Abstract
The coronavirus disease-19 (COVID-19) pandemic has directly and indirectly impacted pregnant women with co-morbidities or antenatal medical complications, through vulnerability to the severe effects of COVID-19 and service reconfiguration. Women with diabetes or hypertension in pregnancy are at higher risk of admission to intensive care, need for invasive ventilation and death from COVID-19. Suggested service modifications specific to maternal medicine services include home measurement of blood glucose or blood pressure, the use of risk calculators, adaptations to screening criteria for gestational diabetes and monitoring of obstetric cholestasis. Neither the added risk of COVID-19 on pregnant women with medical comorbidities nor the impact of maternal medicine service modifications has yet been established.
Original language | English |
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Pages (from-to) | 113-124 |
Journal | Best Practice & Research: Clinical Obstetrics & Gynaecology |
Volume | 73 |
Early online date | 18 Mar 2021 |
DOIs | |
Publication status | Published - Jun 2021 |
Keywords
- COVID-19
- Co-morbidities
- Maternal medicine
- Pregnancy
- Prenatal care
- SARS-CoV-2
- Pandemics
- Humans
- Pregnancy Complications, Infectious/epidemiology
- Pregnant Women
- Female
ASJC Scopus subject areas
- Obstetrics and Gynaecology