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COVID 19 and obstetrics: anaesthetic challenges, co-morbid conditions and critical care

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Review Article

Author Details : Savita Choudhary, Sunanda Gupta, Arvind Kumar Yadav*

Volume : 8, Issue : 4, Year : 2021

Article Page : 36-44

https://doi.org/10.18231/j.ijca.2021.102

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Abstract

The WHO has declared severe acute respiratory syndrome corona virus-2 (SARS-CoV-2) as a pandemic; it affected approximately 44.5million people since its first breakout in December 2019. COVID-19 can present with wide spectrum of clinical manifestations which range from mild illness with myalgia only to acute respiratory distress syndrome with or without multi-organ dysfunction syndrome necessitating the advance critical care and life support. Pregnant women presenting to emergency department needs to be triaged based on imminent risk factors for maternal and fetal compromise, present haemodynamic status of mother with consideration of gestational age. Pregnant women with comorbid conditions require multidisciplinary team approach for better pregnancy outcomes, resource management and minimizing the risk infection to health care providers. This review emphasizes on management of labour, pregnancy outcomes, co-morbidities and complex critical situations associated with COVID-19 infected pregnant women. Development of safe medical practices and infection prevention protocols with involvement of multidisciplinary team including anaesthesiologist, obstetrician, neonatologist, critical care specialist, infectious disease experts and nursing staff for the perioperative management; is required to optimize the patient outcome and mitigate the infection risk to health personnel and their families.
 

Keywords: COVID­ 19, Obstetrics anaesthesia, Critical care, Comorbidities.

How to cite : Choudhary S, Gupta S, Yadav A K, COVID 19 and obstetrics: anaesthetic challenges, co-morbid conditions and critical care. Indian J Clin Anaesth 2021;8(Special Issue):36-44

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