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Guidelines for Pregnancy Management During the COVID-19 Pandemic: A Public Health Conundrum

Pregnant women seem to be at risk for developing complications from COVID-19. Given the limited knowledge about the impact of COVID-19 on pregnancy, management guidelines are fundamental. Our aim was to examine the obstetrics guidelines released from December 2019 to April 2020 to compare their reco...

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Autores principales: Benski, Caroline, Di Filippo, Daria, Taraschi, Gianmarco, Reich, Michael R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7664946/
https://www.ncbi.nlm.nih.gov/pubmed/33182412
http://dx.doi.org/10.3390/ijerph17218277
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author Benski, Caroline
Di Filippo, Daria
Taraschi, Gianmarco
Reich, Michael R.
author_facet Benski, Caroline
Di Filippo, Daria
Taraschi, Gianmarco
Reich, Michael R.
author_sort Benski, Caroline
collection PubMed
description Pregnant women seem to be at risk for developing complications from COVID-19. Given the limited knowledge about the impact of COVID-19 on pregnancy, management guidelines are fundamental. Our aim was to examine the obstetrics guidelines released from December 2019 to April 2020 to compare their recommendations and to assess how useful they could be to maternal health workers. We reviewed 11 guidelines on obstetrics management, assessing four domains: (1) timeliness: the time between the declaration of pandemics by WHO and a guideline release and update; (2) accessibility: the readiness to access a guideline by searching it on a common browser; (3) completeness: the amount of foundational topics covered; and (4) consistency: the agreement among different guidelines. In terms of timeliness, the Royal College of Obstetricians and Gynaecologists (RCOG) was the first organization to release their recommendation. Only four guidelines were accessible with one click, while only 6/11 guidelines covered more than 80% of the 30 foundational topics we identified. For consistency, the study highlights the existence of 10 points of conflict among the recommendations. The present research revealed a lack of uniformity and consistency, resulting in potentially challenging decisions for healthcare providers.
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spelling pubmed-76649462020-11-14 Guidelines for Pregnancy Management During the COVID-19 Pandemic: A Public Health Conundrum Benski, Caroline Di Filippo, Daria Taraschi, Gianmarco Reich, Michael R. Int J Environ Res Public Health Review Pregnant women seem to be at risk for developing complications from COVID-19. Given the limited knowledge about the impact of COVID-19 on pregnancy, management guidelines are fundamental. Our aim was to examine the obstetrics guidelines released from December 2019 to April 2020 to compare their recommendations and to assess how useful they could be to maternal health workers. We reviewed 11 guidelines on obstetrics management, assessing four domains: (1) timeliness: the time between the declaration of pandemics by WHO and a guideline release and update; (2) accessibility: the readiness to access a guideline by searching it on a common browser; (3) completeness: the amount of foundational topics covered; and (4) consistency: the agreement among different guidelines. In terms of timeliness, the Royal College of Obstetricians and Gynaecologists (RCOG) was the first organization to release their recommendation. Only four guidelines were accessible with one click, while only 6/11 guidelines covered more than 80% of the 30 foundational topics we identified. For consistency, the study highlights the existence of 10 points of conflict among the recommendations. The present research revealed a lack of uniformity and consistency, resulting in potentially challenging decisions for healthcare providers. MDPI 2020-11-09 2020-11 /pmc/articles/PMC7664946/ /pubmed/33182412 http://dx.doi.org/10.3390/ijerph17218277 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Benski, Caroline
Di Filippo, Daria
Taraschi, Gianmarco
Reich, Michael R.
Guidelines for Pregnancy Management During the COVID-19 Pandemic: A Public Health Conundrum
title Guidelines for Pregnancy Management During the COVID-19 Pandemic: A Public Health Conundrum
title_full Guidelines for Pregnancy Management During the COVID-19 Pandemic: A Public Health Conundrum
title_fullStr Guidelines for Pregnancy Management During the COVID-19 Pandemic: A Public Health Conundrum
title_full_unstemmed Guidelines for Pregnancy Management During the COVID-19 Pandemic: A Public Health Conundrum
title_short Guidelines for Pregnancy Management During the COVID-19 Pandemic: A Public Health Conundrum
title_sort guidelines for pregnancy management during the covid-19 pandemic: a public health conundrum
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7664946/
https://www.ncbi.nlm.nih.gov/pubmed/33182412
http://dx.doi.org/10.3390/ijerph17218277
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