Management of Suspected and Confirmed Cases
The management of suspected and confirmed cases can be evaluated in Table 4. These strategies have been formulated using the guidelines proposed by CDC and principles suggested by Rasmussen et al.36
Among other recommendations to deal with confirmed cases are:
  1. Kalafat et al: The authors commenced the treatment of their patient with azithromycin, hydroxychloroquine and oseltamivir as per Turkish national COVID-19 treatment guidelines. Favipiravir and steroids were added to her treatment regimen later37.
  2. Mullins et al. recommends that the decision regarding the mode of delivery should be an obstetric indication and not on presumed protection of the infant16.
  3. Li N et al. recommend the use of regional anesthesia because it is known to be safer for both mother and fetus than general anesthesia. The authors also recommended to limit the aerosols generated during the procedure. It’s also recommended to ensure that the patient has donned adequate facial mask to protect her from nosocomial infection3.
  4. Wang S et al: Treated the mother with 40 μg of recombinant human interferon α1b-atomized inhalation with 2 mL of sterilization injection water twice daily and ganciclovir (0.25 g every 12 hours, intravenously). They also added Abipenem (0.3 g every 12 hours, intravenously) and moxifloxacin (0.4 g once daily, intravenously) to the treatment regime. The child was treated with methylprednisolone (40 mg once daily, intravenously) 5.