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COVID-19 and Pregnancy

in Resource-Limited Environments
 

This document, developed by RANZCOG, provides brief guidance regarding COVID-19 in pregnancy, to assist clinicians in resource-limited settings. It is intended to complement, not replace, local and national guidelines.

The information in the guide is based on expert consensus and the best available evidence at the time of writing. Given that COVID-19 is an evolving pandemic, it is important that clinicians remain alert for new data and emerging knowledge. Please regularly refresh this page for the most current version of this guideline document, and visit our general COVID-19 information page for the most current COVID-19 updates from RANZCOG.

Included in the guide is the following printable flow chart, outlining the assessment and management of pregnant women with suspected or confirmed COVID-19:



 

Further information


Acknowledgements
 
This document was developed by a working party of the RANZCOG Global Health Committee, led by RANZCOG Fellow Dr Rebecca Mitchell.

RANZCOG is grateful to those clinicians from across the Asia Pacific region who generously provided input, including the Pacific Society for Reproductive Health (PSRH). 
 

Feedback on the document is encouraged and can be directed to the RANZCOG Global Health Committee: 

[email protected]
 

References
 
  1. American College of Obstetricians and Gynaecologist (ACOG). Novel Coronavirus 2019 (COVID-19) Practice Advisory, June 2020. Retrieved from: https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/03/novel-coronavirus-2019
  2. Australasian Society for Infectious Diseases Limited (ASID). Interim guidelines for the clinical management of COVID-19 in Adults. Published 20th March 2020, Retrieved from: https://www.asid.net.au/documents/item/1873
  3. Chen H, Guo J, Wang C, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID- 19 infection in nine pregnant women: a retrospective review of medical records. Lancet 2020 doi: https://doi.org/10.1016/S0140-6736(20)30360-3
  4. Federation of Obstetric and Gynaecological Societies of India (FOGSI) Good Clinical Practice recommendation on Pregnancy with COVID-19 Infection.Version 1, 28th March 2020, Retrieved from: https://www.fogsi.org/the-draft-version-1-fogsi_gcpr_on_pregnancy_with_covid_19_infection/
  5. Poon LC, Yang H, Kapur A, et al. Global interim guidance on coronavirus disease 2019 (COVID-19) during pregnancy and puerperium from FIGO and allied partners: Information for healthcare professionals. Int J Gynecol Obstet. 2020;149(3):273-286. doi:10.1002/ijgo.13156
  6. Royal Australian and New Zealand College of Obstetricians and Gynaecologists RANZCOG). Coronavirus (COVID-19). A message for pregnant women and their families. Retrieved from https://ranzcog.edu.au/statements-guidelines/covid-19-statement
  7. Royal College of Obstetrician and Gynaecologists (RCOG). Coronavirus (COVID-19) Infection in Pregnancy Version 10.1: Published  19th June, 2020. Retrieved from: https://www.rcog.org.uk/en/guidelines-research-services/guidelines/coronavirus-pregnancy/
  8. Society for Maternal-Fetal Medicine Management Considerations for Pregnant Patients with COVID-19, Published 16th June 2020. Retrieved from: https://s3.amazonaws.com/cdn.smfm.org/media/2401/SMFM_COVID_Management_of_COVID_pos_preg_patients_6-16-20._PDF.pdf
  9. UNFPA, COVID-19 Technical Brief for Antenatal Care Services, April 2020. Retrieved from: https://asiapacific.unfpa.org/en/publications/covid-19-technical-brief-antenatal-care-services
  10. UNFPA COVID-19 Technical Brief for Maternity Services, May 2020, Retrieved from: https://www.unfpa.org/resources/covid-19-technical-brief-maternity-services
  11. van Doremalen N, Bushmaker T, Morris DH, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1. N Engl J Med. March 2020: NEJMc2004973. doi:10.1056/NEJMc2004973
  12. World Health Organization. Country & Technical Guidance - Coronavirus disease (COVID-19). Retrieved from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance
  13. World Health Organization. Hospital readiness checklist for COVID-19 Retrieved from: http://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/novel-coronavirus-2019-ncov-technical-guidance/coronavirus-disease-covid-19-outbreak-technical-guidance-europe/hospital-readiness-checklist-for-covid-19
  14. World Health Organization. Q&A on coronaviruses (COVID-19). Published 9th March 2020. Retrieved from: https://www.who.int/news-room/q-a-detail/q-a-coronaviruses

 

Disclaimer


Disclaimer

The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) is the lead body for women’s health in Australia and New Zealand and carries the responsibility for advice, dissemination of information and support of our members, our patients and the community during the Covid-19 pandemic.

The College respects the role of government, health departments and health administrators in coordinating a national response. Our public statements are made following consultation with officials, and medical experts, and with the understanding that the impacts of the pandemic are evolving, multifactorial and that action in one area will have intended, and unintended, effects on other areas.

RANZCOG will continue to provide information and advice that is the best available, to our knowledge. Given the recency of Covid-19 and the paucity of data, particularly in pregnancy, the accuracy of any advice may be rapidly superseded. We will endeavour to regularly update our communication as new information becomes available. Furthermore, RANZCOG will not comment on areas beyond our remit.

RANZCOG commentary on COVID-19 should be considered advisory, and not proscriptive, and all health workers, and the general public, should heed the advice of government and health authorities.
 

 

View and download the guide

Updated 11 August 2020

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