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, Inhaltsverzeichnis

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

GebFra Science

Guideline/Leitlinie

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

Artikel in mehreren Sprachen: deutsch | English

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

› Institutsangaben

Abstract

Objective This S2k guideline of the German Society for Gynecology and Obstetrics (DGGG) and the German Society of Perinatal Medicine (DGPM) contains consensus-based recommendations for the care and treatment of pregnant women, parturient women, women who have recently given birth, and breastfeeding women with SARS-CoV-2 infection and their newborn infants. The aim of the guideline is to provide recommendations for action in the time of the COVID-19 pandemic for professionals caring for the above-listed groups of people.

Methods The PICO format was used to develop specific questions. A systematic targeted search of the literature was carried out using PubMed, and previously formulated statements and recommendations issued by the DGGG and the DGPM were used to summarize the evidence. This guideline also drew on research data from the CRONOS registry. As the data basis was insufficient for a purely evidence-based guideline, the guideline was compiled using an S2k-level consensus-based process. After summarizing and presenting the available data, the guideline authors drafted recommendations in response to the formulated PICO questions, which were then discussed and voted on.

Recommendations Recommendations on hygiene measures, prevention measures and care during pregnancy, delivery, the puerperium and while breastfeeding were prepared. They also included aspects relating to the monitoring of mother and child during and after infection with COVID-19, indications for thrombosis prophylaxis, caring for women with COVID-19 while they are giving birth, the presence of birth companions, postnatal care, and testing and monitoring the neonate during rooming-in or on the pediatric ward.

Key words

coronavirus - COVID-19 - obstetrics - neonatology - midwifery

Volltext

Referenzen

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