Management of Pregnancy with Covid-19: A Systematic Review

Lutfiana Puspita Sari, Rendi Editya Darmawan, Emy Suryani, Sofia Sagita

Abstract


Backgrounds: COVID-19 is a new virus that comes since 2019, and attacks the respiratory system. Pregnant women are at high risk for adverse effects from Covid-19 infection, because of the adaptive cardiopulmonary changes during pregnancy. During the COVID-19 pandemic, physiological changes during pregnancy are feared to increased maternal morbidity and mortality from COVID-19 infection. Safe and effective antenatal care is carried out through special management during the COVID-19 pandemic.

Purpose: aim of study is to analyze symptoms, management of pregnancy, childbirth, neonatal, pharmacological therapy and COVID-19 vaccination in pregnant women.

Methods: this research used systematic review method. The samples was obtained from ScienceDirect, Wiley and Pubmed database. The keyword are pregnant women, Covid-19, management pregnancy with Covid-19.

Results: 10 original research articles was find and accordance with criteria. Management of COVID-19 pregnancy was regulated to reduce exposure the virus in mother and child population. Multidisciplinary health workers were needed to oversee the continuous care of mothers. COVID-19 vaccine in pregnant women was considered safe for mother and fetus.

Conclusion: management or guidelines of COVID-19’s pregnancy was carried out continuously and comprehensively to reduce the high rate of morbidity and mortality. COVID – 19 vaccination was attempted as a preventive and protective measure for pregnant women.


Keywords


Covid-19; pregnancy guidelines; pregnancy management; SARS-CoV-2; vaccination.

Full Text:

PDF

References


Abourida, Y., Rebahi, H., Oussayeh, I., Chichou, H., Fakhir, B., Soummani, A., Jalal, H., Bennaoui, F., El, N., Slitine, I., Mrabih, F., Maoulainine, R., Rhassane, A., & Adib, E. (2020). Case Report Management of Severe COVID-19 in Pregnancy. 2020, 1–5.

Birindwa, E. K., Mulumeoderhwa, G. M., Nyakio, O., Mbale, G.-Q. M., Mushamuka, S. Z., Materanya, J. M., Kahasha, P. M., Bisimwa, Y. K., Kampara, F. M., Irenge, J. M., Kibalama, I. B., Luzadi, P. K., Malembaka, E. B., Mayeri, D. G.-N.-M., Baguma, M., & Balaluka, G. B. (2021). A case study of the first pregnant woman with COVID-19 in Bukavu, eastern Democratic Republic of the Congo. Maternal Health, Neonatology and Perinatology, 7(1), 4–9. https://doi.org/10.1186/s40748-021-00127-5

Breslin, Noelle; Baptiste, Caitlin; Gyamfi-Bannerman, Cynthia; Miller, Russell; Martinez, Rebecca; Bernstein, Kyra; Ring, Laurence; Landau, Ruth; Purisch, Stephanie; Friedman, Alexander M.; Fuchs, Karin; Sutton, Desmond; Andrikopoulou, Maria; Rupley, Devo, D. (2020). Coronavirus disease 2019 infection among asymptomatic and symptomatic pregnant women: two weeks of confirmed presentations to an affiliated pair of New York City hospitals. Am J Obstet Gynecol MFM, 2(2), 1–7. https://doi.org/10.1016/j.ajogmf.2020.100118

Chen, H., Guo, J., Wang, C., Luo, F., Yu, X., Zhang, W., Li, J., Zhao, D., Xu, D., Gong, Q., Liao, J., Yang, H., Hou, W., & Zhang, Y. (2020). Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. The Lancet, 395(10226), 809–815. https://doi.org/10.1016/S0140-6736(20)30360-3

Cucinotta, D., & Vanelli, M. (2020). WHO declares COVID-19 a pandemic. Acta Biomedica, 91(1), 157–160. https://doi.org/10.23750/abm.v91i1.9397

Elshafeey, F., Magdi, R., Hindi, N., Elshebiny, M., Farrag, N., Mahdy, S., Sabbour, M., Gebril, S., Nasser, M., Kamel, M., Amir, A., Maher Emara, M., & Nabhan, A. (2020). A systematic scoping review of COVID-19 during pregnancy and childbirth. International Journal of Gynecology and Obstetrics, 150(1), 47–52. https://doi.org/10.1002/ijgo.13182

Gray, K. J., Bordt, E. A., Atyeo, C., Deriso, E., Akinwunmi, B., Young, N., Baez, A. M., Shook, L. L., Cvrk, D., James, K., De Guzman, R., Brigida, S., Diouf, K., Goldfarb, I., Bebell, L. M., Yonker, L. M., Fasano, A., Rabi, S. A., Elovitz, M. A., … Edlow, A. G. (2021). Coronavirus disease 2019 vaccine response in pregnant and lactating women: a cohort study. American Journal of Obstetrics and Gynecology, 225(3), 303.e1-303.e17. https://doi.org/10.1016/j.ajog.2021.03.023

Guo, F., & Yang, X. (2021). A comprehensive review of the management of pregnant women with covid-19: Useful information for obstetricians. Infection and Drug Resistance, 14, 3363–3378. https://doi.org/10.2147/IDR.S325496

Ilham, M., Akbar, A., Gumilar, K. E., Tjokroprawiro, B. A., & Ulhaq, R. A. (2021). Successful management of a pregnant woman with COVID-19 and multiple severe complications. 1–6. https://doi.org/10.1136/bcr-2021-243594

Jackson, L. A., Anderson, E. J., Rouphael, N. G., Roberts, P. C., Makhene, M., Coler, R. N., McCullough, M. P., Chappell, J. D., Denison, M. R., Stevens, L. J., Pruijssers, A. J., McDermott, A., Flach, B., Doria-Rose, N. A., Corbett, K. S., Morabito, K. M., O’Dell, S., Schmidt, S. D., Swanson, P. A., … Beigel, J. H. (2020). An mRNA Vaccine against SARS-CoV-2 — Preliminary Report. New England Journal of Medicine, 383(20), 1920–1931. https://doi.org/10.1056/nejmoa2022483

Kitchenham, B. (2004). Procedures for Performing Systematic Reviews, Version 1.0. Empirical Software Engineering, 33(2004), 1–26.

