Abstract
Background: Since the declaration of the global pandemic of COVID-19 by
the World Health Organization on March 11, 2020; we have continued to
see a steady rise in the numbers of people 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. Objectives: We
aim to summarize these current guidelines in a comprehensive review for
patients, healthcare workers and healthcare institutions. Search
Strategy: A literature search was performed through PubMed, and direct
review of professional society’s website and journal publications. A
total of 15 papers were identified from 10 societies and reviewed by two
authors who were in agreement. Selection Criteria: The most updated
guideline including information on antepartum, intrapartum and
postpartum care put forth by each society was included. Data Collection
and Analysis: Data specific to antepartum, intrapartum, and postpartum
were abstracted from the publications and summarized into tables 2, 3
and 4 respectively. Main Results: The summary of guidelines for
management of COVID-19 in pregnancy across different perinatal societies
is consistent, with some variation in the strength of recommendations.
Conclusions: 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. The references to access all these
guidelines are provided.