COVID-19 in Pregnant women

COVID-19 in Pregnant women

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Amidst the deep and intense global situation, let us help to aware everyone about some precautionary measures to be essentially taken in order to protect one-self.

Though, everyone is suggested to take precautions, but pregnant women are highly recommended to be take caution from the pandemic corona virus. Let us update you with the recent NICE guidelines and their views on “COVID-19 in pregnant women”. The guideline states that pregnant woman who have been exposed to COVID-19 experience either known COVID-19, or symptoms of cough, fever of or above 37.8 degrees

What should she do?

·         Self-isolate

·         Do not go to school, work, NHS settings or public areas.

·         Do not use public transport.

·         Stay at home and do not allow any visitors.

·         Ventilate the patients' room by opening a window.

·         Separate themselves from other members of their household as far as possible by using their own towels, crockery and utensils and eating at different times.

·         Use friends, family or delivery services to run errands, but advise them to leave items outside.

·         Contact maternity care provider (e.g. midwife or antenatal clinic), to discuss attendance for routine antenatal appointments.

·         Do not attend maternity triage units or A&E unless in need of urgent obstetric or medical care.

What precautionary methods should be taken for pregnant women attending routine antenatal check-up?

1.      Routine antenatal care:

ü  Routine appointments for women with suspected or confirmed COVID-19 (growth scans, OGTT, antenatal community or secondary care appointments) should be delayed until after the recommended period of isolation.

ü  More urgent pre-arranged appointments (foetal medicine surveillance, high risk maternal secondary care) should be conducted on basis of urgency and potential risks/benefits.

ü  If the obstetric or midwifery care cannot be delayed until after the recommended period of isolation, infection prevention and control measures should be arranged locally to facilitate care.

2.      Urgent/ Unscheduled antenatal care:

ü  Early pregnancy (EPU) or maternity triage units should provide advice over the phone. If this requires discussion with a senior member of staff who is not immediately available, a return telephone call should be arranged.

ü  Women with confirmed or suspected COVID-19 are isolated on arrival to EPU or triage units and full PPE measures must be taken for the staff.

3.      Intrapartum care:

ü  All women should be encouraged to call the maternity unit for advice in early labour. Women with mild COVID-19 symptoms can be encouraged to remain at home (self-isolating) in early (latent phase) labour as per standard practice.

ü  Women should be advised to attend an obstetric unit for birth, where the baby can be monitored using continuous electronic foetal monitoring.

Since, COVID-19 is spreading at much higher rates and intensity, it necessitates the demand for proper sanitation and precaution for every individual.

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