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1. Outpatient Assessment and Management for Pregnant Women With Suspected or Confirmed Novel Coronavirus (COVID-19)

Outpatient Assessment and Management for Pregnant Women With Suspected or Confirmed Novel Coronavirus (COVID-19) Abbreviations: ABG, arterial blood gases; CDC, Centers for Disease Control and Prevention; HIV, human immunodeficiency virus. Healthcare providers should immediately notify their local or state health department in the event of a PUI for COVID-19 and should contact and consult with their local and/or state health department for recommendations on testing PUIs for COVID-19. Outpatient (...) Assessment and Management for Pregnant Women With Suspected or Confirmed Novel Coronavirus (COVID-19) Unlike influenza and other respiratory illnesses, based on a limited number of confirmed COVID-19 cases, pregnant women do not appear to be at increased risk for severe disease. However, given the lack of data and experience with other coronaviruses such as SARS-CoV and MERS-CoV, diligence in evaluating and treating pregnant women is warranted. This algorithm is designed to aid practitioners in promptly

2020 American College of Obstetricians and Gynecologists

2. Novel coronavirus (COVID-19) Guidance for Primary Care Management of patients presenting to primary care

Novel coronavirus (COVID-19) Guidance for Primary Care Management of patients presenting to primary care Health Protection Scotland This document is uncontrolled when printed. Before use check the HPS COVID-19 page to verify this is the current version Novel coronavirus (COVID-19) Guidance for Primary Care Management of patients presenting to primary care Version 10.4 Publication date 27 March 2020 Health Protection Scotland 1 Version History Version Date Summary of changes V1.0 23/01/20 First (...) equipment 12 11.5. Carpeted flooring and soft furnishings 12 11.6. On leaving the room 13 11.7. Cleaning of communal areas 13 11.8. Attending deaths 13 12. Further information 13 Appendix 1: Contact details for local Health Protection Teams 14 Health Protection Scotland 4 Appendix 2: Putting on and removing Personal Protective Equipment (PPE) 15 Instructional video 16 Health Protection Scotland 5 1. Introduction Novel coronavirus (COVID-19) is a new is a new strain of coronavirus first identified

2020 Covid-19 Ad hoc guidelines

3. Novel Coronavirus 2019 (COVID-19)

women. For more information on seasonal influenza and recommendations for pregnant women see the and . The American College of Obstetricians and Gynecologists will continue to closely monitor the evolution of the 2019 novel coronavirus (COVID-19) in collaboration with the CDC. New and updated information will be shared as it becomes available. This Practice Advisory was developed by the American College of Obstetricians and Gynecologists’ Immunization, Infectious Disease, and Public Health (...) Novel Coronavirus 2019 (COVID-19) Novel Coronavirus 2019 (COVID-19) | ACOG Clinical Guidance Journals & Publications Patient Education Topics Featured Clinical Topics Hi, Featured Clinical Topics Clinical Guidance Novel Coronavirus 2019 (COVID-19) Practice Advisory March 2020 Jump to Resources Share By reading this page you agree to ACOG's Terms and Conditions. . The Centers for Disease Control and Prevention (CDC) has released and guidance for . Travel Due to the current risk of COVID-19, CDC

2020 American College of Obstetricians and Gynecologists

4. Novel Coronavirus (COVID-19) Management In Malaysia

Novel Coronavirus (COVID-19) Management In Malaysia Portal Rasmi Kementerian Kesihatan Malaysia Selamat Datang Ke Portal Rasmi Kementerian Kesihatan Malaysia Broadcast Pengenalan Kami Berita Soalan Lazim Pekeliling Hubungi Kami | | | Bahasa Melayu | | | | COVID-19 (Garis Panduan) Maklumat Terkini Garis Panduan Pusat Media Infografik Video Tanya Doktor GARIS PANDUAN 1. Guidelines 2019 Novel Coronavirus (COVID-19) Management In Malaysia No. 4/2020 Nama Dokumen Download Table of Content Annex 1 (...) Sampel Di Luar Waktu Pejabat, Hujung Minggu Dan Cuti Umum Annex 5a : Guidelines on Laboratory Testing For Novel Coronavirus For Patients Under Inevestigation Annex 5b : Laboratory Testing For Inpatient Annex 5c: Triple Layer Packaging Annex 6a: Health Alert Card Annex 6b: Mental Health Alert Card Annex 7: Notification Form Annex 8 : The Infection Prevention And Control (IPC) Measures Annex 9 : Management Of COVID-19 At Point Of Entry Appendix 1 : Passenger Locator Form (as per WHO/ICAO) Appendix 2

