Sars-CoV-2 in the context of past coronaviruses epidemics: Consideration for prenatal care.

Lambelet, Valentine; Vouga, Manon; Pomar, Léo; Favre, Guillaume; Gerbier, Eva; Panchaud, Alice; Baud, David (2020). Sars-CoV-2 in the context of past coronaviruses epidemics: Consideration for prenatal care. (In Press). Prenatal diagnosis John Wiley & Sons 10.1002/pd.5759

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Since December 2019, the novel SARS-CoV-2 outbreak has resulted in millions of cases and more than 200,000 deaths worldwide. The clinical course among non-pregnant women has been described but data about potential risks for women and their fetus remain scarce. The SARS and MERS epidemics were responsible for miscarriages, adverse fetal and neonatal outcomes and maternal deaths. For COVID-19 infection, only 9 cases of maternal death have been reported as of April 22, 2020 and pregnant women seem to develop the same clinical presentation as the general population. However, severe maternal cases, as well as prematurity, fetal distress and stillbirth among newborns have been reported. The SARS-CoV-2 pandemic greatly impacts prenatal management and surveillance and raise the need for clear unanimous guidelines. In this narrative review, we describe the current knowledge about coronaviruses (SARS, MERS and SARS-CoV-2) risks and consequences on pregnancies and we summarize available current candidate therapeutic options for pregnant women. Finally, we compare current guidance proposed by RCOG, ACOG and the WHO to give an overview of prenatal management which should be utilized until future data appear. This article is protected by copyright. All rights reserved.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Medical Education > Institute of General Practice and Primary Care (BIHAM)

UniBE Contributor:

Panchaud Monnat, Alice Elke Martine

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1097-0223

Publisher:

John Wiley & Sons

Language:

English

Submitter:

Andrea Flükiger-Flückiger

Date Deposited:

05 Jun 2020 12:13

Last Modified:

08 Jun 2020 07:29

Publisher DOI:

10.1002/pd.5759

PubMed ID:

32453451

BORIS DOI:

10.7892/boris.144463

URI:

https://boris.unibe.ch/id/eprint/144463

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