Fetal Diagnosis and Therapy during the COVID-19 Pandemic: Guidance on Behalf of the International Fetal Medicine and Surgery Society.
Betacoronavirus
/ pathogenicity
COVID-19
COVID-19 Testing
Clinical Laboratory Techniques
/ standards
Consensus
Coronavirus Infections
/ diagnosis
Female
Host Microbial Interactions
Humans
Infant, Newborn
Infection Control
/ standards
Infectious Disease Transmission, Patient-to-Professional
/ prevention & control
Infectious Disease Transmission, Vertical
/ prevention & control
Maternal Health Services
/ standards
Occupational Health
/ standards
Pandemics
/ prevention & control
Patient Safety
/ standards
Pneumonia, Viral
/ diagnosis
Pregnancy
Risk Assessment
Risk Factors
SARS-CoV-2
COVID-19
Fetal anomaly
Fetal medicine
Fetal surgery
Fetoscopy
SARS-CoV-2
Vertical transmission
Journal
Fetal diagnosis and therapy
ISSN: 1421-9964
Titre abrégé: Fetal Diagn Ther
Pays: Switzerland
ID NLM: 9107463
Informations de publication
Date de publication:
2020
2020
Historique:
received:
16
04
2020
accepted:
25
04
2020
pubmed:
7
5
2020
medline:
10
9
2020
entrez:
7
5
2020
Statut:
ppublish
Résumé
The COVID-19 pandemic has stressed patients and healthcare givers alike and challenged our practice of antenatal care, including fetal diagnosis and therapy. This document aims to review relevant recent information to allow us to optimize prenatal care delivery. We discuss potential modifications to obstetric management and fetal procedures in SARS-CoV2-negative and SARS-CoV2-positive patients with fetal anomalies or disorders. Most fetal therapies are time sensitive and cannot be delayed. If personnel and resources are available, we should continue to offer procedures of proven benefit, acknowledging any fetal and maternal risks, including those to health care workers. There is, to date, minimal, unconfirmed evidence of spontaneous vertical transmission, though it may theoretically be increased with some procedures. Knowing a mother's preoperative SARS-CoV-2 status would enable us to avoid or defer certain procedures while she is contagious and to protect health care workers appropriately. Some fetal conditions may alternatively be managed neonatally. Counseling regarding fetal interventions which have a possibility of additional intra- or postoperative morbidity must be performed in the context of local resource availability. Procedures of unproven benefit should not be offered. We encourage participation in registries and trials that may help us to understand the impact of COVID-19 on pregnant women, their fetuses, and neonates.
Identifiants
pubmed: 32375144
pii: 000508254
doi: 10.1159/000508254
pmc: PMC7251580
doi:
Types de publication
Journal Article
Practice Guideline
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
689-698Informations de copyright
© 2020 S. Karger AG, Basel.
Références
Am J Obstet Gynecol. 2020 Jun;222(6):521-531
pubmed: 32217113
BMC Pregnancy Childbirth. 2018 Apr 6;18(1):85
pubmed: 29625560
Prenat Diagn. 2020 Dec;40(13):1755-1758
pubmed: 32277490
J Med Virol. 2020 Jun;92(6):680-682
pubmed: 32124995
Nature. 2020 May;581(7809):465-469
pubmed: 32235945
Curr Med Sci. 2020 Apr;40(2):295-300
pubmed: 32232652
J Med Virol. 2020 Jun;92(6):564-567
pubmed: 32115733
N Engl J Med. 2020 Apr 30;382(18):1679-1681
pubmed: 32160451
MMWR Morb Mortal Wkly Rep. 2020 Apr 10;69(14):411-415
pubmed: 32271722
Lancet Infect Dis. 2020 May;20(5):565-574
pubmed: 32213337
Prenat Diagn. 2020 May;40(6):689-697
pubmed: 32112579
Clin Infect Dis. 2020 Nov 19;71(16):2027-2034
pubmed: 32221519
Nature. 2020 Mar;579(7798):270-273
pubmed: 32015507
BMJ Open. 2019 Sep 30;9(9):e031197
pubmed: 31575578
Anaesthesia. 2020 Jun;75(6):785-799
pubmed: 32221970
Lancet. 2020 Mar 7;395(10226):760-762
pubmed: 32151334
Zhonghua Fu Chan Ke Za Zhi. 2020 Mar 25;55(3):166-171
pubmed: 32145714
Anaesth Crit Care Pain Med. 2020 Apr;39(2):163-166
pubmed: 32088344
Lancet Infect Dis. 2020 May;20(5):559-564
pubmed: 32220284
Lancet Infect Dis. 2020 Jun;20(6):652-653
pubmed: 32142639
Lancet. 2020 Mar 28;395(10229):1054-1062
pubmed: 32171076
Am J Obstet Gynecol MFM. 2020 May;2(2):100106
pubmed: 32363335
Lancet. 2020 Mar 7;395(10226):809-815
pubmed: 32151335
JAMA. 2020 May 12;323(18):1846-1848
pubmed: 32215581
Int J Gynaecol Obstet. 2020 May;149(2):130-136
pubmed: 32196655
BMJ. 2020 Apr 1;369:m1339
pubmed: 32238346
N Engl J Med. 2019 Oct 10;381(15):1444-1457
pubmed: 31597021
EClinicalMedicine. 2020 Apr 05;21:100331
pubmed: 32292899
J Infect. 2020 May;80(5):e7-e13
pubmed: 32171865
Crit Care. 2020 Mar 27;24(1):120
pubmed: 32220243
JAMA. 2020 May 12;323(18):1788-1789
pubmed: 32215579
Ultrasound Obstet Gynecol. 2020 May;55(5):700-708
pubmed: 32160345
Clin Infect Dis. 2021 Mar 1;72(5):862-864
pubmed: 32182347
Ultrasound Obstet Gynecol. 2020 Jun;55(6):863-870
pubmed: 32233049
Am J Obstet Gynecol. 2020 Jul;223(1):66-74.e3
pubmed: 32283073
J Med Virol. 2020 Jul;92(7):731-739
pubmed: 32219871
Am J Obstet Gynecol. 2020 May;222(5):415-426
pubmed: 32105680
J Infect. 2020 May;80(5):e25-e27
pubmed: 32171870
Fetal Diagn Ther. 2010;27(4):191-203
pubmed: 20357423
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
JAMA Pediatr. 2020 Jul 1;174(7):722-725
pubmed: 32215598
Transl Pediatr. 2020 Feb;9(1):51-60
pubmed: 32154135
Am J Physiol Regul Integr Comp Physiol. 2008 Dec;295(6):R1953-61
pubmed: 18945956
Arch Pathol Lab Med. 2020 Jul 1;144(7):799-805
pubmed: 32180426
N Engl J Med. 2020 May 28;382(22):2163-2164
pubmed: 32283004
Med J Aust. 2020 Jun;212(10):472-481
pubmed: 32356900
Am J Obstet Gynecol. 2020 Aug;223(2):281-284
pubmed: 32348742
JAMA. 2020 May 12;323(18):1843-1844
pubmed: 32159775
Cell. 2020 Apr 16;181(2):271-280.e8
pubmed: 32142651
Emerg Microbes Infect. 2020 Dec;9(1):386-389
pubmed: 32065057
N Engl J Med. 2020 Mar 5;382(10):970-971
pubmed: 32003551
J Gen Virol. 2015 Jan;96(Pt 1):131-143
pubmed: 25312585
Prenat Diagn. 2019 Mar;39(4):251-268
pubmed: 30703262