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2020 ; 34
(4
): 613-618
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Anesthesia and protection in an emergency cesarean section for pregnant woman
infected with a novel coronavirus: case report and literature review
#MMPMID32430561
Du Y
; Wang L
; Wu G
; Lei X
; Li W
; Lv J
J Anesth
2020[Aug]; 34
(4
): 613-618
PMID32430561
show ga
An outbreak of novel coronavirus pneumonia occurred worldwide since December
2019, which had been named COVID-19 subsequently. It is extremely transmissive
that infection in pregnant women were unavoidable. The delivery process will
produce large amount of contaminated media, leaving a challenge for medical
personnel to ensure both the safety of the mother and infant and good
self-protection. Only rare cases of pregnant women with COVID-19 are available
for reference. Here, we report a 30-year-old woman had reverse transcription
polymerase chain reaction-confirmed COVID-19 at 36 weeks 2 days of gestation.
Significant low and high variability of fetal heart rate baseline and severe
variable decelerations were repeated after admission. An emergency cesarean
section at 37 weeks 1 day of gestation under combined spinal and epidural
anesthesia was performed with strict protection for all personnel. Anesthesia and
operation went uneventfully. None of the participants were infected. We can
conclude that when confronted with cesarean section in parturient with COVID-19,
careful planning and detailed preparation can improve the safety of the mother
and infant and reduce the risk of infection for medical staff to help preventing
and controlling the epidemic.