COVID-19 and Pregnancy: An Updated Review about Evidence-Based Therapeutic Strategies.
COVID-19
SARS-CoV-2
pandemic
pregnancy
therapy
Journal
Journal of personalized medicine
ISSN: 2075-4426
Titre abrégé: J Pers Med
Pays: Switzerland
ID NLM: 101602269
Informations de publication
Date de publication:
23 Jun 2023
23 Jun 2023
Historique:
received:
17
05
2023
revised:
16
06
2023
accepted:
22
06
2023
medline:
29
7
2023
pubmed:
29
7
2023
entrez:
29
7
2023
Statut:
epublish
Résumé
The COVID-19 pandemic posed a significant challenge for clinicians in managing pregnant women, who were at high risk of virus transmission and severe illness. While the WHO declared in May 2023 that COVID-19 is no longer a public health emergency, it emphasized that it remains a global health threat. Despite the success of vaccines, the possibility of new pandemic waves due to viral mutations should be considered. Ongoing assessment of the safety and effectiveness of pharmacological therapies is crucial in clinical practice. This narrative review summarizes the evidence-based therapeutic strategies for pregnant women with COVID-19, considering over three years of pandemic experience. The review discusses the safety and effectiveness of various drug regimens (antivirals, anticoagulants, corticosteroids, immunoglobulins, monoclonal antibodies, and therapeutic gases) and procedures (prone positioning and extracorporeal membrane oxygenation). Drugs with contraindications, inefficacy during pregnancy, or unknown adverse effects were excluded from our evaluation. The aim is to provide healthcare professionals with a comprehensive guide for managing pregnant women with COVID-19 based on lessons learned from the pandemic outbreak.
Identifiants
pubmed: 37511648
pii: jpm13071035
doi: 10.3390/jpm13071035
pmc: PMC10381390
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Références
Cochrane Database Syst Rev. 2022 Sep 20;9:CD015395
pubmed: 36126225
Clin Exp Immunol. 2019 Oct;198(1):47-56
pubmed: 31121057
Mayo Clin Proc. 2020 Sep;95(9):1888-1897
pubmed: 32861333
J Thorac Dis. 2020 May;12(5):2113-2119
pubmed: 32642115
Geburtshilfe Frauenheilkd. 2021 Jan;81(1):46-60
pubmed: 33487665
Am J Obstet Gynecol. 2022 Apr;226(4):571-576.e5
pubmed: 34922925
ASAIO J. 2021 Feb 1;67(2):132-136
pubmed: 33229971
J Clin Pharm Ther. 2021 Aug;46(4):1062-1070
pubmed: 33638257
Obstet Gynecol. 2020 Oct;136(4):823-826
pubmed: 32769659
Pharmacoepidemiol Drug Saf. 2022 Jul;31(7):804-809
pubmed: 35426202
Am J Obstet Gynecol. 2020 Jun;222(6):521-531
pubmed: 32217113
J Matern Fetal Neonatal Med. 2022 Dec;35(25):9445-9451
pubmed: 35168447
Eur Respir J. 2021 Apr 15;57(4):
pubmed: 33692120
Int J Obstet Anesth. 2023 Feb;53:103625
pubmed: 36682135
