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Obstetric Emergency Update: Severe Acute Respiratory Syndrome COVID-19 and Hypertension

Lori J Stack1, Allisyn Brady2

  • 1Center for Fetal Diagnosis and Treatment, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA 19104, USA.

Physician Assistant Clinics
|September 5, 2022
PubMed

Insights

Pregnant and postpartum women require special attention for Coronavirus disease 2019 (COVID-19) and hypertension. Recognizing abnormal vital signs and lab values is crucial for prompt treatment to reduce morbidity and mortality.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Cardiology

Background:

  • Pregnancy and the postpartum period present unique physiological states.
  • Maternal morbidity and mortality are significant concerns in obstetric care.
  • Emerging infectious diseases and pre-existing conditions pose risks to maternal health.

Purpose of the Study:

  • To highlight the critical importance of Coronavirus disease 2019 (COVID-19) in pregnant and postpartum women.
  • To emphasize the significant impact of hypertension on maternal outcomes.
  • To advocate for vigilant monitoring and timely intervention in high-risk obstetric patients.

Main Methods:

  • Review of current literature and clinical guidelines regarding COVID-19 in pregnancy.
  • Analysis of the effects of hypertension on maternal and fetal health.
  • Discussion of specialized vital sign and laboratory value parameters for pregnant and postpartum populations.

Main Results:

  • COVID-19 infection can lead to severe illness, increased morbidity, and mortality in pregnant and postpartum individuals.
  • Hypertension, both pre-existing and gestational, is a major contributor to adverse maternal outcomes.
  • Standard vital sign and laboratory reference ranges may not be appropriate for pregnant and postpartum women, necessitating tailored monitoring.

Conclusions:

  • Early recognition of abnormal clinical parameters is essential for effective management of COVID-19 and hypertension in pregnant and postpartum women.
  • Adherence to stringent, population-specific guidelines for vital signs and laboratory values is critical for timely and appropriate treatment.
  • Proactive monitoring and rapid intervention strategies are key to improving maternal and infant outcomes in the context of these significant health challenges.

Keywords:
AssessmentCOVID-19EclampsiaGestational hypertensionManagementPreeclampsiaPregnancySevere hypertension of pregnancy

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