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SARS-CoV-2 in Pregnancy: A Comprehensive Summary of Current Guidelines

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Maternal-Fetal Medicine Division, Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA
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Obstetrics Division, Department of Obstetrics and Gynecology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA
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Department of Obstetrics and Gynecology, Escola Paulista de Medicina—Universidade Federal de São Paulo, São Paulo 04021, Brazil
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Groupe de Recherche sur les Infections pendant la Grossesse (GRIG), CNGOF, Service de Gynécologie-Obstétrique Colombes, Publique-Hôpitaux de Paris, Hôpital Louis Mourier, Université de Paris, Inserm IAME-U1137, 75000 Paris, France
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Fetal Medicine Centre, Birmingham Women’s and Children’s Foundation Trust, College of Medical & Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK
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Catalan Health Service, Government of Catalonia, 080028 Barcelona, Spain
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Department of Obstetrics and Gynecology, Hospital Universitari Vall d’Hebron, 080028 Barcelona, Spain
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Prenatal Diagnostic Division, Department of Obstetrics and Gynecology, AUSL di Reggio Emilia Istituto di Ricerca a Carattere Clinico Scientifico, 42100 Reggio Emilia, Italy
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Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(5), 1521; https://doi.org/10.3390/jcm9051521
Received: 5 May 2020 / Revised: 11 May 2020 / Accepted: 14 May 2020 / Published: 18 May 2020
(This article belongs to the Special Issue Pathological Changes Associated with Congenital COVID-19 Infection)
Since the declaration of the global pandemic of COVID-19 by the World Health Organization on 11 March 2020, we have continued to see a steady rise in the number of patients infected by SARS-CoV-2. However, there is still very limited data on the course and outcomes of this serious infection in a vulnerable population of pregnant patients and their fetuses. International perinatal societies and institutions including SMFM, ACOG, RCOG, ISUOG, CDC, CNGOF, ISS/SIEOG, and CatSalut have released guidelines for the care of these patients. We aim to summarize these current guidelines in a comprehensive review for patients, healthcare workers, and healthcare institutions. We included 15 papers from 10 societies through a literature search of direct review of society’s websites and their journal publications up till 20 April 2020. Recommendations specific to antepartum, intrapartum, and postpartum were abstracted from the publications and summarized into Tables. The summary of guidelines for the management of COVID-19 in pregnancy across different perinatal societies is fairly consistent, with some variation in the strength of recommendations. It is important to recognize that these guidelines are frequently updated, as we continue to learn more about the course and impact of COVID-19 in pregnancy. View Full-Text
Keywords: coronavirus; COVID-19; pandemic; SARS-CoV-2; pregnancy; guidelines; prevention; screening; perinatal coronavirus; COVID-19; pandemic; SARS-CoV-2; pregnancy; guidelines; prevention; screening; perinatal
MDPI and ACS Style

Narang, K.; Ibirogba, E.R.; Elrefaei, A.; Trad, A.T.A.; Theiler, R.; Nomura, R.; Picone, O.; Kilby, M.; Escuriet, R.; Suy, A.; Carreras, E.; Tonni, G.; Ruano, R. SARS-CoV-2 in Pregnancy: A Comprehensive Summary of Current Guidelines. J. Clin. Med. 2020, 9, 1521.

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