Clinical management of coronavirus disease 2019 (COVID-19) in pregnancy: recommendations of WAPM-World Association of Perinatal Medicine

2020 ◽  
Vol 48 (9) ◽  
pp. 857-866
Author(s):  
Oluş Api ◽  
Cihat Sen ◽  
Marzena Debska ◽  
Gabriele Saccone ◽  
Francesco D’Antonio ◽  
...  
Keyword(s):  
Clinical Management ◽  
Clinical Care ◽  
Review Literature ◽  
Perinatal Medicine ◽  
World Association ◽  
The World ◽  
New Evidence ◽  
Quality Evidence ◽  
In Pregnancy

AbstractThese guidelines follow the mission of the World Association of Perinatal Medicine, which brings together groups and individuals throughout the world with the goal of improving outcomes of maternal, fetal and neonatal (perinatal) patients. Guidelines for auditing, evaluation, and clinical care in perinatal medicine enable physicians diagnose, treat and follow-up of COVID-19-exposed pregnant women. These guidelines are based on quality evidence in the peer review literature as well as the experience of perinatal expert throughout the world. Physicians are advised to apply these guidelines to the local realities which they face. We plan to update these guidelines as new evidence become available.

scholarly journals On the cutting edge: key findings on maternal and neonatal outcomes in women with COVID-19 in a study by the World Association of Perinatal Medicine

2021 ◽  
Vol 12 (2) ◽  
pp. 5-11
Author(s):  
D. Di Mascio ◽  
F. D'Antonio ◽  
G. Rizzo
Keyword(s):  
Adverse Events ◽  
Pregnant Women ◽  
Virus Disease ◽  
Invasive Mechanical Ventilation ◽  
First Trimester ◽  
Fetal Outcome ◽  
Perinatal Medicine ◽  
World Association ◽  
The World ◽  
In Pregnancy

The World Association of Perinatal Medicine (WAPM) study on the COrona VIrus Disease 2019 (COVID-19) was an international, retrospective cohort study that included pregnant women tested positive with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection between February and April 2020. The study involved 73 centers from 22 countries. The WAPM study included 388 singletons, viable pregnancies, positive to SARS-CoV-2 at real-time reverse-transcriptase-polymerase-chain-reaction nasal and pharyngeal swab. The majority of the included women were symptomatic. The occurrence of maternal adverse events was significantly higher in symptomatic, compared with asymptomatic pregnant women. