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VOLUME 3 , ISSUE 2 ( April-June, 2020 ) > List of Articles

REVIEW ARTICLE

COVID-19 in Pregnancy: A Clinical Review

Rupal Samal, Syed Habeebullah

Keywords : COVID-19, Newborns, Postnatal care, Pregnancy,Breastfeeding

Citation Information : Samal R, Habeebullah S. COVID-19 in Pregnancy: A Clinical Review. 2020; 3 (2):47-52.

DOI: 10.5005/jp-journals-10082-02251

License: CC BY-NC 4.0

Published Online: 13-08-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Novel coronavirus, termed as COVID-19, infection has become a sudden global pandemic, and it is transmitted from human to human. With no evidence-based vaccine or medicine available to treat this viral infection, its incidence and sequelae in antenatal women are debatable, especially in terms of fetomaternal transmission. Pregnant women present with varied flu-like symptoms such as sore throat, throat pain, cough, and fever. They also present with features of dyspnea or shortness of breath. These have been categorized under severe acute respiratory illness per World Health Organization guidelines. Critically ill pregnant women who are COVID-19 positive are monitored and managed with viral pneumonia protocol. The study reiterates judicious use of hydroxychloroquine and antibiotics with proper conservative management. Fetomaternal transmission of COVID-19 is still a controversy, and babies born to COVID-19-positive mothers do not have any potential morbidities. Extensive and stringent care must be provided during antenatal, intrapartum, and postpartum period to ensure transmission-free clinical scenario. The study reemphasizes the fact that it along with maternal and postnatal care, awareness, knowledge, and attitude is essential, and practice on COVID-19 management in pregnancy should be reiterated among all mothers as well as healthcare workers. Proper teaching on hygienic practices, breastfeeding, and postnatal care of the neonates is essential, and mothers should be counseled about the precautionary measures to be followed at the time of discharge.


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