BMJ Case Rep. 2021 Jan 28;14(1):
pubmed: 33509890
Front Psychol. 2021 Apr 09;12:632999
pubmed: 33897540
Front Glob Womens Health. 2021 Oct 11;2:590945
pubmed: 34816175
Vaccines (Basel). 2022 May 10;10(5):
pubmed: 35632505
Clin Infect Dis. 2021 Dec 6;73(11):e3996-e4004
pubmed: 33031500
Eur Rev Med Pharmacol Sci. 2020 Apr;24(7):4040-4047
pubmed: 32329881
BMJ. 2020 Sep 4;370:m3379
pubmed: 32887691
Nat Med. 2022 Mar;28(3):504-512
pubmed: 35027756
Obstet Gynecol. 2022 Aug 1;140(2):195-203
pubmed: 35852269
JAMA. 2020 Mar 17;323(11):1061-1069
pubmed: 32031570
Fetal Diagn Ther. 2020;47(7):519-528
pubmed: 32535599
Front Microbiol. 2016 Jul 14;7:1031
pubmed: 27471494
JAMA Pediatr. 2022 Jul 1;176(7):717-719
pubmed: 35377399
Ann Thorac Surg. 2020 Oct;110(4):1209-1215
pubmed: 32173339
Lancet. 2021 May 01;397(10285):1637-1645
pubmed: 33933206
Cell Res. 2022 Mar;32(3):322-324
pubmed: 35058606
Curr Pharmacol Rep. 2020;6(3):56-70
pubmed: 32395418
Antiviral Res. 2022 Feb;198:105252
pubmed: 35085683
Int J Obstet Anesth. 2022 Feb;49:103236
pubmed: 34840019
Nat Rev Drug Discov. 2022 Jan;21(1):3-5
pubmed: 34857884
Intern Emerg Med. 2021 Mar;16(2):281-308
pubmed: 33398609
J Pers Med. 2022 Sep 09;12(9):
pubmed: 36143264
J Obstet Gynaecol Res. 2022 Sep;48(9):2325-2333
pubmed: 35748316
Med Lett Drugs Ther. 2023 Jan 9;65(1667):e9
pubmed: 36649082
Viruses. 2021 Jun 22;13(7):
pubmed: 34206468
BMJ Open. 2022 Jun 1;12(6):e057810
pubmed: 35649598
Obstet Gynecol. 2020 Aug;136(2):259-261
pubmed: 32516274
mBio. 2018 Oct 9;9(5):
pubmed: 30301856
J Med Case Rep. 2021 Aug 7;15(1):426
pubmed: 34364393
J Matern Fetal Neonatal Med. 2022 Dec;35(25):9043-9052
pubmed: 34915799
Obstet Gynecol. 2022 Mar 1;139(3):373-380
pubmed: 34963127
JAMA. 2020 Apr 28;323(16):1582-1589
pubmed: 32219428
Ultrasound Obstet Gynecol. 2021 Feb;57(2):195-203
pubmed: 32959455
Obstet Gynecol. 2020 Jul;136(1):26-28
pubmed: 32349053
JAMA. 2022 Apr 19;327(15):1469-1477
pubmed: 35323851
Am J Obstet Gynecol MFM. 2020 Nov;2(4):100258
pubmed: 33083779
Am J Obstet Gynecol. 2021 Dec;225(6):688-689
pubmed: 34453934
J Glob Antimicrob Resist. 2021 Jun;25:5-7
pubmed: 33662647
Ann Rheum Dis. 2016 May;75(5):795-810
pubmed: 26888948
Przegl Epidemiol. 2020;74(2):276-289
pubmed: 33112124
JAMA. 2021 Mar 16;325(11):1027-1028
pubmed: 33625462
BMJ. 2022 Apr 26;377:e069739
pubmed: 35473709
BMJ. 2023 Jan 12;380:57
pubmed: 36634963
Minerva Ginecol. 2020 Dec;72(6):429-430
pubmed: 32969632
J Pers Med. 2023 Mar 10;13(3):
pubmed: 36983681
BMC Pediatr. 2021 Mar 22;21(1):138
pubmed: 33752624
MMWR Morb Mortal Wkly Rep. 2022 Jan 07;71(1):26-30
pubmed: 34990445
Viruses. 2023 Mar 19;15(3):
pubmed: 36992497
J Clin Med. 2020 Nov 21;9(11):
pubmed: 33233369
Clin Microbiol Infect. 2022 Jan;28(1):51-57
