Q: 28-year-old female at 36 weeks of pregnancy is admitted to ICU with respiratory failure due to COVID-19. Obstetric service decided to perform a cesarean delivery. What is the risk of vertical transmission to baby?
A) High
B) Low
Answer; B
The objective of the above question is to highlight three cardinal points from the recent National Institute of Health (NIH) guidelines (links are given in the reference section) for pregnant patients diagnosed with COVID.
1. Mere a diagnosis of COVID-19 is not an indication for early delivery. Individualized delivery planning is recommended for each patient depending on fetal and uterine contraction monitoring and obstetric indication.
2. It is reasonable to attempt to postpone delivery (if no other medical indications arise) until a negative test result is obtained or quarantine restrictions are lifted in an attempt to avoid virus transmission to the neonate.
3. Till to date, there appears to be no risk of vertical transmission of SARS-CoV-2 via the transplacental route.
#Ob-Gyn
#COVID-19
References:
1. COVID-19 Treatment Guidelines. Special Considerations in Pregnancy and Post-Delivery. NIH. 2020. Weblink: https://covid19treatmentguidelines.nih.gov/overview/pregnancy-and-post-delivery/ Last accessed April 22, 2020
2. The American College of Obstetricians and Gynecologists. COVID-19 frequently asked questions for obstetricians-gynecologists, obstetrics. 2020. Available at: https://www.acog.org/clinical-information/physician-faqs/covid-19-faqs-for-ob-gyns-obstetrics. Accessed April 22, 2020.
A) High
B) Low
Answer; B
The objective of the above question is to highlight three cardinal points from the recent National Institute of Health (NIH) guidelines (links are given in the reference section) for pregnant patients diagnosed with COVID.
1. Mere a diagnosis of COVID-19 is not an indication for early delivery. Individualized delivery planning is recommended for each patient depending on fetal and uterine contraction monitoring and obstetric indication.
2. It is reasonable to attempt to postpone delivery (if no other medical indications arise) until a negative test result is obtained or quarantine restrictions are lifted in an attempt to avoid virus transmission to the neonate.
3. Till to date, there appears to be no risk of vertical transmission of SARS-CoV-2 via the transplacental route.
#Ob-Gyn
#COVID-19
References:
1. COVID-19 Treatment Guidelines. Special Considerations in Pregnancy and Post-Delivery. NIH. 2020. Weblink: https://covid19treatmentguidelines.nih.gov/overview/pregnancy-and-post-delivery/ Last accessed April 22, 2020
2. The American College of Obstetricians and Gynecologists. COVID-19 frequently asked questions for obstetricians-gynecologists, obstetrics. 2020. Available at: https://www.acog.org/clinical-information/physician-faqs/covid-19-faqs-for-ob-gyns-obstetrics. Accessed April 22, 2020.
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