2019 Ministry of Health, Malaysia

5. Home care for patients with suspected novel coronavirus (nCoV) infection presenting with mild symptoms and management of contacts

Home care for patients with suspected novel coronavirus (nCoV) infection presenting with mild symptoms and management of contacts 1 Home care for patients with COVID-19 presenting with mild symptoms and management of their contacts Interim guidance 17 March 2020 Background WHO has developed this interim guidance to meet the need for recommendations on safe home care for patients with suspected COVID-19 who present with mild symptoms a and on public health measures related to the management (...) be triaged at the first point of contact with the health care system and that emergency treatment should be started based on disease severity. WHO has updated treatment guidelines for patients with ARI associated with COVID-19, which includes guidance for vulnerable populations (e.g., older adults, pregnant women and children). In situations where isolation in a health care facility of all cases is not possible, WHO emphasizes the prioritization of those with highest probability of poor outcomes

2020 WHO Coronavirus disease (COVID-19) Pandemic

6. Coronavirus disease 2019 (COVID-19): Pregnancy issues

Coronavirus disease 2019 (COVID-19): Pregnancy issues UpToDate It seems to us that you have your JavaScript disabled on your browser. JavaScript is required in order for our site to behave correctly. Please enable JavaScript to use our site.

2020 UpToDate

7. Coronavirus (COVID-19) Infection in Pregnancy

Xue Za Zhi 2020;49(0):E005-E05. doi: 10.3760/cma.j.cn112151-20200225-00138 4 Wang X, Zhou Z, Zhang J, et al. A case of 2019 Novel Coronavirus in a pregnant woman with pre- term delivery. Clinical Infectious Diseases 2020 doi: https://doi.org/10.1093/cid/ciaa200 5 Zhang J, Wang Y, Chen L, et al. Clinical analysis of pregnancy in second and third trimesters com- plicated severe acute respiratory syndrome. Zhonghua Fu Chan Ke Za Zhi 2003;38:516-20. 6 Travel advice: coronavirus (COVID-19) 2020 (...) Coronavirus (COVID-19) Infection in Pregnancy 1 Information for healthcare professionals Version 1: Published Monday 9 March, 2020 Coronavirus (COVID-19) Infection in Pregnancy2 Table of contents Introduction 3-5 Advice for health professionals to share with pregnant women 7-9 Advice for services caring for women with suspected or confirmed COVID-19 11-23 Advice for services caring for women following recovery from confirmed COVID-19 25 Acknowledgements 26 Flow chart to assess COVID-19 risk

2020 Royal College of Obstetricians and Gynaecologists

8. Guidance for antenatal screening and ultrasound in pregnancy in the evolving coronavirus (COVID-19) pandemic

Guidance for antenatal screening and ultrasound in pregnancy in the evolving coronavirus (COVID-19) pandemic 1 Information for healthcare professionals Version 1: Published Monday 23 March 2020 Guidance for antenatal screening and ultrasound in pregnancy in the evolving coronavirus (COVID-19) pandemic2 Authors Matthew Jolly, NHS England & NHS Improvement Myles T aylor, BMFMS Jane Fisher, ARC Nadia Permalloo, PHE Annette McHugh, PHE Christoph Lees, Imperial College/ISUOG Pranav Pandya, UCLH/PHE (...) their appointment rescheduled due to COVID-19. If you have symptoms of COVID-19 you must not attend your appointment but phone your maternity service for advice. Maternity units may wish to provide additional information to pregnant women which includes the following: • Reason they are unable to have their appointment today for example: they have suspected Covid-19 7 or have been in contact with someone who has recently had the infection. • When they will have their appointment rescheduled. • How

