COVID-19 Clinical Guidelines–Women's Health

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The Canadian Society of Breast Imaging (CSBI) and the Canadian Association of Radiology (CAR) guidelines for breast imaging during the COVID-19 pandemic

Date: 2020 Apr 2
Developer: Canadian Association of Radiology (CAR)/Canadian Society of Breast Imaging (CSBI)

Guideline Focus
Breast imaging during the COVID-19 pandemic

Patient Population
Patients requiring breast imaging during the COVID-19 pandemic

Major Interventions

Personal protective equipment (PPE) for patients and staff
Role of offsite radiologist review and necessary equipment
Postponement of low priority imaging
Performance of high priority imaging for patients with and without concern for COVID-19

Coronavirus (COVID-19) infection and abortion care: information for healthcare professionals. Version 3.1

Date: 2020 Jul 31
Developer: Royal College of Obstetricians and Gynaecologists (RCOG)/ Royal College of Midwives (RCM)/Faculty of Sexual and Reproductive Healthcare (FSRH)/British Society of Abortion Care Providers (BSACP)

Guideline Focus
Abortion care management during the COVID-19 pandemic

Patient Population
Female adolescent and adult patients needing abortion care

Major Interventions

Modifications to usual care, including use of teleconferencing
Indications for pre-abortion ultrasound and laboratory testing, including COVID-19 testing
Modifications to care for patients with COVID-19
Remote consent and safeguarding practices
Care collaboration and staffing issues

Coronavirus (COVID-19) infection in pregnancy: information for healthcare professionals. Version 12.0

Date: 2020 Oct 14
Developer: Royal College of Obstetricians and Gynaecologists (RCOG)

Guideline Focus
COVID-19 infection in pregnancy

Patient Population
Pregnant female patients

Major Interventions

Patient education, infection prevention, effects of COVID-19 on pregnant women and fetuses, and factors that increase risk for hospital admission
Antenatal and intrapartum care, including possible modifications, considerations for water birth, and importance of influenza vaccination
Management of suspected or known COVID-19 before or during hospitalization, including venous thromboembolism (VTE) prophylaxis
Use of personal protective equipment (PPE), birth partner recommendations, and infection control for labor and cesarean delivery
Management of moderate or severe COVID-19, and considerations for bereavement care
Postnatal management, including neonatal care and infant feeding, and vertical transmission considerations

COVID-19 position statement: maternal critical care provision. Version 1

Date: 2020 May 19
Developer: Scottish Intercollegiate Guidelines Network (SIGN)

Guideline Focus
Management of obstetric-related critical care admissions and sicker obstetric patients during COVID-19 pandemic

Patient Population
Patients who are pregnant during COVID-19 pandemic, including those who are critically ill

Major Interventions

Routine antenatal care and planning for delivery
Management considerations for patients with respiratory symptoms, including assessment algorithm
Criteria for referral to critical care and modifications to management
Educational considerations for staff caring for pregnant patients with COVID-19
Midwifery management during delivery
Anticoagulation, respiratory support, and other delivery considerations
Postnatal contraception and iron supplementation

Fetal interventions in the setting of COVID-19 pandemic: statement from the North American Fetal Therapy Network (NAFTNet)

Date: 2020 Aug
Developer: North American Fetal Therapy Network (NAFTNet)

Guideline Focus
Fetal interventions during the COVID-19 pandemic

Patient Population
Patients undergoing fetal interventions during the COVID-19 pandemic

Major Interventions

Informed consent and preoperative COVID-19 testing
Risk mitigation for anesthesia and procedures
Use of personal protective equipment (PPE), staffing considerations, and equipment cleaning
Alterations to scheduling, research protocols, staffing, and patient travel

Guidance for rationalising early pregnancy services in the evolving coronavirus (COVID-19) pandemic: information for healthcare professionals. Version 1.2

Date: 2020 May 15
Developer: Royal College of Obstetricians and Gynaecologists (RCOG)

Guideline Focus
Management of early pregnancy services during the COVID-19 pandemic

Patient Population
Female adolescent and adult patients requiring early pregnancy services

