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Geburtshilfe Frauenheilkd 2020; 80(08): 794-799
DOI: 10.1055/a-1214-4878
DOI: 10.1055/a-1214-4878
DGGG
Mitteilungen aus der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe e. V. (DGGG)
DGGG und weitere Fachgesellschaften – Aktualisierte Empfehlungen zu SARS-CoV-2/COVID-19 in Schwangerschaft, Geburt und Wochenbett
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Mit Beginn der SARS-CoV-2-Pandemie haben die deutschen geburtshilflichen und pädiatrischen Fachgesellschaften im März 2020 Empfehlungen zur Versorgung infizierter Schwangerer und deren Neugeborener wie auch notwendige Schutzmaßnahmen für das Personal veröffentlicht [1], [2], [3]. Eine Aktualisierung ist aufgrund des rasanten Wissenszuwachses notwendig. Die vorliegende Empfehlung versteht sich daher als Fortschreibung der bereits vorliegenden Publikationen [1], [2], [3].
Publikationsverlauf
Artikel online veröffentlicht:
14. August 2020
© 2020. Thieme. All rights reserved.
Georg Thieme Verlag KG
Stuttgart · New York
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Literatur
- 1 DGGG. Empfohlene Präventionsmaßnahmen für die geburtshilfliche Versorgung in deutschen Krankenhäusern und Kliniken im Zusammenhang mit dem Coronavirus 16.03.2020. 2020. Online (Stand: 16.03.2020): https://www.dggg.de/fileadmin/documents/Weitere_Nachrichten/2020/COVID-19_DGGG-Empfehlungen_fuer_Kreissaele_20200319_f.pdf
- 2 DGPI. Umgang mit Neugeborenen SARS-CoV-2 positiver Mütter mit oder ohne klinische Erkrankung (COVID-19). 2020. Online (Stand: 31.03.2020): https://dgpi.de/stellungnahme-dgpi-dggg-dgpm-umgang-mit-neugeborenen-sars-cov-2-positiver-muetter/
- 3 Nationale Stillkommission. Stillen und COVID-19 – Stellungnahme der Nationalen Stillkommission vom 11. März 2020. 2020. Online (Stand: 29.05.2020): https://www.mri.bund.de/de/themen/nationale-stillkommission/stellungnahmen/stillen-covid-19/
- 4 Cochrane. Cochrane. COVID-19 review of national clinical practice guidelines for key questions relating to the care of pregnant women and their babies. Cochrane; 2020: International Consensus. Online (Stand: 28.05.2020): https://pregnancy.cochrane.org/news/covid-19-review-national-clinical-practice-guidelines-key-questions-relating-care-pregnant
- 5 Phelan AL, Katz R, Gostin LO. The Novel Coronavirus Originating in Wuhan, China: Challenges for Global Health Governance. JAMA 2020;
- 6 Coronaviridae Study Group of the International Committee on Taxonomy of Viruses. The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol 2020; 5: 536-544 doi:10.1038/s41564-020-0695-z
- 7 Wu Z, McGoogan JM. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72314 Cases From the Chinese Center for Disease Control and Prevention. JAMA 2020;
- 8 Gerste RD. Thrombose-Pathogenese: Endotheldysfunktion bei COVID-19. Dtsch Arztebl 2020; 117: A-1165/B-983
- 9 Varga Z, Flammer AJ, Steiger P. et al. Endothelial cell infection and endotheliitis in COVID-19. Lancet 2020; 395: 1417-1418 doi:10.1016/S0140-6736(20)30937-5
- 10 Shanes ED, Mithal LB, Otero S. et al. Placental Pathology in COVID-19. Am J Clin Pathol 2020;
- 11 RKI. COVID-19 (Coronavirus SARS-CoV-2). 2020. Online (Stand: 22.06.2020): https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavirus/nCoV.html
- 12 Elshafeey F, Magdi R, Hindi N. et al. A systematic scoping review of COVID-19 during pregnancy and childbirth. Int J Gynaecol Obstet 2020;
- 13 Knight M, Bunch K, Vousden N. et al. Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: national population based cohort study. BMJ 2020; 369: m2107 doi:10.1136/bmj.m2107
- 14 Spinato G, Fabbris C, Polesel J. et al. Alterations in Smell or Taste in Mildly Symptomatic Outpatients with SARS-CoV-2 Infection. JAMA 2020;
- 15 Moein ST, Hashemian SM, Mansourafshar B. et al. Smell dysfunction: a biomarker for COVID-19. Int Forum Allergy Rhinol 2020;
- 16 Sutton D, Fuchs K, DʼAlton M. et al. Universal Screening for SARS-CoV-2 in Women Admitted for Delivery. N Engl J Med 2020;
- 17 Khalil A, Hill R, Ladhani S. et al. SARS-CoV-2 in pregnancy: symptomatic pregnant women are only the tip of the iceberg. Am J Obstet Gynecol 2020;
- 18 Campbell KH, Tornatore JM, Lawrence KE. et al. Prevalence of SARS-CoV-2 Among Patients Admitted for Childbirth in Southern Connecticut. JAMA 2020;
- 19 Zöllkau J BM, Scherag A, Schleußner E. et al. Periodenprävalenz von SARS-CoV-2 in einer unselektierten Stichprobe schwangerer Frauen in Jena – Thüringen. Z Geburtsh Neonatol 2020;
- 20 Yang H, Sun G, Tang F. et al. Clinical features and outcomes of pregnant women suspected of coronavirus disease 2019. J Infect 2020;
- 21 Zaigham M, Andersson O. Maternal and perinatal outcomes with COVID-19: A systematic review of 108 pregnancies. Acta Obstet Gynecol Scand 2020;
- 22 Dashraath P, Wong JLJ, Lim MXK. et al. Coronavirus disease 2019 (COVID-19) pandemic and pregnancy. Am J Obstet Gynecol 2020;
- 23 Stumpfe FM, Titzmann A, Schneider MO. et al. SARS-CoV-2 Infection in Pregnancy – a Review of the Current Literature and Possible Impact on Maternal and Neonatal Outcome. Geburtshilfe Frauenheilkd 2020; 80: 380-390 doi:10.1055/a-1134-5951
- 24 Mullins E, Evans D, Viner RM. et al. Coronavirus in pregnancy and delivery: rapid review. Ultrasound Obstet Gynecol 2020; 55: 586-592 doi:10.1002/uog.22014
- 25 Wang C, Zhou YH, Yang HX. et al. Intrauterine vertical transmission of SARS-CoV-2: what we know so far. Ultrasound Obstet Gynecol 2020; 55: 724-725 doi:10.1002/uog.22045
- 26 Dong L, Tian J, He S. et al. Possible Vertical Transmission of SARS-CoV-2 From an Infected Mother to Her Newborn. JAMA 2020;
- 27 Zeng H, Xu C, Fan J. et al. Antibodies in Infants Born to Mothers With COVID-19 Pneumonia. JAMA 2020;
- 28 Baud D, Greub G, Favre G. et al. Second-Trimester Miscarriage in a Pregnant Woman With SARS-CoV-2 Infection. JAMA 2020;
- 29 Patane L, Morotti D, Giunta MR. et al. Vertical transmission of COVID-19: SARS-CoV-2 RNA on the fetal side of the placenta in pregnancies with COVID-19 positive mothers and neonates at birth. Am J Obstet Gynecol MFM 2020;
- 30 Liguoro I, Pilotto C, Bonanni M. et al. SARS-COV-2 infection in children and newborns: a systematic review. Eur J Pediatr 2020;
- 31 Simon A, Knuf M, Hufnagel M. et al. Management of Care for Neonates born to SARS-CoV-2 Positive Women with or without Clinical Symptoms (COVID-19). Statement of the German Society for Pediatric Infectious Diseases (DGPI) in accordance with the German Society for Gynecology and Obstetrics (DGGG) and the German Society for Perinatal Medicine (DGPM). Klin Padiatr 2020;
- 32 Ng KF, Bandi S, Bird PW. et al. COVID-19 in Neonates and Infants: Progression and Recovery. Pediatr Infect Dis J 2020; 39: e140-e142 doi:10.1097/INF.0000000000002738
- 33 Wang M, Cao R, Zhang L. et al. Remdesivir and chloroquine effectively inhibit the recently emerged novel coronavirus (2019-nCoV) in vitro. Cell Res 2020; 30: 269-271 doi:10.1038/s41422-020-0282-0
- 34 Berghella V. Coronavirus disease 2019 (COVID-19): Pregnancy issues. In: Barss VA. ed. Literature review current through: Apr 2020 ed.. UpToDate®: UpToDate, Inc.; 2020
- 35 RKI. Erweiterte Hygienemaßnahmen im Gesundheitswesen im Rahmen der COVID-19 Pandemie. 13.05.2020. Online (Stand: 07.06.2020): https://www.rki.de/DE/Content/InfAZ/N/Neuartiges_oronavirus/erweiterte_Hygiene.html
- 36 Boelig RC, Saccone G, Bellussi F. et al. MFM guidance for COVID-19. Am J Obstet Gynecol MFM 2020;
- 37 Kagan KO, Chaoui R. Ultraschall in der Schwangerschaft während der Corona-Virus Pandemie: Ein praktisches Vorgehen. Ultraschall Med 2020; 41: 237-243 doi:10.1055/a-1152-4550
- 38 Bourne T, Leonardi M, Kyriacou C. et al. ISUOG Consensus Statement on rationalization of gynecological ultrasound services in context of SARS-CoV-2. Ultrasound Obstet Gynecol 2020; 55: 879-885 doi:10.1002/uog.22047
