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.
Abstract

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