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Video: International Guidelines For Pregnant Women Published During The COVID-19 Pandemic
International guidelines for pregnant women published during the COVID-19 pandemic
Tatiana Rumyantseva, medical director of the Fomina network of clinics, obstetrician-gynecologist, spoke about the prevention and risks of coronavirus infection for expectant mothers.
Rumyantseva refers to the recommendations of the International Society of Infectious Diseases in Obstetrics and Gynecology (ISIDOG), noting that she was a member of the working group.
According to the doctor, during a pandemic, pregnant women must strictly observe preventive measures: washing hands, using antiseptics, self-isolation and keeping a distance if necessary to leave the house. According to the latest data, the course of the COVID-19 disease in pregnant women does not differ significantly from other groups. But the treatment of complications is made difficult by the fact that most of the drugs that are now used to treat coronavirus are contraindicated for expectant mothers.
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There is a possibility that coronavirus infection increases the risk of premature birth and intrauterine growth retardation, but it will only be possible to assess the real effect of the virus on the body of pregnant women and newborns over time. There is not enough data for this yet.
Tatyana Rumyantseva also notes that women with a confirmed or probable diagnosis are more likely to have a cesarean section. Perhaps this is a reinsurance on the part of doctors, the expert believes.
Cases of intrauterine infection have not yet been registered. There is no data on the role of COVID-19 in the first trimester, but theoretically, the risks of negative effects on the fetus are negligible, writes Rumyantseva. In this case, there is a possibility of infection of the newborn, so women should follow strict preventive measures.
There are no peculiarities in the diagnosis of coronavirus in pregnant women - studies are carried out using a smear from the pharynx / nasopharynx, and using the polymerase chain reaction (PCR) method. Low-dose computed tomography of the lungs is also possible.
Severe complications of coronavirus infection in pregnant women should be treated only in a specialized hospital, Tatyana Rumyantseva emphasized.