Maternal medicine in the COVID era.


Journal

Best practice & research. Clinical obstetrics & gynaecology
ISSN: 1532-1932
Titre abrégé: Best Pract Res Clin Obstet Gynaecol
Pays: Netherlands
ID NLM: 101121582

Informations de publication

Date de publication:
Jun 2021
Historique:
received: 25 01 2021
revised: 06 03 2021
accepted: 09 03 2021
pubmed: 12 4 2021
medline: 9 6 2021
entrez: 11 4 2021
Statut: ppublish

Résumé

The coronavirus disease-19 (COVID-19) pandemic has directly and indirectly impacted pregnant women with co-morbidities or antenatal medical complications, through vulnerability to the severe effects of COVID-19 and service reconfiguration. Women with diabetes or hypertension in pregnancy are at higher risk of admission to intensive care, need for invasive ventilation and death from COVID-19. Suggested service modifications specific to maternal medicine services include home measurement of blood glucose or blood pressure, the use of risk calculators, adaptations to screening criteria for gestational diabetes and monitoring of obstetric cholestasis. Neither the added risk of COVID-19 on pregnant women with medical comorbidities nor the impact of maternal medicine service modifications has yet been established.

Identifiants

pubmed: 33839044
pii: S1521-6934(21)00042-0
doi: 10.1016/j.bpobgyn.2021.03.003
pmc: PMC7970475
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

113-124

Informations de copyright

Copyright © 2021. Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

Declaration of competing interest SR is an obstetric clinical fellow at the Royal College of Obstetricians and Gynaecologists (RCOG) and member of the RCOG COVID-19 guidance cell. She coordinated, part co-authored and edited the RCOG COVID-19 guidance ‘Guidance for maternal medicine services in the evolving coronavirus (COVID-19) pandemic’. ST was the lead author of the ‘RCOG COVID-19 guidance ‘Guidance for maternal medicine services in the evolving coronavirus (COVID-19) pandemic’ and the lead of the PREGCOV project: Living Systematic Review on COVID-19 in pregnancy.

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Auteurs

Sophie Relph (S)

Royal College of Obstetricians and Gynaecologists, 10 -18 Union Street, London, SE1 1SZ, UK. Electronic address: sophie.relph@nhs.net.

Shakila Thangaratinam (S)

WHO Collaborating Centre for Global Women's Health, Institute of Metabolism and Systems Research, University of Birmingham, UK. Electronic address: s.thangaratinam.1@bham.ac.uk.

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