Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID‐19) infection

Objective To provide clinical management guidelines for novel coronavirus (COVID‐19) in pregnancy. Methods On February 5, 2020, a multidisciplinary teleconference comprising Chinese physicians and researchers was held and medical management strategies of COVID‐19 infection in pregnancy were discusse...

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Veröffentlicht in:International journal of gynecology and obstetrics 2020-05, Vol.149 (2), p.130-136
Hauptverfasser: Chen, Dunjin, Yang, Huixia, Cao, Yun, Cheng, Weiwei, Duan, Tao, Fan, Cuifang, Fan, Shangrong, Feng, Ling, Gao, Yuanmei, He, Fang, He, Jing, Hu, Yali, Jiang, Yi, Li, Yimin, Li, Jiafu, Li, Xiaotian, Li, Xuelan, Lin, Kangguang, Liu, Caixia, Liu, Juntao, Liu, Xinghui, Pan, Xingfei, Pang, Qiumei, Pu, Meihua, Qi, Hongbo, Shi, Chunyan, Sun, Yu, Sun, Jingxia, Wang, Xietong, Wang, Yichun, Wang, Zilian, Wang, Zhijian, Wang, Cheng, Wu, Suqiu, Xin, Hong, Yan, Jianying, Zhao, Yangyu, Zheng, Jun, Zhou, Yihua, Zou, Li, Zeng, Yingchun, Zhang, Yuanzhen, Guan, Xiaoming
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container_issue 2
container_start_page 130
container_title International journal of gynecology and obstetrics
container_volume 149
creator Chen, Dunjin
Yang, Huixia
Cao, Yun
Cheng, Weiwei
Duan, Tao
Fan, Cuifang
Fan, Shangrong
Feng, Ling
Gao, Yuanmei
He, Fang
He, Jing
Hu, Yali
Jiang, Yi
Li, Yimin
Li, Jiafu
Li, Xiaotian
Li, Xuelan
Lin, Kangguang
Liu, Caixia
Liu, Juntao
Liu, Xinghui
Pan, Xingfei
Pang, Qiumei
Pu, Meihua
Qi, Hongbo
Shi, Chunyan
Sun, Yu
Sun, Jingxia
Wang, Xietong
Wang, Yichun
Wang, Zilian
Wang, Zhijian
Wang, Cheng
Wu, Suqiu
Xin, Hong
Yan, Jianying
Zhao, Yangyu
Zheng, Jun
Zhou, Yihua
Zou, Li
Zeng, Yingchun
Zhang, Yuanzhen
Guan, Xiaoming
description Objective To provide clinical management guidelines for novel coronavirus (COVID‐19) in pregnancy. Methods On February 5, 2020, a multidisciplinary teleconference comprising Chinese physicians and researchers was held and medical management strategies of COVID‐19 infection in pregnancy were discussed. Results Ten key recommendations were provided for the management of COVID‐19 infections in pregnancy. Conclusion Currently, there is no clear evidence regarding optimal delivery timing, the safety of vaginal delivery, or whether cesarean delivery prevents vertical transmission at the time of delivery; therefore, route of delivery and delivery timing should be individualized based on obstetrical indications and maternal–fetal status. Currently, there is no clear evidence regarding optimal delivery timing or route of delivery for pregnant women with COVID‐19 infection; these should be individualized based on obstetrical indications and maternal–fetal status.
