[Obstetric anaesthesia during the COVID-19 pandemic].
Identifieur interne : 000134 ( Main/Exploration ); précédent : 000133; suivant : 000135[Obstetric anaesthesia during the COVID-19 pandemic].
Auteurs : Nithiya Ung [France] ; Marie Pierre Bonnet [France]Source :
- Le praticien en anesthesie reanimation [ 1279-7960 ] ; 2020.
Abstract
Pregnant women and parturients have also been concerned by the COVID-19 pandemic. However, they are not especially at risk for severe forms of the disease prone to induce prematurity but without transmission to the fœtus. Obstetrical management of parturients have changed with an extensive use of teleconsultation and a limitation of relatives in the delivery room and in the ward. The choice of the mode of delivery remains determined by obstetrical reasons, and use of regional anaesthesia remains recommended for labour and caesarean section provided there is not haemostasis disorders. The pandemic issue has not change management of fever and hypertension. The post-partum period is more impacted due to an increased risk of thromboembolic events justifying an extended use of anticoagulants. On the other hand, the use of non-steroidal anti-inflammatory drugs is restricted. The key point was cooperation between obstetricians, anaesthesiologists, intensivists and pediatrician.
DOI: 10.1016/j.pratan.2020.07.005
PubMed: 32837210
PubMed Central: PMC7351395
Affiliations:
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xml:lang="fr">France</country><wicri:regionArea>DMU DREAM, service d'anesthésie réanimation, hôpital Armand-Trousseau, Sorbonne université, AP-HP, 26, avenue du Dr Arnold-Netter, 75012 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:affiliation>Inserm, INRA, Center of Research in Epidemiology and statistics/CRESS/Obstetrical Pediatric and perinatal epidemiology Research Team (EPOPé), université de Paris, 75004 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Inserm, INRA, Center of Research in Epidemiology and statistics/CRESS/Obstetrical Pediatric and perinatal epidemiology Research Team (EPOPé), université de Paris, 75004 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">Le praticien en anesthesie reanimation</title><idno type="ISSN">1279-7960</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Pregnant women and parturients have also been concerned by the COVID-19 pandemic. However, they are not especially at risk for severe forms of the disease prone to induce prematurity but without transmission to the fœtus. Obstetrical management of parturients have changed with an extensive use of teleconsultation and a limitation of relatives in the delivery room and in the ward. The choice of the mode of delivery remains determined by obstetrical reasons, and use of regional anaesthesia remains recommended for labour and caesarean section provided there is not haemostasis disorders. The pandemic issue has not change management of fever and hypertension. The post-partum period is more impacted due to an increased risk of thromboembolic events justifying an extended use of anticoagulants. On the other hand, the use of non-steroidal anti-inflammatory drugs is restricted. The key point was cooperation between obstetricians, anaesthesiologists, intensivists and pediatrician.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32837210</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1279-7960</ISSN><JournalIssue CitedMedium="Print"><Volume>24</Volume><Issue>4</Issue><PubDate><Year>2020</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Le praticien en anesthesie reanimation</Title><ISOAbbreviation>Prat Anesth Reanim</ISOAbbreviation></Journal><ArticleTitle>[Obstetric anaesthesia during the COVID-19 pandemic].</ArticleTitle><Pagination><MedlinePgn>196-201</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.pratan.2020.07.005</ELocationID><Abstract><AbstractText>Pregnant women and parturients have also been concerned by the COVID-19 pandemic. However, they are not especially at risk for severe forms of the disease prone to induce prematurity but without transmission to the fœtus. Obstetrical management of parturients have changed with an extensive use of teleconsultation and a limitation of relatives in the delivery room and in the ward. The choice of the mode of delivery remains determined by obstetrical reasons, and use of regional anaesthesia remains recommended for labour and caesarean section provided there is not haemostasis disorders. The pandemic issue has not change management of fever and hypertension. The post-partum period is more impacted due to an increased risk of thromboembolic events justifying an extended use of anticoagulants. On the other hand, the use of non-steroidal anti-inflammatory drugs is restricted. The key point was cooperation between obstetricians, anaesthesiologists, intensivists and pediatrician.</AbstractText><CopyrightInformation>© 2020 Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ung</LastName><ForeName>Nithiya</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>DMU DREAM, service d'anesthésie réanimation, hôpital Armand-Trousseau, Sorbonne université, AP-HP, 26, avenue du Dr Arnold-Netter, 75012 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bonnet</LastName><ForeName>Marie Pierre</ForeName><Initials>MP</Initials><AffiliationInfo><Affiliation>DMU DREAM, service d'anesthésie réanimation, hôpital Armand-Trousseau, Sorbonne université, AP-HP, 26, avenue du Dr Arnold-Netter, 75012 Paris, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Inserm, INRA, Center of Research in Epidemiology and statistics/CRESS/Obstetrical Pediatric and perinatal epidemiology Research Team (EPOPé), université de Paris, 75004 Paris, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><VernacularTitle>Anesthésie de la femme enceinte dans le contexte de la pandémie de COVID-19.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Prat Anesth Reanim</MedlineTA><NlmUniqueID>101141506</NlmUniqueID><ISSNLinking>1279-7960</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anticoagulation</Keyword><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Obstetrical anaesthesia</Keyword><Keyword MajorTopicYN="N">Pregnancy</Keyword><Keyword MajorTopicYN="N">Regional anaesthesia</Keyword><Keyword MajorTopicYN="N">SARS-CoV-2</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32837210</ArticleId><ArticleId IdType="doi">10.1016/j.pratan.2020.07.005</ArticleId><ArticleId IdType="pii">S1279-7960(20)30092-9</ArticleId><ArticleId IdType="pmc">PMC7351395</ArticleId></ArticleIdList><pmc-dir>pmcsd</pmc-dir>
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