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
Journal:
Enfermería clínica

ISSN: 1130-8621

Year of publication: 2021

Issue Title: COVID-19: Recomendaciones y síntesis de evidencia ante una crisis sanitaria global

Volume: 31

Issue: 1

Pages: 100-106

Type: Article

DOI: 10.1016/J.ENFCLI.2020.05.009 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Enfermería clínica

Abstract

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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Funding information

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.

Funders

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