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

Return to the ECRI COVID-19 Resource Center