doi_str_mv 10.1002/ijgo.13146
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Methods On February 5, 2020, a multidisciplinary teleconference comprising Chinese physicians and researchers was held and medical management strategies of COVID‐19 infection in pregnancy were discussed. Results Ten key recommendations were provided for the management of COVID‐19 infections in pregnancy. Conclusion Currently, there is no clear evidence regarding optimal delivery timing, the safety of vaginal delivery, or whether cesarean delivery prevents vertical transmission at the time of delivery; therefore, route of delivery and delivery timing should be individualized based on obstetrical indications and maternal–fetal status. Currently, there is no clear evidence regarding optimal delivery timing or route of delivery for pregnant women with COVID‐19 infection; these should be individualized based on obstetrical indications and maternal–fetal status.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1002/ijgo.13146</identifier><identifier>PMID: 32196655</identifier><language>eng</language><publisher>United States: John Wiley and Sons Inc</publisher><subject>Betacoronavirus ; China ; Consensus ; Coronavirus Infections - therapy ; Coronavirus Infections - virology ; COVID-19 ; Delivery, Obstetric - methods ; Expert consensus ; Female ; Humans ; Infant, Newborn ; Infection Control - methods ; Infectious Disease Transmission, Vertical - prevention &amp; control ; Management guidelines ; Neonates ; Pandemics ; Pneumonia, Viral - therapy ; Pneumonia, Viral - virology ; Pregnancy ; Pregnancy Complications, Infectious - therapy ; Pregnancy Complications, Infectious - virology ; Pregnant women ; Risk Factors ; SARS-CoV-2 ; Special</subject><ispartof>International journal of gynecology and obstetrics, 2020-05, Vol.149 (2), p.130-136</ispartof><rights>2020 International Federation of Gynecology and Obstetrics</rights><rights>2020 International Federation of Gynecology and Obstetrics.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4206-2874e71947c0c6887f0bedecc6baebbd193bdc81776af62276dd6205075f724d3</citedby><cites>FETCH-LOGICAL-c4206-2874e71947c0c6887f0bedecc6baebbd193bdc81776af62276dd6205075f724d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fijgo.13146$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fijgo.13146$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,777,781,882,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32196655$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Dunjin</creatorcontrib><creatorcontrib>Yang, Huixia</creatorcontrib><creatorcontrib>Cao, Yun</creatorcontrib><creatorcontrib>Cheng, Weiwei</creatorcontrib><creatorcontrib>Duan, Tao</creatorcontrib><creatorcontrib>Fan, Cuifang</creatorcontrib><creatorcontrib>Fan, Shangrong</creatorcontrib><creatorcontrib>Feng, Ling</creatorcontrib><creatorcontrib>Gao, Yuanmei</creatorcontrib><creatorcontrib>He, Fang</creatorcontrib><creatorcontrib>He, Jing</creatorcontrib><creatorcontrib>Hu, Yali</creatorcontrib><creatorcontrib>Jiang, Yi</creatorcontrib><creatorcontrib>Li, Yimin</creatorcontrib><creatorcontrib>Li, Jiafu</creatorcontrib><creatorcontrib>Li, Xiaotian</creatorcontrib><creatorcontrib>Li, Xuelan</creatorcontrib><creatorcontrib>Lin, Kangguang</creatorcontrib><creatorcontrib>Liu, Caixia</creatorcontrib><creatorcontrib>Liu, Juntao</creatorcontrib><creatorcontrib>Liu, Xinghui</creatorcontrib><creatorcontrib>Pan, Xingfei</creatorcontrib><creatorcontrib>Pang, Qiumei</creatorcontrib><creatorcontrib>Pu, Meihua</creatorcontrib><creatorcontrib>Qi, Hongbo</creatorcontrib><creatorcontrib>Shi, Chunyan</creatorcontrib><creatorcontrib>Sun, Yu</creatorcontrib><creatorcontrib>Sun, Jingxia</creatorcontrib><creatorcontrib>Wang, Xietong</creatorcontrib><creatorcontrib>Wang, Yichun</creatorcontrib><creatorcontrib