Cesarean Delivery in Patient under Investigation for COVID-19: A Case Report
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Published:
Jul 31, 2020
Keywords:
COVID-19, cesarean delivery, pregnancy
Main Article Content
Abstract
The novel coronavirus disease 2019 (COVID-19) is
rapidly spreading across the world. The clinical data in
COVID-19 parturient remains limited. This article aims to
share clinical experience in perioperative management of
41 year old patient under investigation (PUI) for COVID-19
underwent emergency cesarean section. Cesarean
delivery was operated in a designated operating theater.
Some difficulties occurred during performing spinal
anesthesia due to layers of clothing and gloves (personal
protective equipment, PPE), however the operation and
the anesthesia were uneventful. The result of COVID-19
RNA viral test was subsequently negative. The anesthesia
management for cesarean section during COVID-19
outbreak has been discussed.
Article Details
Section
Case reports
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2. Rasmussen SA, Jamieson DJ, Bresee JS. Pandemic influenza
and pregnant women. Emerg Infect Dis 2008;14:95-100.
3. Jamieson DJ, Honein MA, Rasmussen SA, et al. H1N1 2009
influenza virus infection during pregnancy in the USA. Lancet
2009;374:451-8.
4. Li N, Han L, Peng M, et al. Maternal and neonatal outcomes
of pregnant women with COVID-19 pneumonia: a case-control
study. Clinical Infectious Diseases 2020. doi: 10.1093/cid/
ciaa352.
5. Breslin N, Baptiste C, Gyamfi-Bannerman C, et al. COVID-19
infection among asymptomatic and symptomatic pregnant
women: two weeks of confirmed presentations to an affiliated
pair of New York City hospitals. Am J Obstet Gynecol MFM
2020 Apr 9. DOI: 10.1016/j.ajogmf.2020.100118
6. Sutton D, Fuchs K, D’Alton M, Goffman D. Universal screening
for SARS-CoV-2 in women admitted for delivery. N Engl J
Med 2020 Apr 13. DOI: 10.1056/NEJMc2009316
7. Favre G, Pomar L, Qi X, Nielsen-Saines K, Musso D, Baud D. Guidelines
for pregnant women with suspected SARS-CoV-2 infection.
Lancet Infect Dis 2020 Mar 3. DOI:https://doi.org/10.
1016/S1473-3099(20)30157-2
8. Rasmussen SA, Smulian JC, Lednicky JA, Wen TS, Jamieson
DJ. Coronavirus disease 2019 (COVID-19) and pregnancy:
what obstetricians need to know. Am J Obstet Gynecol 2020;
222:415-26.
9. Boelig RC, Manuck TA, Oliver EA, et al. Labor and delivery
guidance for COVID-19. Am J Obstet Gynecol MFM 2020
Mar 25. DOI: 10.1016/j.ajogmf.2020.100110
10. Bauer M, Bernstein K, Dinges E, et al. Obstetric anesthesia
during the COVID-19 pandemic. Anesth Analg 2020 Apr 6.
DOI: 10.1213/ANE.0000000000004856
11. Chen X, Liu Y, Gong Y, et al. Perioperative management of
patients infected with the novel coronavirus: recommendation
from the Joint Task Force of the Chinese Society of
Anesthesiology and the Chinese Association of
Anesthesiologists. Anesthesiology 2020;132:1307-16.
12. Zhong Q, Liu YY, Luo Q, et al. Spinal anaesthesia for patients
with coronavirus disease 2019 and possible transmission
rates in anaesthetists: retrospective, single-centre,
observational cohort study. BJA 2020;124:670-5.
13. Guan W-j, Ni Z-y, Hu Y, et al. Clinical Characteristics of
Coronavirus disease 2019 in China. N Engl J Med 2020;382:
1708-20.
14. Lippi G, Plebani M, Henry BM. Thrombocytopenia is associated
with severe coronavirus disease 2019 (COVID-19) infections:
A meta-analysis. Clinica Chimica Acta 2020;506:145-8.
15. Uppal V, Sondekoppam RV, Landau R, El-Boghdadly K,
Narouze S, Kalagara HKP. Neuraxial anaesthesia and
peripheral nerve blocks during the COVID-19 pandemic: a
literature review and practice recommendations. Anaesthesia
2020 Apr 28. DOI: 10.1111/anae.15105
16. Breslin N, Baptiste C, Miller R, et al. COVID-19 in pregnancy:
early lessons. Am J Obstet Gynecol MFM 2020 Mar 27. doi.
org/10.1016/j.ajogmf.2020.100111
17. Chen R, Zhang Y, Huang L, et al. Safety and efficacy of different
anesthetic regimens for parturients with COVID-19
undergoing Cesarean delivery: a case series of 17 patients.
Can J Anaesth 2020;67:655-63.
18. Zucco L, Levy N, Ketchandji D, Aziz M, Ramachandran SK.
Perioperative considerations for the 2019 Novel Coronavirus
(COVID-19). Anesthesia Patient Safety Foundation [Internet].
2020 [cited 2020 May 10]. Available from; https://www.apsf.
org/news-updates/perioperative-considerations-for-the-
2019-novel-coronavirus-covid-19.