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Perioperative Obstetric Care in Coronavirus Infectious Disease 2019: Anesthetic Perspective
Amrita Panda1, Saswati Das1, G C Satapathy1
1Department of Anesthesiology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India.
Insights
This study reviews the perioperative care of pregnant patients with COVID-19, finding that focused management in tertiary centers can improve outcomes. Collaborative efforts are crucial for maternal and fetal health during the pandemic.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Critical Care Medicine
Background:
- COVID-19 pandemic impacts global health, affecting millions worldwide.
- Pregnant women are a vulnerable population susceptible to infections, necessitating specialized care.
- Limited data exists on COVID-19's effects and complications during pregnancy.
Purpose of the Study:
- To enhance perioperative obstetric healthcare for pregnant patients with COVID-19 in a tertiary care setting.
- To outline management strategies for asymptomatic to critically ill pregnant patients during the peripartum period.
- To ensure the protection of healthcare providers from COVID-19 exposure.
Main Methods:
- Retrospective case series of parturients (women who have recently given birth) infected with COVID-19.
- Analysis of patient management from asymptomatic to critically ill stages.
- Focus on optimizing care within a tertiary healthcare center.
Main Results:
- COVID-19 infection can complicate diagnosis and clinical outcomes in pregnant patients due to respiratory effects.
- In a series of 109 lower segment cesarean sections, only two maternal and neonatal deaths occurred among 12 emergency cases.
- Highlights the need for focused and optimal management strategies.
Conclusions:
- Collaborative efforts between anesthesiologists and obstetricians are essential for managing COVID-19 in pregnancy.
- Implementation of surveillance systems for maternal and fetal data is critical during the pandemic.
Background:
The novel coronavirus infectious disease-2019 (COVID-19) is a global pandemic involving many countries and has affected more than seventy-nine million people worldwide, with greater than a million deaths in the current scenario.
Aims:
The aim of the study is to improvise perioperative obstetric healthcare in a tertiary healthcare center.
Settings And Design:
This is a retrospective case series of parturients infected with COVID-19.
Materials And Methods:
We present a case series of COVID-19-infected parturients. There is no evidence that pregnant women are more likely to become seriously affected by coronavirus, yet these groups of patients are vulnerable to infection. Hence, the objectives in the management of such patients which includes caring for the range of the asymptomatic to critically ill women in the peripartum period and protection of healthcare providers from exposure to the disease while treating them while treating them is of paramount importance.
Results:
There is limited literature available about the effect of this disease and the risk of complications in pregnancy. The variables affect the respiratory system and exacerbate the susceptibility to infections. This complicates or delays the diagnosis in COVID-19-infected parturients, which affect their clinical outcome. Thus, there is a need on focused and optimal management in a tertiary healthcare center. Of the total 109 lower segment cesarean section patients in our hospital, there were only two maternal and neonatal deaths among the 12 emergency cases performed.
Conclusions:
Collaborative efforts are imperative among experts such as anesthesiologists and obstetricians to tackle the impact of this disease. There must be surveillance systems in place for reporting maternal and fetal data during this pandemic.
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