Learning zone: COVID-19 in Pregnancy. Elizabeth Fontaine

Topic of the month Date
COVID-19 in Pregnancy
February 2021
Relevant recent publications
  • Coronavirus Disease 2019 (COVID-19) and pregnancy: what obstetricians need to know. 
     American Journal of Obstetrics & Gynaecology
  • SARS-CoV-2 infection in pregnancy: A systematic review and meta-analysis of clinical features and pregnancy outcomes.
     The Lancet
  • The effect of COVID-19 on general anaesthesia rates for caesarean section. A cross-sectional analysis of six hospitals in the north-west of England. 
  • Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: national population based cohort study.
     The BMJ
  • COVID-19: Considerations for obstetric anesthesia and analgesia. 
     Journal of Obstetric Anaesthesia and Critical Care
  • Obstetric Anesthesia and COVID 19 times.
     Current opinion in Anesthesiology
  • Obstetric Anesthesia During the Coronavirus Disease 2019 Pandemic.
     Anesthesia & Analgesia
  • Anesthesia Consideration for a Pregnant with Positive COVID 19: A Narrative Review.
     Anesthesia and Critical Care
  • Anesthesia and protection in an emergency caesarean section for pregnant woman infected with a novel coronavirus: case report and literature review.
     Journal of Anesthesia
OAA webcast (in last 4 years)
    OAA posters (in last 4 years)
      National guidelines National Guidelines

      Royal College of Obstetrics and Gynaecologists

      RCOA/ AAGBI/ ICS/ FICM Joint Guidance

      Public Health England

      International Guidelines

      World Federation of Societies of Anesthesiologists

      American Society of Regional Anesthesia and Pain Medicine
         Clinical Guidelines
         OAA Guidelines
        Shared Guidelines from other Trusts
        Audit / Qu suggestions
        There is currently no specific ‘Audit Recipe’ for COVID-19 in Pregnancy.

        Topics that might be applicable/ adaptable:

        7.5 Airway and intubation problems during obstetric general anaesthesia
        7.9 Timely anaesthetic involvement in the care of high-risk and critically ill women

        Other QI/ Audit Suggestions:
        Rate of GA section in your department pre- and post- COVID
        Time taken to perform Cat 1 GA Section pre- and post-COVID
        Intubation technique and checklist for COVID positive patients or unknown COVID status on Delivery Suite.
        Management/ experiences of pregnant anaesthetic trainees during the COVID-19 pandemic in your region.
        Knowledge of donning and doffing procedures on Delivery Suite
        Appropriate PPE use/ awareness on Labour Ward/ Delivery Suite
          FRCA questions Jan 2021 - No FRCA questions on COVID-19 in Pregnancy to date
          Simulation suggestion

          Information for expectant
          parents and midwives’

          labourpains.com logo

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