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Perinatal aspects on the covid-19 pandemic: a practical resource for perinatal-neonatal specialists
Francis Mimouni1,2, Satyan Lakshminrusimha3, Stephen A Pearlman4,5
1Department of Neonatology, Shaare Zedek Medical Center, Jerusalem, Israel. fbmimouni@gmail.com.
Background:
Little is known about the perinatal aspects of COVID-19.
Objective:
To summarize available evidence and provide perinatologists/neonatologists with tools for managing their patients.
Methods:
Analysis of available literature on COVID-19 using Medline and Google scholar.
Results:
From scant data: vertical transmission from maternal infection during the third trimester probably does not occur or likely it occurs very rarely. Consequences of COVID-19 infection among women during early pregnancy remain unknown. We cannot conclude if pregnancy is a risk factor for more severe disease in women with COVID-19. Little is known about disease severity in neonates, and from very few samples, the presence of SARS-CoV-2 has not been documented in human milk. Links to websites of organizations with updated COVID-19 information are provided. Infographics summarize an approach to the pregnant woman or neonate with suspected or confirmed COVID-19.
Conclusions:
As the pandemic continues, more data will be available that could lead to changes in current knowledge and recommendations.
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