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 2.0
Date: 2020 Nov 25
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