recomendaciones y manejo práctico de la gestante con COVID-19scoping review

  1. Héctor González-de la Torre 1
  2. Raúl Rodríguez-Rodríguez 2
  3. Alicia Martín-Martínez 2
  1. 1 Departamento de Enfermería,Universidad de La Laguna-Sede La Palma, Santa Cruz de Tenerife, España
  2. 2 Servicio de Obstetricia y Ginecología, Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Servicio Canario de Salud, Las Palmas de Gran Canaria, Las Palmas, España
Revista:
Enfermería clínica

ISSN: 1130-8621

Año de publicación: 2021

Título del ejemplar: COVID-19: Recomendaciones y síntesis de evidencia ante una crisis sanitaria global

Volumen: 31

Número: 1

Páginas: 100-106

Tipo: Artículo

DOI: 10.1016/J.ENFCLI.2020.05.009 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Enfermería clínica

Resumen

Aim To compile recommendations and evidence on the practical management of pregnant women with COVID-19 in order to clarify standards of obstetric care in the face of this new disease. Method Scoping review based on literature searches in national and international health science databases (PubMed/Medline, Biblioteca Virtual en Salud, SciELO, Cochrane and CUIDEN) and websites, and additionally by a “snowball” system. MeSH terms were used: “COVID-19”, “Pregnancy”, “Delivery, Obstetric”, “Pregnant Women” and “Maternal”. As limits in the search Spanish and English languages were selected. No limits were established in relation to the year of publication or type of article. Results A total of 49 documents and articles were detected, of which 27 were analyzed, 18 were used, and 9 were discarded because they did not contain practical recommendations. The recommendations were grouped into 10 subjects: Prevention of infection in pregnant women; prevention of infection in health care personnel attending pregnant women; form of presentation and severity in pregnant women; maternal-fetal transmission (vertical and perinatal); maternal-fetal control of the pregnant woman with COVID-19; control of the severely pregnant woman with COVID-19; treatment of the pregnant woman with COVID-19; management and route of termination of labor; neonatal outcomes in women with COVID-19, and breastfeeding. Conclusions Lack of strong evidence to support many of the recommendations for pregnant women with COVID-19, as they are based on previous experience with SARS-CoV and MERS-CoV infections. Further studies are needed to confirm the appropriateness of many of the recommendations and guidelines for action in the specific case of pregnant women and COVID-19.

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Información de financiación

Al jefe del Servicio de Obstetricia y Ginecolog?a del HUMIC, el Prof. Jos? ?ngel Garc?a Hern?ndez, miembro del Comit? de Gesti?n de Emergencia Sanitaria para la COVID-19 del Gobierno de Canarias, por realizar la revisi?n externa de las recomendaciones recogidas en este documento.

