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Pregnancy and delivery considerations during COVID-19
Jagan Devarajan1, Eric Chiang2, Kenneth C Cummings3
1Medical Director, Anesthesiology Services, Cleveland Clinic Marymount Hospital, Cleveland, OH; Clinical Associate Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH devaraj@ccf.org.
Cleveland Clinic Journal of Medicine
|May 10, 2021
Summary
Pregnant women face COVID-19 risks, posing unique challenges during labor and delivery. This article offers evidence-based anesthetic management strategies for safely caring for mothers, newborns, and healthcare workers.
Area of Science:
- Obstetrics and Gynecology
- Anesthesiology
- Infectious Diseases
Background:
- Pregnant individuals are susceptible to COVID-19, with infection rates comparable to nonpregnant individuals.
- Labor and delivery involving a COVID-19-positive patient presents significant safety challenges for mother, fetus, newborn, and healthcare personnel.
Purpose of the Study:
- To provide evidence-based guidance on perinatal obstetric anesthetic management for patients with COVID-19.
- To address the unique challenges in safely managing labor and delivery for pregnant women with COVID-19.
Main Methods:
- Review and synthesis of the best available evidence on obstetric anesthetic management in the context of COVID-19.
- Development of practical strategies for the care of obstetric patients with COVID-19.
Main Results:
- Identification of key anesthetic considerations for pregnant patients with COVID-19.
- Outline of strategies to ensure the safety of mother, fetus, newborn, and healthcare providers.
Conclusions:
- Effective anesthetic management is crucial for optimizing outcomes in pregnant patients with COVID-19.
- Adherence to evidence-based strategies can mitigate risks during labor and delivery for this population.
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