SARS-CoV-2 in Pregnancy, Birth and Puerperium. Guideline of the DGGG and DGPM (S2k-Level, AWMF Registry Number 015/092, March 2022)

Ulrich Pecks; Lena Agel; Klaus J. Doubek; Carsten Hagenbeck; Lukas Jennewein; Constantin von Kaisenberg; Peter Kranke; Sabine Leitner; Nadine Mand; Mario Rüdiger; Janine Zöllkau; Nina Mingers; Magdalena Sitter; Frank Louwen

doi:10.1055/a-2003-5983

Geburtshilfe und Frauenheilkunde, Table of Contents

Geburtshilfe Frauenheilkd 2023; 83(05): 517-546
DOI: 10.1055/a-2003-5983

GebFra Science

Guideline/Leitlinie

SARS-CoV-2 in Schwangerschaft, Geburt und Wochenbett. Leitlinie der DGGG und DGPM (S2k-Level, AWMF-Registernummer 015/092, März 2022)

Article in several languages: deutsch | English

Authors

Ulrich Pecks

¹Klinik für Gynäkologie und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Kiel, Germany
Lena Agel

²Technische Hochschule Aschaffenburg, Hebammenkunde, Aschaffenburg, Germany
Klaus J. Doubek

³Praxis Doubek, Wiesbaden, Germany
Carsten Hagenbeck

⁴Geburtshilfe und Perinatalmedizin, Universitätsklinikum Düsseldorf, Düsseldorf, Germany
Lukas Jennewein

⁵Geburtshilfe und Pränatalmedizin, Universitätsklinikum Frankfurt Goethe-Universität, Frankfurt am Main, Germany
Constantin von Kaisenberg

⁶Pränatalmedizin und Geburtshilfe im Perinatalzentrum, Universitätsklinik der Medizinischen Hochschule Hannover, Hannover, Germany
Peter Kranke

⁷Klinik und Poliklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Universitätsklinikum Würzburg, Würzburg, Germany
Sabine Leitner

⁸Bundesverband „Das frühgeborene Kind“ e. V., Frankfurt, Germany
Nadine Mand

⁹Philipps-Universität Marburg, Zentrum für Kinder- und Jugendmedizin, Marburg, Germany
Mario Rüdiger

¹⁰Klinik für Kinder- und Jugendmedizin, Fachbereich Neonatologie und pädiatrische Intensivmedizin, Medizinische Fakultät der TU Dresden, Dresden, Germany
Janine Zöllkau

¹¹Klinik für Geburtsmedizin, Universitätsklinikum Jena, Jena, Germany
Nina Mingers

¹Klinik für Gynäkologie und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Kiel, Germany
Magdalena Sitter

⁷Klinik und Poliklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Universitätsklinikum Würzburg, Würzburg, Germany
Frank Louwen

⁵Geburtshilfe und Pränatalmedizin, Universitätsklinikum Frankfurt Goethe-Universität, Frankfurt am Main, Germany

Abstract

Zusammenfassung

Ziel Die S2k-Leitlinie der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (DGGG) und der Deutschen Gesellschaft für Perinatale Medizin (DGPM) enthält konsensbasierte Empfehlungen zur Betreuung und Behandlung von Schwangeren, Gebärenden, Wöchnerinnen, und Stillenden mit SARS-CoV-2-Infektion sowie deren Neugeborene. Sie hat das Ziel, Handlungsempfehlungen in der Zeit der COVID-19-Pandemie für Berufsgruppen zu gegeben, die mit der Versorgung der oben beschriebenen Personengruppe beauftragt sind.

Methoden Spezifische Fragen wurden im PICO-Format ausgearbeitet. Gezielte systematische Literaturrecherchen wurde unter Nutzung von Pubmed durchgeführt oder es wurden die bereits ausgearbeiteten Stellungnahmen und Empfehlungen der DGGG und DGPM zur Zusammenfassung der Evidenz verwendet. Ergänzend wurde auf die Forschungsdaten des CRONOS-Registers zurückgegriffen. Da die Datengrundlage für rein evidenzbasierte Leitlinien unzureichend war, erfolgte Durchführung der Leitlinienarbeit in Form eines Konsensverfahrens auf dem Level S2k. Nach Zusammenfassung und Darstellung der zur Verfügung stehenden Daten wurden Empfehlungen zu den formulierten PICO-Fragen in der Leitliniengruppe herausgearbeitet, diskutiert und abgestimmt.

Empfehlungen Es wurden Empfehlungen zu Hygienemaßnahmen, Präventionsmaßnahmen und der Betreuung in der Schwangerschaft, bei Geburt sowie im Wochenbett und der Stillzeit verfasst. Dies beinhaltet Aspekte der Überwachung von Mutter und Kind mit und nach COVID-19, Indikation zur Thromboseprophylaxe, Betreuung erkrankter Frauen unter Geburt, Anwesenheit einer Geburtsbegleitung, und postnatale Betreuung, Testung und Überwachung des Kindes im Rooming-in oder in der Kinderklinik.

Schlüsselwörter

Coronavirus - COVID-19 - Geburtshilfe - Neonatologie - Hebammen

Full Text

References

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