The obstetric patient in the Covid pandemic: anaesthesia and perioperative care

Curr Opin Obstet Gynecol. 2021 Oct 1;33(5):361-369. doi: 10.1097/GCO.0000000000000732.

Abstract

Purpose of review: : The Coronavirus Disease 2019 (COVID-19) pandemic has had an unprecedented impact on pregnant women, maternity services and healthcare workers. We review recent literature on the course of COVID-19 infection in pregnancy, and recommendations for treatment and service provision.

Recent findings: It has been increasingly recognised that pregnant women are at higher risk of severe disease associated with COVID-19 infection. Early critical care input is crucial to guide respiratory support and techniques such as prone positioning, with a low threshold for intubation in critical illness. Timing of delivery remains a highly individualised decision. Following the RECOVERY trial, the use of a course of steroids in cases of severe COVID-19 infection has been widely adopted, and emerging guidance recommends vaccination in pregnant women.

Summary: Rapidly emerging evidence has helped guide clinicians to identify those patients most at risk of severe disease in COVID-19 and implement early interventions to reduce morbidity and mortality.

Publication types

  • Review

MeSH terms

  • Adult
  • Anesthesia*
  • COVID-19 / epidemiology
  • COVID-19 / prevention & control*
  • Female
  • Humans
  • Pandemics* / prevention & control
  • Perioperative Care
  • Pregnancy
  • Pregnancy Complications, Infectious / prevention & control*
  • Pregnancy Complications, Infectious / virology
  • SARS-CoV-2