2020 Royal College of Obstetricians and Gynaecologists

9. Updated SOGC Committee Opinion – COVID-19 in Pregnancy

have specific questions that are beyond the scope of these guidelines and we encourage you to consult with local experts if possible, and look at national, regional and institutional resources for up-to-date information on testing and infection prevention protocols. March 13th 2020 In December 2019, a novel coronavirus, eventually termed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was identified in Wuhan, China. As of 10 March, 2020, COVID-19 has infected >100 000 people globally (...) on how to prevent or manage infection with COVID-19. Due to physiologic changes that occur in pregnancy, when compared with their non-pregnant counterparts, pregnant women with lower respiratory tract infections often experience worse outcomes, including higher rates of hospital and intensive care unit admission. (3) Since 2002 there have been two other global outbreaks of highly-pathogenic coronaviruses: severe acute respiratory syndrome (SARS) and middle east respiratory syndrome (MERS). While SARS

2020 Society of Obstetricians and Gynaecologists of Canada

10. Coronavirus (COVID-19) infection and pregnancy

will not be able to give individual clinical advice or information for specific organisational requirements via this email address. Information for pregnant women and their families is available in question and answer format, with accompanying videos in some cases, on the RCOG COVID-19 hub. 8 1.1 The virus Novel coronavirus (SARS-CoV-2) is a new strain of coronavirus causing COVID-19, first identified in Wuhan City, China. Other human coronavirus (HCoV) infections include HCoV 229E, NL63, OC43 and HKU1, which (...) Coronavirus (COVID-19) infection and pregnancy 1 Information for healthcare professionals Version 9: Published Wednesday 13 May 2020 Coronavirus (COVID-19) Infection in Pregnancy2 Contents Summary of updates 3-5 1. Introduction 6-11 2. Advice for health professionals to share with pregnant women 12-19 3. Advice for all midwifery and obstetric services caring for pregnant women 20-36 4. Advice for services caring for women with suspected or confirmed COVID-19 37-39 Acknowledgements 40 Appendix 1

2020 Royal College of Obstetricians and Gynaecologists

11. COVID-19 and Pregnant Patients

COVID-19 and Pregnant Patients COVID-19 and Pregnant Patients You need to enable JavaScript to run this app. Subscribe for unlimited access to DynaMed content, CME/CE & MOC credit, and email alerts on content you follow. Subscribe Already subscribed? Specialties 0 English COVID-19 and Pregnant Patients Follow Share Follow Share Related Summaries Overview COVID-19 infection (coronavirus disease 2019) is an acute respiratory disease caused by novel coronavirus SARS-CoV-2 ( ) many affect (...) for COVID-19 infection for COVID-19 in pregnant patients is similar to that in the general population follow in the management of pregnant women with suspected or confirmed COVID-19 management of infection in pregnancy in women with suspected or confirmed COVID-19 there is , but supportive care may help to relieve symptoms and should include support of vital organ functions in severe cases consider of pregnant women during COVID-19 pandemic during COVID-19 pandemic unless directed otherwise by local

2020 DynaMed Plus

12. Coronavirus (COVID-19) and Pregnancy: What Maternal-Fetal Medicine Subspecialists Need to Know

Respiratory Syndrome Coronavirus (MERS- CoV) infection during pregnancy: Report of two cases & review of the literature. J Microbiol Immunol Infect 2019 Jun;52(3):501-3. 6. Wong SF, Chow KM, Leung TN, Ng WF, Ng TK, Shek CC, et al. Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol 2004 Jul;191(1):292-7. 7. Lei D, Wang C, Li C, Fang C, Yang W, Cheng B, et al. Clinical characteristics of pregnancy with the 2019 novel coronavirus disease (COVID-19) infection (...) - guidance.html). What is known about COVID-19 in pregnancy? Currently, there is limited information from published scientific reports about the susceptibility of pregnant women to COVID-19 and severity of infection. Available data are still limited to small case series. In general, pregnant women experience immunologic and physiologic changes that make them more susceptible to viral respiratory infections. The initial characterization of pregnant women as a high-risk group was based largely on this fact

