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COVID-19 in Pregnancy- A comprehensive summary of current guidelines
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  • Kavita NarangOrcid,
  • Eniola Ibirogba,
  • Amro Elrefaei,
  • Ayssa Teles Abrao Trad,
  • Regan Theiler,
  • Olivier Picone,
  • Mark Kilby,
  • Ramon EscurietOrcid,
  • Anna Suy,
  • Elena Carreras,
  • Gabriele TonnieOrcid,
  • Rodrigo Ruano
Kavita Narang
Orcid
Mayo Clinic
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Eniola Ibirogba
Mayo Clinic
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Amro Elrefaei
Mayo Clinic
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Ayssa Teles Abrao Trad
Mayo Clinic
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Regan Theiler
Mayo Clinic
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Olivier Picone
Hôpital Louis-Mourier
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Mark Kilby
Birmingham university
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Ramon Escuriet
Orcid
CatSalut
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Anna Suy
Hospital Universitari Vall d'Hebron
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Elena Carreras
Hospital Universitari Vall d'Hebron
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Gabriele Tonnie
Orcid
Emilia-Romagna Region
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Rodrigo Ruano
Mayo Clinic
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Abstract

Background: Since the declaration of the global pandemic of COVID-19 by the World Health Organization on March 11, 2020; we have continued to see a steady rise in the numbers of people infected by SARS-CoV-2. However, there is still very limited data on the course and outcomes of this serious infection in a vulnerable population of pregnant patients and their fetuses. International perinatal societies and institutions including SMFM, ACOG, RCOG, ISUOG, CDC, CNGOF, ISS/SIEOG and CatSalut have released guidelines for the care of these patients. Objectives: We aim to summarize these current guidelines in a comprehensive review for patients, healthcare workers and healthcare institutions. Search Strategy: A literature search was performed through PubMed, and direct review of professional society’s website and journal publications. A total of 15 papers were identified from 10 societies and reviewed by two authors who were in agreement. Selection Criteria: The most updated guideline including information on antepartum, intrapartum and postpartum care put forth by each society was included. Data Collection and Analysis: Data specific to antepartum, intrapartum, and postpartum were abstracted from the publications and summarized into tables 2, 3 and 4 respectively. Main Results: The summary of guidelines for management of COVID-19 in pregnancy across different perinatal societies is consistent, with some variation in the strength of recommendations. Conclusions: It is important to recognize that these guidelines are frequently updated, as we continue to learn more about the course and impact of COVID-19 in pregnancy. The references to access all these guidelines are provided.