pubmed: 34438068
Obstet Gynecol. 2023 Mar 1;141(3):473-482
pubmed: 36649624
J Clin Med. 2022 Nov 09;11(22):
pubmed: 36431122
J Perinat Med. 2020 Nov 26;48(9):950-958
pubmed: 32975205
JAMA. 2021 Aug 24;326(8):728-735
pubmed: 34251417
Biosensors (Basel). 2022 May 27;12(6):
pubmed: 35735519
Crit Care Clin. 2022 Jul;38(3):521-534
pubmed: 35667741
Res Integr Peer Rev. 2019 Mar 26;4:5
pubmed: 30962953
Vaccine. 2021 Oct 1;39(41):6037-6040
pubmed: 34531079
Am J Emerg Med. 2014 Jun;32(6):687.e1-3
pubmed: 24412021
Am J Reprod Immunol. 2022 Aug;88(2):e13559
pubmed: 35514201
Arch Gynecol Obstet. 2022 May;305(5):1135-1142
pubmed: 35262778
Ultrasound Obstet Gynecol. 2021 Feb;57(2):232-241
pubmed: 32926494
Am J Perinatol. 2020 Aug;37(10):1044-1051
pubmed: 32575140
Clin Microbiol Infect. 2021 Jan;27(1):61-66
pubmed: 33010444
Proc Natl Acad Sci U S A. 2020 May 19;117(20):10970-10975
pubmed: 32350134
Int J Gynaecol Obstet. 2020 Jul;150(1):41-46
pubmed: 32271947
Front Physiol. 2022 Mar 02;13:845156
pubmed: 35309055
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
Mil Med Res. 2020 Feb 6;7(1):4
pubmed: 32029004
PLoS One. 2021 May 19;16(5):e0251746
pubmed: 34010282
N Engl J Med. 2022 Apr 14;386(15):1397-1408
pubmed: 35172054
Am J Obstet Gynecol MFM. 2020 May;2(2):100107
pubmed: 32292902
Thromb Res. 2020 Jul;191:145-147
pubmed: 32291094
Heart Lung Circ. 2018 Jul;27(7):893-898
pubmed: 29857977
Hum Reprod Update. 2016 Mar-Apr;22(2):240-59
pubmed: 26590298
Antibiotics (Basel). 2022 Feb 16;11(2):
pubmed: 35203854
Curr Med Sci. 2021 Dec;41(6):1037-1051
pubmed: 34241776
Reprod Toxicol. 2022 Dec;114:33-43
pubmed: 36283657
J Pers Med. 2022 Dec 01;12(12):
pubmed: 36556208
JAMA. 2020 Aug 4;324(5):460-470
pubmed: 32492084
J Med Virol. 2021 Jul;93(7):4114-4119
pubmed: 33788273
Cureus. 2023 Jan 30;15(1):e34395
pubmed: 36874696
CMAJ. 2020 Jul 6;192(27):E745-E755
pubmed: 32444482
Obstet Gynecol. 2022 Apr 1;139(4):616-618
pubmed: 35026789
Redox Biol. 2020 Oct;37:101734
pubmed: 33007504
Women Birth. 2021 Sep;34(5):455-464
pubmed: 33191126
N Engl J Med. 2021 Feb 18;384(7):619-629
pubmed: 33232588
Lancet. 2020 Feb 15;395(10223):507-513
pubmed: 32007143
Rheumatology (Oxford). 2019 Sep 1;58(9):1694-1695
pubmed: 31329987
BMJ. 2023 May 9;381:1041
pubmed: 37160309
Pulm Ther. 2022 Jun;8(2):233-240
pubmed: 35426596
Med Sci Monit. 2022 Jan 01;28:e935952
pubmed: 34972812
Cochrane Database Syst Rev. 2021 Oct 22;10:CD015025
pubmed: 34679203
J Obstet Gynaecol. 2022 Jul;42(5):1268-1275
pubmed: 34581251
Lancet. 2022 Apr 16;399(10334):1513-1536
pubmed: 35279232
J Matern Fetal Neonatal Med. 2022 Jun;35(11):2174-2187
pubmed: 32508168
Physiol Rev. 2021 Jan 1;101(1):303-318
pubmed: 32969772
Minerva Pediatr. 2018 Feb;70(1):51-58
pubmed: 28472876