Subscribe to RSS
DOI: 10.1055/s-0041-1723082
Good practices for ultrasound examinations in gynecology and obstetrics during the COVID-19 pandemic
Number 1 - Janeiro 2021Key points
-
Routine ultrasound examinations by specialists are an essential part of prenatal care and should be performed even in the extraordinary situation of the COVID-19 pandemic.
-
The routine of obstetric and gynecological ultrasound services during COVID-19 pandemic period was changed to increase the protection of the patient, her fetus and her family, as well as of health professionals involved in care.
-
The impossibility of maintaining the recommended distance during the ultrasound examination requires rigorous and systematic precautions, because patients and health professionals are exposed to COVID-19 infection.
-
Given the risk of COVID-19 transmission, the performance of ultrasound examinations in gynecology and obstetrics must be based on a priority assessment and in accordance with Febrasgo protocols.
-
COVID-19 infection within health services must be avoided at all costs. Part of this strategy involves the surveillance of employees in the sector and the systematic use of personal protective equipment (PPE).
The National Specialty Commission for Ultrasonography in GO of the Brazilian Federation of Gynecology and Obstetrics Associations (FEBRASGO) endorses to this document. The content production is based on scientific studies on a thematic proposal and the findings presented contribute to clinical practice.
Publication History
Article published online:
29 January 2021
© 2021. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
References
- 1 Wataganara T, Ruangvutilert P, Sunsaneevithayakul P, Sutantawibul A, Chuchotirot M, Phattanachindakun B. et al. Minimizing cross transmission of SARS-CoV-2 in obstetric ultrasound during COVID-19 pandemic. J Perinat Med. 2020; 48 (09) 931-942
- 2 American College of Obstetricians and Gynecologists (ACOG). Novel Coronavirus 2019 (COVID-19): Practice Advisory [Internet]. 2020 [cited 2020 Nov 12]. Available from: https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/03/novel-coronavirus-2019
- 3 International Federation of Gynecology and Obstetrics (FIGO). Safe motherhood and COVID-19 [Internet]. 2020 [cited 2020 Nov 12]. Available from: https://www.figo.org/safe-motherhood-and-covid-19
- 4 Colégio Brasileiro de Radiologia e Diagnóstico por Imagem. Recomendações gerais de prevenção de infecção pelo COVID-19 para clínicas e serviços hospitalares de diagnóstico por imagem [Internet]. 2020 [cited 2020 Jul 25]. Available from: https://cbr.org.br/recomendacoes-gerais-de-prevencao-de-infeccao-pelo-covid-19-para-clinicas-e-servicos-hospitalaresde-diagnostico-por-imagem/
- 5 Poon LC, Abramowicz JS, Dall'Asta A, Sande R, Ter Haar G, Maršal K. et al. ISUOG Safety Committee Position Statement on safe performance of obstetric and gynecological scans and equipment cleaning in context of COVID-19. Ultrasound Obstet Gynecol. 2020; 55 (05) 709-772
- 6 Declaração do Consenso ISUOG sobre a organização de serviços de ultrassonografia obstétrica de rotina e especializados no contexto da COVID-19 [Internet]. 2020 [cited 2020 Nov 25]. Available from: https://www.isuog.org/uploads/assets/ab697155-d3fa-4818-abad79c3fecd8291/ISUOG-ConsensusStatementCOVID19Portuguese.pdf
- 7 Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Departamento de Ações Programáticas e Estratégicas. Manual de recomendações para a assistência à gestante e puérpera frente à pandemia de Covid-19 [Internet]. Brasília (DF): Ministério da Saúde; 2020. [cited 2020 Nov 25]. Available from: http://189.28.128.100/dab/docs/portaldab/documentos/corona/manual_recomendacoes_gestantes_covid19.pdf
- 8 Ministério da Saúde. Agência Nacional de Vigilância Sanitária. Nota técnica GVIMS/GGTES/Anvisa No. 07/2020. Orientações para prevenção e vigilância epidemiológica das infecções por SARS-CoV-2 (COVID-19) dentro dos serviços de saúde. (Complementar à nota técnica GVIMS/GGTES/ANVISA No. 04/2020) [Internet]. 2020 [cited 2020 Dec 5]. Available from: https://www20.anvisa.gov.br/segurancadopaciente/index.php/alertas/item/nota-tecnica-gvims-ggtes-anvisa-n-072020-atualizada-em-17-09-2020?category_id=244
- 9 Salomon LJ, Alfirevic Z, Bilardo CM, Chalouhi GE, Ghi T, Kagan KO. et al. ISUOG practice guidelines: performance of first-trimester fetal ultrasound scan. Ultrasound Obstet Gynecol. 2013; 41 (01) 102-113
- 10 Salomon LJ, Alfirevic Z, da Silva Costa F, Deter RL, Figueras F, Ghi T. et al. ISUOG Practice Guidelines: ultrasound assessment of fetal biometry and growth. Ultrasound Obstet Gynecol. 2019; 53 (06) 715-723
- 11 Sotiriadis A, Hernandez-Andrade E, da Silva Costa F, Ghi T, Glanc P, Khalil A. et al. ISUOG Practice Guidelines: role of ultrasound in screening for and follow-up of pre-eclampsia. Ultrasound Obstet Gynecol. 2019; 53 (01) 7-22
- 12 Bhide A, Acharya G, Bilardo CM, Brezinka C, Cafici D, Hernandez-Andrade E. et al. ISUOG practice guidelines: use of Doppler ultrasonography in obstetrics. Ultrasound Obstet Gynecol. 2013; 41 (02) 233-239
- 13 Khalil A, Rodgers M, Baschat A, Bhide A, Gratacos E, Hecher K. et al. ISUOG Practice Guidelines: role of ultrasound in twin pregnancy. Ultrasound Obstet Gynecol. 2016; 47 (02) 247-263
- 14 Organização Pan-Americana da Saúde, Ministério da Saúde, Federação Brasileira das Associações de Ginecologia e Obstetrícia, Sociedade Brasileira de Diabetes. Tratamento do diabetes mellitus gestacional no Brasil. Brasília (DF): OPAS; 2019
- 15 Royal College of Obstetricians and Gynaecologists. Guidance for antenatal screening and ultrasound in pregnancy in the evolving coronavirus (COVID-19) pandemic: information for healthcare professionals: Version 1.1 [Internet]. 2020 [cited 2020 Nov 22]. Available from: https://www.rcog.org.uk/globalassets/documents/guidelines/2020-07-10-guidance-for-antenatal-screening.pdf