>Wang, Zilian</creatorcontrib><creatorcontrib>Wang, Zhijian</creatorcontrib><creatorcontrib>Wang, Cheng</creatorcontrib><creatorcontrib>Wu, Suqiu</creatorcontrib><creatorcontrib>Xin, Hong</creatorcontrib><creatorcontrib>Yan, Jianying</creatorcontrib><creatorcontrib>Zhao, Yangyu</creatorcontrib><creatorcontrib>Zheng, Jun</creatorcontrib><creatorcontrib>Zhou, Yihua</creatorcontrib><creatorcontrib>Zou, Li</creatorcontrib><creatorcontrib>Zeng, Yingchun</creatorcontrib><creatorcontrib>Zhang, Yuanzhen</creatorcontrib><creatorcontrib>Guan, Xiaoming</creatorcontrib><title>Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID‐19) infection</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>Objective To provide clinical management guidelines for novel coronavirus (COVID‐19) in pregnancy. Methods On February 5, 2020, a multidisciplinary teleconference comprising Chinese physicians and researchers was held and medical management strategies of COVID‐19 infection in pregnancy were discussed. Results Ten key recommendations were provided for the management of COVID‐19 infections in pregnancy. Conclusion Currently, there is no clear evidence regarding optimal delivery timing, the safety of vaginal delivery, or whether cesarean delivery prevents vertical transmission at the time of delivery; therefore, route of delivery and delivery timing should be individualized based on obstetrical indications and maternal–fetal status. Currently, there is no clear evidence regarding optimal delivery timing or route of delivery for pregnant women with COVID‐19 infection; these should be individualized based on obstetrical indications and maternal–fetal status.</description><subject>Betacoronavirus</subject><subject>China</subject><subject>Consensus</subject><subject>Coronavirus Infections - therapy</subject><subject>Coronavirus Infections - virology</subject><subject>COVID-19</subject><subject>Delivery, Obstetric - methods</subject><subject>Expert consensus</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infection Control - methods</subject><subject>Infectious Disease Transmission, Vertical - prevention &amp; control</subject><subject>Management guidelines</subject><subject>Neonates</subject><subject>Pandemics</subject><subject>Pneumonia, Viral - therapy</subject><subject>Pneumonia, Viral - virology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - therapy</subject><subject>Pregnancy Complications, Infectious - virology</subject><subject>Pregnant women</subject><subject>Risk Factors</subject><subject>SARS-CoV-2</subject><subject>Special</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFO3DAQhq2Kqiy0lz5A5SNFCthOYicXJLQFuhXSXtpeLceZZI0SO7W9u-XWJ0A8I09S06WovXCyRv7mm9H8CL2n5IQSwk7NTe9OaE4L_grNaCXqLC9EvYdm6ZNkgtVsHx2EcEMIoYLSN2g_Z7TmvCxn6O7i5wQ-Yu1sABvWAXfO41FZ1Rvb48lDb5WNeOtGsFjZFltwVkUIuHHe4ujw6OIKfMBbE1c4GSbQEVqcNEnaGT-mwroNDKn2qXdjfBpzNF9-X3x6-HVP64_Y2C41GWffotedGgK8e3oP0bfLi6_zz9n18moxP7_OdMEIz1glChC0LoQmmleV6EgDLWjNGwVN09I6b1pdUSG46jhjgrctZ6QkouwEK9r8EJ3tvNO6SftpsNGrQU7ejMrfSqeM_P_HmpXs3UbWpBKi5Elw9CTw7scaQpSjCRqGQaX7rINkeUV5unyZJ_R4h2rvQvDQPY-hRD4GKB8DlH8CTPCHfxd7Rv8mlgC6A7ZmgNsXVHLx5Wq5k_4GBxeq5Q</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Chen, Dunjin</creator><creator>Yang, Huixia</creator><creator>Cao, Yun</creator><creator>Cheng, Weiwei</creator><creator>Duan, Tao</creator><creator>Fan, Cuifang</creator><creator>Fan, Shangrong</creator><creator>Feng, Ling</creator><creator>Gao, Yuanmei</creator><creator>He, Fang</creator><creator>He, Jing</creator><creator>Hu, Yali</creator><creator>Jiang, Yi</creator><creator>Li, Yimin</creator><creator>Li, Jiafu</creator><creator>Li, Xiaotian</creator><creator>Li, Xuelan</creator><creator>Lin, Kangguang</creator><creator>Liu, Caixia</creator><creator>Liu, Juntao</creator><creator>Liu, Xinghui</creator><creator>Pan, Xingfei</creator><creator>Pang, Qiumei</creator><creator>Pu, Meihua</creator><creator>Qi, Hongbo</creator><creator>Shi, Chunyan</creator><creator>Sun, Yu</creator><creator>Sun, Jingxia</creator><creator>Wang, Xietong</creator><creator>Wang, Yichun</creator><creator>Wang, Zilian</creator><creator>Wang, Zhijian</creator><creator>Wang, Cheng</creator><creator>Wu, Suqiu</creator><creator>Xin, Hong</creator><creator>Yan, Jianying</creator><creator>Zhao, Yangyu</creator><creator>Zheng, Jun</creator><creator>Zhou, Yihua</creator><creator>Zou, Li</creator><creator>Zeng, Yingchun</creator><creator>Zhang, Yuanzhen</creator><creator>Guan, Xiaoming</creator><general>John Wiley and Sons Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202005</creationdate><title>Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID‐19) infection</title><author>Chen, Dunjin ; Yang, Huixia ; Cao, Yun ; Cheng, Weiwei ; Duan, Tao ; Fan, Cuifang ; Fan, Shangrong ; Feng, Ling ; Gao, Yuanmei ; He, Fang ; He, Jing ; Hu, Yali ; Jiang, Yi ; Li, Yimin ; Li, Jiafu ; Li, Xiaotian ; Li, Xuelan ; Lin, Kangguang ; Liu, Caixia ; Liu, Juntao ; Liu, Xinghui ; Pan, Xingfei ; Pang, Qiumei ; Pu, Meihua ; Qi, Hongbo ; Shi, Chunyan ; Sun, Yu ; Sun, Jingxia ; Wang, Xietong ; Wang, Yichun ; Wang, Zilian ; Wang, Zhijian ; Wang, Cheng ; Wu, Suqiu ; Xin, Hong ; Yan, Jianying ; Zhao, Yangyu ; Zheng, Jun ; Zhou, Yihua ; Zou, Li ; Zeng, Yingchun ; Zhang, Yuanzhen ; Guan, Xiaoming</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4206-2874e71947c0c6887f0bedecc6baebbd193bdc81776af62276dd6205075f724d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Betacoronavirus</topic><topic>China</topic><topic>Consensus</topic><topic>Coronavirus Infections - therapy</topic><topic>Coronavirus Infections - virology</topic><topic>COVID-19</topic><topic>Delivery, Obstetric - methods</topic><topic>Expert consensus</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infection Control - methods</topic><topic>Infectious Disease Transmission, Vertical - prevention &amp; 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Methods On February 5, 2020, a multidisciplinary teleconference comprising Chinese physicians and researchers was held and medical management strategies of COVID‐19 infection in pregnancy were discussed. Results Ten key recommendations were provided for the management of COVID‐19 infections in pregnancy. Conclusion Currently, there is no clear evidence regarding optimal delivery timing, the safety of vaginal delivery, or whether cesarean delivery prevents vertical transmission at the time of delivery; therefore, route of delivery and delivery timing should be individualized based on obstetrical indications and maternal–fetal status. Currently, there is no clear evidence regarding optimal delivery timing or route of delivery for pregnant women with COVID‐19 infection; these should be individualized based on obstetrical indications and maternal–fetal status.</abstract><cop>United States</cop><pub>John Wiley and Sons Inc</pub><pmid>32196655</pmid><doi>10.1002/ijgo.13146</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Betacoronavirus
China
Consensus
Coronavirus Infections - therapy
Coronavirus Infections - virology
COVID-19
Delivery, Obstetric - methods
Expert consensus
Female
Humans
Infant, Newborn
Infection Control - methods
Infectious Disease Transmission, Vertical - prevention & control
Management guidelines
Neonates
Pandemics
Pneumonia, Viral - therapy
Pneumonia, Viral - virology
Pregnancy
Pregnancy Complications, Infectious - therapy
Pregnancy Complications, Infectious - virology
Pregnant women
Risk Factors
SARS-CoV-2
Special
title Expert consensus for managing pregnant women and neonates born to mothers with suspected or confirmed novel coronavirus (COVID‐19) infection
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