Major Interventions

Patient screening and triage
Staffing management and coordination
Management of miscarriage, ectopic pregnancy, and pregnancy of unknown viability or location
Considerations for anti-D, RhD status assessment, and nausea/vomiting management

International Society for Gynecologic Endoscopy (ISGE) guidelines and recommendations on gynecological endoscopy during the evolutionary phases of the SARS-CoV-2 pandemic

Date: 2020 Oct
Developer: International Society for Gynecologic Endoscopy (ISGE)

Guideline Focus
Gynecologic endoscopy during the COVID-19 pandemic

Patient Population
Patients requiring gynecologic endoscopy during the COVID-19 pandemic

Major Interventions

Considerations for modifications to elective surgery timing based on COVID-19 community prevalence
Modifications to usual care for patients needing urgent surgery
Approach to care for patients who are COVID-19 positive, including personal protective equipment (PPE), and anesthesia and surgical technique considerations
Considerations for post-operative care and ongoing practice changes after the COVID-19 pandemic

ISUOG interim guidance on coronavirus disease 2019 (COVID-19) during pregnancy and puerperium: information for healthcare professionals - an update

Date: 2020 Jun
Developer: International Society of Ultrasound in Obstetrics and Gynecology (ISUOG)

Guideline Focus
COVID-19 infection during pregnancy and puerperium

Patient Population
Female pregnant and postpartum patients with COVID-19

Major Interventions

Isolation measures and use of personal protective equipment (PPE) by health care workers
Considerations for multidisciplinary teams, management, and treatment
Use of chest imaging in management
Timing and mode of delivery, and anesthesia considerations
Guidance on vertical transmission
Considerations surrounding breastfeeding and mother-infant separation
Considerations for performing ultrasounds, including equipment disinfection

Joint RCOG, BSGE and BGCS guidance for the management of abnormal uterine bleeding in the evolving Coronavirus (COVID-19) pandemic

Date: 2020 May 18
Developer: Royal College of Obstetricians and Gynaecologists (RCOG)/ British Society for Gynaecological Endoscopy (BSGE)/British Gynaecological Cancer Society (BGCS)

Guideline Focus
Management of abnormal uterine bleeding during the COVID-19 pandemic

Patient Population
Female adult patients with abnormal uterine bleeding

Major Interventions

Remote evaluation and management of heavy menstrual bleeding, and indications for urgent and nonurgent in-person evaluation
Indications for in-person evaluation of intermenstrual bleeding
Remote and in-person evaluation of postmenopausal bleeding, including approach to work-up and modifications to care for patients with COVID-19
Remote evaluation of post coital bleeding and indications for referral for in-person management

Perinatal-neonatal management of COVID-19 infection - guidelines of the Federation of Obstetric and Gynaecological Societies of India (FOGSI), National Neonatology Forum of India (NNF), and Indian Academy of Pediatrics (IAP)

Date: 2020 Jun 15
Developer: Federation of Obstetric and Gynaecological Societies of India (FOGSI)/National Neonatology Forum of India (NNF)/Indian Academy of Pediatrics (IAP)

Guideline Focus
Perinatal-neonatal management of COVID-19 infection

Patient Population
Maternal and neonatal patients during the COVID-19 pandemic

Major Interventions

Testing and isolation indications for pregnant patients and neonates, including rooming-in considerations
Modifications to usual labor and delivery care for pregnant patients with COVID-19
Precautions for exposed or symptomatic neonates, including feeding policies
Use of personal protective equipment (PPE), disinfection techniques, and waste disposal protocols
Policy considerations, including visitation, discharge, occupational health, immunization, and establishment of COVID facilities

Post-natal follow-up for women and neonates during the COVID-19 pandemic: French National Authority for Health recommendations

Date: 2020 Sep
Developer: French National Authority for Health (HAS)

Guideline Focus
Post-natal follow-up for women and neonates during the COVID-19 pandemic

Patient Population
Post-partum women and neonates during the COVID-19 pandemic

Major Interventions

Vertical transmission, breastfeeding considerations, and precautions with maternal COVID-19
Timing of discharge and first outpatient newborn visit
Modifications to follow-up visits, including remote consultation and maintenance of psychological support
Monitoring and follow-up for jaundice