Kwak-Kim, J., Ota, K., Sung, N., Huang, C., Alsubki, L., Lee, S., Han, J. W., Han, A., Yang, X., Saab, W., Derbala, Y., Wang, W. J., He, Q., Liao, A., Takahashi, T., Cavalcante, M. B., Barini, R., Bao, S., Fukui, A., … Coulam, C. (2020). COVID-19 and immunomodulation treatment for women with reproductive failures. Journal of Reproductive Immunology, 141(June), 103168. https://doi.org/10.1016/j.jri.2020.103168

Lamont, R. F. (2019). The role of infection in preterm labour and birth. Hospital Medicine, 64(11), 644–647. https://doi.org/10.12968/hosp.2003.64.11.2343

Liang, H., & Acharya, G. (2020). Novel corona virus disease (COVID-19) in pregnancy: What clinical recommendations to follow? Acta Obstetricia et Gynecologica Scandinavica, 99(4), 439–442. https://doi.org/10.1111/aogs.13836

Liberati, M., Vecchiet, J., Nappi, L., Scambia, G., Berghella, V., & Antonio, F. D. (2020). Systematic Review Outcome of coronavirus spectrum infections a systematic review and meta-analysis. The American Journal of Obstetrics & Gynecology MFM, January, 100107. https://doi.org/10.1016/j.ajogmf.2020.100107

Long, R., Wu, D., Lin, X., Lv, D., Wang, R., Jin, L., Liao, S., Liu, W., & Deng, D. (2021). COVID-19 and Pregnancy : A Case Study. 2000074, 2–6. https://doi.org/10.1002/gch2.202000074

Moshiri, A., Ahmadian, M., Naseri, S. N., & Sheibani, S. (2020). Diagnosis and Management of COVID-19 in the Third Trimester of Pregnancy : A Case Report. 5(2), 49–53.

Ogamba, I., Chuang, L., Panarelli, E., & Zilberman, D. (2021). A case report of COVID-19 infection and management during pregnancy. https://doi.org/10.1177/2050313X211015899

Pelayo, J., Pugliese, G., Salacup, G., Quintero, E., Khalifeh, A., Jaspan, D., & Sharma, B. (2020). Case Report Severe COVID-19 in Third Trimester Pregnancy : Multidisciplinary Approach. 2020.

POGI. (2020). Rekomendasi Penanganan Infeksi Virus Corona (Covid-19) Pada Maternal (Hamil, Bersalin Dan Nifas). Penanganan Infeksi Virus Corona Pada Maternal, 1(3), 9–11. https://pogi.or.id/publish/rekomendasi-penanganan-infeksi-virus-corona-covid-19-pada-maternal/

Rasmussen, S. A., Kelley, C. F., Horton, J. P., & Jamieson, D. J. (2021). Coronavirus Disease 2019 (COVID-19) Vaccines and Pregnancy: What Obstetricians Need to Know. Obstetrics and Gynecology, 137(3), 408–414. https://doi.org/10.1097/AOG.0000000000004290

Satuan Tugas Penanganan COVID - 19 . (2022). Pedoman tatalaksana COVID-19 edisi 4 (4th ed.). Satuan Tugas COVID - 19 Republik Indonesia.

Shanes, E. D., Mithal, L. B., Otero, S., Azad, H. A., Miller, E. S., & Goldstein, J. A. (2020). Placental Pathology in COVID-19. American Journal of Clinical Pathology, 154(1), 23–32. https://doi.org/10.1093/ajcp/aqaa08

Tambawala, Z. Y., Hakim, Z. T., & Hamza, L. K. (2021). Successful management of severe acute respiratory distress syndrome due to COVID-19 with extracorporeal membrane oxygenation during mid- ­ trimester of pregnancy. December 2020. https://doi.org/10.1136/bcr-2020-240823

Vousden, N., Ramakrishnan, R., Bunch, K., Morris, E., Simpson, N., Gale, C., O’Brien, P., Quigley, M., Brocklehurst, P., Kurinczuk, J. J., & Knight, M. (2022). Management and implications of severe COVID-19 in pregnancy in the UK: data from the UK Obstetric Surveillance System national cohort. Acta Obstetricia et Gynecologica Scandinavica, December 2021, 461–470. https://doi.org/10.1111/aogs.14329

Yang, P., Wang, X., Liu, P., Wei, C., He, B., Zheng, J., & Zhao, D. (2020). Clinical characteristics and risk assessment of newborns born to mothers with COVID-19. Journal of Clinical Virology, 127(January), 1–5. https://doi.org/10.1016/j.jcv.2020.104356




DOI: https://doi.org/10.31983/jnj.v6i1.8566

Article Metrics

Abstract view : 122
Download PDF : 54

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.


Creative Commons License  Web Analytics Made Easy - StatCounter View My Stats

JENDELA NURSING JOURNAL is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.