Referencias bibliográficas

  • M.A. Lake What we know so far: COVID-19 current clinical knowledge and research Clin Med (Lond)., 20 (2020), pp. 124-127
  • P. Zhou, X.L. Yang, X.G. Wang, B. Hu, L. Zhang, W. Zhang, et al. Discovery of a novel coronavirus associated with the recent pneumonia outbreak in humans and its potential bat origin bioRxiv (2020)
  • World Health Organization [Internet]. Novel coronavirus – China. WHO; 2020.
  • N. Zhu, D. Zhang, W. Wang, X. Li, B. Yang, J. Song, et al. A novel coronavirus from patients with pneumonia in China, 2019 N Engl J Med., 382 (2020), pp. 727-733
  • 5 S.P. Adhikari, S. Meng, Y.J. Wu, Y.P. Mao, R.X. Ye, Q.Z. Wang, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: A scoping review Infect Dis Poverty., 9 (2020), p. 29
  • World Health Organization [Internet]. Coronavirus disease 2019 (COVID-19). Situation Report-67. WHO; 2020
  • Ministerio de Sanidad [Internet]. Actualización n.o 58. Enfermedad por el coronavirus (COVID-19) [consultado 28 Mar 2020].
  • E. Amodio, F. Vitale, L. Cimino, A. Casuccio, F. Tramuto Outbreak of novel coronavirus (SARS-Cov-2): First evidences from international scientific literature and pending questions Healthcare (Basel)., 8 (2020), p. E51
  • Royal College of Obstetricians and Gynaecologists [Internet]. Coronavirus (COVID-19) infection in pregnancy [consultado 27 Mar 2020].
  • R.C. Boelig, G. Saccone, F. Bellussi, V. Berghella MFM guidance for COVID-19 Am J Obstet Gynecol MFM (2020)
  • Ministerio de Sanidad [Internet]. Documento técnico. Manejo de la mujer embarazada y el recién nacido con COVID-19 [consultado 26 Mar 2020].
  • D. Di Mascio, A. Khalil, G. Saccone, G. Rizzo, D. Buca, M. Liberati, et al. Outcome of Coronavirus spectrum infections (SARS, MERS COVID 1-19) during pregnancy: A systematic review and meta-analysis Am J Obst Gynecol MFM (2020)
  • Y. Han, H. Yang The transmission and diagnosis of 2019 novel coronavirus infection disease (COVID-19): A Chinese perspective J Med Virol. (2020)
  • S. Wang, L. Guo, L. Chen, W. Liu, Y. Cao, J. Zhang, et al. A case report of neonatal COVID-19 infection in China Clin Infect Dis. (2020)
  • H. Liang, G. Acharya Novel corona virus disease (COVID-19) in pregnancy: What clinical recommendations to follow? Acta Obstet Gynecol Scand., 99 (2020), pp. 439-442
  • D. Chen, H. Yang, Y. Cao, W. Cheng, T. Duan, C. Fan, et al. Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID-19) infection Int J Gynaecol Obstet., 149 (2020), pp. 130-136
  • G. Favre, L. Pomar, X. Qi, K. Nielsen-Saines, D. Musso, D. Baud Guidelines for pregnant women with suspected SARS-CoV-2 infection Lancet Infect Dis. (2020)
  • E. Mullins, D. Evans, R.M. Viner, P. O’Brien, E. Morris Coronavirus in pregnancy and delivery: Rapid review Ultrasound Obstet Gynecol., 55 (2020), pp. 586-10592
  • R. Chen, Y. Zhang, L. Huang, B.H. Cheng, Z.Y. Xia, Q.T. Meng Safety and efficacy of different anesthetic regimens for parturients with COVID-19 undergoing Cesarean delivery: A case series of 17 patients Can J Anaesth., 67 (2020), pp. 655-663
  • H. Zhu, L. Wang, C. Fang, S. Peng, L. Zhang, G. Chang, et al. Clinical analysis of 10 neonates born to mothers with 2019-nCoV pneumonia Transl Pediatr., 9 (2020), pp. 51-60
  • H. Xia, S. Zhao, Z. Wu, H. Luo, C. Zhou, X. Chen Emergency Caesarean delivery in a patient with confirmed COVID-2019 under spinal anaesthesia Br J Anaesth., 124 (2020), pp. e216-e218
  • J. Qiao What are the risks of COVID-19 infection in pregnant women? Lancet., 395 (2020), pp. 760-762
  • H. Chen, J. Guo, C. Wang, F. Luo, X. Yu, W. Zhang, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: A retrospective review of medical records Lancet., 395 (2020), pp. 809-815
  • J. Jiao Under the epidemic situation of COVID-19, should special attention to pregnant women be given? J Med Virol. (2020)
  • S.A. Rasmussen, J.C. Smulian, J.A. Lednicky, T.S. Wen, D.J. Jamieson Coronavirus Disease 2019 (COVID-19) and pregnancy: What obstetricians need to know Am J Obstet Gynecol., 222 (2020), pp. 415-426
  • Organización Mundial de la Salud [Internet]. Preguntas frecuentes sobre la COVID-19, el embarazo, el parto y la lactancia materna. OMS; 2020
Fuente de los datos: Dialnet