• Minerva anestesiologica · Jan 2021

    Review

    Pregnancy and COVID-19: what anesthesiologists should know?

    • Yonghui Wang, Manping Yang, Lini Wang, Hailong Dong, and Zhihong Lu.
    • Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi'an Shaanxi, China.
    • Minerva Anestesiol. 2021 Jan 1; 87 (1): 77-84.

    IntroductionAnesthetic management of parturients with COVID-19 is a big challenge to anesthesiologists. Limited data are available about COVID-19 during pregnancy; however, information on illnesses associated with SARS and MERS might provide insights into COVID-19's effects during pregnancy.Evidence AcquisitionEvidence from previous reports from SARS and MERS, and from COVID-19 cases were reviewed. Concepts from guidelines from the government and academic societies were collected as well.Evidence SynthesisThe evidence was described and summarized.ConclusionsPrinciples to minimize the risk of infection as well as optimize patients' safety during obstetric anesthesia were found to include careful evaluation, tight protection, and multi-discipline-based strategy. Though vertical transmission of COVID-19 still needs more definitive evidence, strict isolation is necessary for the newborn of COVID-19 mothers. Psychological support for the parturients is also an important issue during COVID-19 pandemic.

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