2020 Society for Maternal-Fetal Medicine

13. Covid-19: Recommendations for GDM screening and oral glucose tolerance test (OGTT) during pregnancy and postpartum

Covid-19: Recommendations for GDM screening and oral glucose tolerance test (OGTT) during pregnancy and postpartum Translating evidence into best clinical practice Queensland Health NOTICE OF UPDATE DURING COVID-19 PANDEMIC DATE 14 April 2020 TOPIC Recommendations for GDM screening and oral glucose tolerance test (OGTT) during pregnancy and postpartum APPLIES TO All pregnant and postnatal women irrespective of COVID-19 status RATIONALE During the COVID-19 pandemic • Supports social distancing (...) macrosomia (birth weight > 4500 g or > 90th percentile • Previous perinatal loss • Polycystic ovarian syndrome • Medications (corticosteroids, antipsychotics) • Multiple pregnancy COVID-19 pandemic • Applies to: Pregnant women regardless of COVID-19 status • Rationale: To support social distancing and minimise blood collection time (i.e not based on new evidence) • Implementation: Commence as practical and convenient. Seek expert advice as clinically appropriate Check fasting FBG • At 24–28 weeks

2020 Queensland Health

14. FSRH CEU: information to support management of individuals requesting to discontinue contraception to plan a pregnancy during the Covid-19 outbreak

FSRH CEU: information to support management of individuals requesting to discontinue contraception to plan a pregnancy during the Covid-19 outbreak FSRH CEU: information to support management of individuals requesting to discontinue contraception to plan a pregnancy during the Covid-19 outbreak (26 March 2020) - Faculty of Sexual and Reproductive Healthcare Privacy notice This site makes use of cookies . If you continue we'll assume you are happy to receive them. FSRH CEU: information (...) to support management of individuals requesting to discontinue contraception to plan a pregnancy during the Covid-19 outbreak (26 March 2020) FSRH CEU: information to support management of individuals requesting to discontinue contraception to plan a pregnancy during the Covid-19 outbreak (26 March 2020) Share this article Published on: 26 March 2020 File size: 149kb PDF File type: Covid-19 (Coronavirus) FSRH CEU Individuals planning pregnancy during Covid-19: information to support healthcare

2020 Faculty of Sexual & Reproductive Healthcare

15. Management of pregnant women with known or suspected COVID-19

Management of pregnant women with known or suspected COVID-19 Obstetric anaesthesia — ICM Anaesthesia COVID-19 Open Menu Close Menu The above guidance was commissioned from the Obstetric Anaesthetists’ Association (OAA) by the Faculty of Intensive Care Medicine, the Intensive Care Society, the Association of Anaesthetists and the Royal College of Anaesthetists. It reflects the expert opinion of senior clinicians and is based in part on published information from the current and previous (...) coronavirus outbreaks. It is correct at the time of publication but please be aware that it is subject to change as new information becomes available. We would from people as they gain experience of managing these patients. Our intention is to provide principles upon which to base the management of pregnant women with known or suspected COVID-19, but each unit will need to prepare their own detailed guidance appropriate to their setting. They will also need to liaise with services including

2020 ICM Anaesthesia COVID-19

16. Updated advice regarding PPE to be worn when managing pregnant women with known or suspected COVID-19

hands with soap & water 11 April 2020 | Dr Nuala Lucas, Dr Jim Bamber, Dr Fiona Donald, Dr Felicity Platt | icmanaesthesiacovid-19.org“PPE in Obs” Toolkit • https://static1.squarespace.com/static/5e6613a1dc75b87df82b78e1/t/5e875c80 c46c8d77905e7690/1585929345328/PPE-guidance2020.pdf • https://www.gov.uk/government/publications/wuhan-novel-coronavirus- infection-prevention-and-control • https://www.rcog.org.uk/globalassets/documents/guidelines/2020-04-03- coronavirus-covid-19-infection (...) Updated advice regarding PPE to be worn when managing pregnant women with known or suspected COVID-19 PPE Jargon Buster FRSM fluid resistant surgical mask FRDG fluid resistant disposable gown PPE personal protective equipment AGP aerosol generating procedure FFP mask filtering face piece respirator 11 April 2020 | Dr Nuala Lucas, Dr Jim Bamber, Dr Fiona Donald, Dr Felicity Platt | icmanaesthesiacovid-19.orgChoice of PPE for obstetric anaesthetists according to mode of transmission risk Non