- 39 CDC. Interim Considerations for Infection Prevention and Control of Coronavirus Disease 2019 (COVID-19) in Inpatient Obstetric Healthcare Settings. 2020. Online (Stand: 09.04.2020): https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html
- 40 Schleussner E. The prevention, diagnosis and treatment of premature labor. Dtsch Arztebl Int 2013; 110: 227-235 quiz 236 doi:10.3238/arztebl.2013.0227
- 41 Thachil J, Tang N, Gando S. et al. ISTH interim guidance on recognition and management of coagulopathy in COVID-19. J Thromb Haemost 2020; 18: 1023-1026 doi:10.1111/jth.14810
- 42 RCOG. Coronavirus (COVID-19) Infection in Pregnancy – Information for healthcare professionals Version 9. 13.05.2020. Online (Stand: 15.04.2020): https://www.rcog.org.uk/globalassets/documents/guidelines/2020-05-13-coronavirus-covid-19-infection-in-pregnancy.pdf
- 43 Stephens AJ, Barton JR, Bentum NA. et al. General Guidelines in the Management of an Obstetrical Patient on the Labor and Delivery Unit during the COVID-19 Pandemic. Am J Perinatol 2020;
- 44 Mario Rüdiger UP. CRONOS Newsletter 08. 2020. Online (Stand: 30.06.2020): https://www.dgpm-online.org/gesellschaft/forschung
- 45 Morris E, Goodyear G, Relph S. et al. Coronavirus (COVID-19) Infection in Pregnancy – Information for healthcare professionals. 13.05.2020. Online (Stand: 20.06.2020): https://www.rcog.org.uk/globalassets/documents/guidelines/2020-05-13-coronavirus-covid-19-infection-in-pregnancy.pdf
- 46 Schwartz DA. An Analysis of 38 Pregnant Women with COVID-19, Their Newborn Infants, and Maternal-Fetal Transmission of SARS-CoV-2: Maternal Coronavirus Infections and Pregnancy Outcomes. Arch Pathol Lab Med 2020;
- 47 Barth RE, De Regt MJA. Persistence of viral RNA in stool samples from patients recovering from covid-19. BMJ 2020; 369: m1724 doi:10.1136/bmj.m1724
- 48 Deutsche Gesellschaft für Allgemein- und Viszeralchirurgie e. V.. COVID-19 Empfehlung der DGAV e. V. 24.04.2020. Online (Stand: 24.04.2020): https://www.awmf.org/fileadmin/user_upload/Stellungnahmen/Medizinische_Versorgung/DGAV_COVID_Empfehlung2.pdf
- 49 Deutsche Gesellschaft für Gynäkologie und Geburtshilfe e. V.. DGGG EMPFIEHLT: VÄTER BEI DER GEBURT ZULASSEN – AUCH IN ZEITEN DER CORONA-PANDEMIE. 2020 Online (Stand: 28.05.2020): https://www.dggg.de/presse-news/pressemitteilungen/mitteilung/dggg-empfiehlt-vaeter-bei-der-geburt-zulassen-auch-in-zeiten-der-corona-pandemie-1195/
- 50 Kranke P, Weibel S, Sitter M. et al. [Obstetric Anesthesia During the SARS-CoV-2 Pandemic – a Brief Overview of Published Recommendations for Action by National and International Specialist Societies and Committees]. Anästhesiol Intensivmed Notfallmed Schmerzther 2020; 55: 266-274 doi:10.1055/a-1144-5562
- 51 WHO. Q & A: Pregnancy, childbirth and COVID-19. 18.03.2020. Online (Stand: 28.05.2020): https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/q-a-on-covid-19-pregnancy-and-childbirth
- 52 ACOG. Novel Coronavirus 2019 (COVID-19). 19.05.2020. Online (Stand: 28.05.2020): https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/03/novel-coronavirus-2019
- 53 WHO. Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected, interim guidance 27 May 2020. 2020. Online (Stand: 06.06.2020): https://www.who.int/publications/i/item/clinical-management-of-covid-19
- 54 CDC. Coronavirus Disease 2019 (COVID-19) Evaluation and Management Considerations for Neonates At Risk for COVID-19. 2020. Online (Stand: 06.06.2020): https://www.cdc.gov/coronavirus/2019-ncov/hcp/caring-for-newborns.html
- 55 Wu Y, Liu C, Dong L. et al. Coronavirus disease 2019 among pregnant Chinese women: Case series data on the safety of vaginal birth and breastfeeding. BJOG 2020;
- 56 Gross R, Conzelmann C, Müller JA. et al. Detection of SARS-CoV-2 in human breastmilk. Lancet 2020; 395: 1757-1758 doi:10.1016/S0140-6736(20)31181-8