2020 ICM Anaesthesia COVID-19

17. Advice for pregnant members of the anaesthesia and intensive care workforce during the COVID-19 pandemic

abnormality at routine scans in Asia, indicating this is likely to be the same for the novel coronavirus. Although the available evidence to date offers no evidence of harm, it is not possible to give absolute assurance to any pregnant woman that contracting COVID-19 carries no risk to her baby and no risk to her over and above that experienced by a non-pregnant healthy individual. The information above combines the limited evidence from COVID-19 so far with evidence extrapolated from other similar viral (...) Advice for pregnant members of the anaesthesia and intensive care workforce during the COVID-19 pandemic 1 Occupational health advice for employers and pregnant women during the COVID-19 pandemic Version 3: Published Tuesday 21 April 2020 COVID-19 virus infection and pregnancy2 Updates Please note that version 1 of this occupational health guidance was published as a chapter in the RCOG’s general Coronavirus (COVID-19) Infection in Pregnancy guidance. The occupational health guidance will now

2020 ICM Anaesthesia COVID-19

18. Water birth and hydrotherapy for pregnant people with suspected or confirmed COVID-19

Water birth and hydrotherapy for pregnant people with suspected or confirmed COVID-19 Water birth and hydrotherapy for pregnant people with suspected or confirmed COVID-19 On March 17, 2020, the Royal College of Obstetricians and Gynecologists (RCOG) updated their guidance on Coronavirus (COVID-19) Infection in Pregnancy to include information for health care providers regarding water birth. This guidance states that “the use of birthing pools in hospital should be avoided in suspected (...) have any questions or concerns about the use of PPE. References 1. Royal College of Obstetricians and Gynaecologists. Coronavirus (COVID-19) Infection in Pregancy: Information for Healthcare Professionals. 2020. 2. Pain Relief Glossary: AOM [Internet]. [cited 2020 Mar 23]. Available from: https://www.ontariomidwives.ca/pain-relief-glossary 3. Zhang J, Wang S, Xue Y. Fecal specimen diagnosis 2019 novel coronavirus–infected pneumonia. J Med Virol [Internet]. 2020 Mar 12 [cited 2020 Mar 23];jmv.25742

2020 Ontario Midwives

19. Clinical Guideline: Perinatal care of suspected or confirmed COVID-19 in pregnant women

frequently) Review testing criteria Perform clinical assessment Is self-quarantine indicated? Routine/usual care (for COVID-19 pandemic) Is isolation indicated? NO YES NO YES Return to defined restricted area • Two weeks quarantine required to gain Human Biosecurity Approval and Local Council permit • Available at https://www.health.qld.gov.au/clinical- practice/guidelines-procedures/novel-coronavirus-qld- cliniciansQueensland Clinical Guideline: Maternity care for mothers and babies during the COVID-19 (...) or vaginal fluid 11 (although few women have been tested) • SARS-CoV-2 has been detected in stools 12-14 Physiology of pregnancy and COVID-19 • Immunosuppression of pregnancy may impact severity of symptoms 15 • Due to physiological changes, when compared with their non-pregnant counterparts, pregnant women with lower respiratory tract infections may experience worse outcomes (e.g. preterm birth, fetal growth restriction and perinatal mortality) 16,17 • Increased oxygen demands of pregnancy may increase

2020 Queensland Health

20. Joint Statement: Recent Developments Regarding COVID-19 and Pregnant Women

, the CDC continues to recognize that pregnant women have been at risk for severe illness, morbidity, or mortality compared with the general population in other related coronavirus infections (including severe acute respiratory syndrome coronavirus (SARS-CoV). The CDC’s current guidance regarding COVID-19 and pregnancy is based on limited data, which, at this point, does not indicate that pregnancy alone puts people at higher risk for severe illness resulting from COVID-19 infection. Limited data (...) Joint Statement: Recent Developments Regarding COVID-19 and Pregnant Women Joint Statement: Recent Developments Regarding COVID-19 and Pregnant Women — April 6, 2020 — The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine are aware that the Centers for Disease Control and Prevention (CDC) recently removed pregnant people from their webpage that outlines “people who are at higher risk for severe illness” from COVID-19. Consistent with available data

2020 American College of Obstetricians and Gynecologists

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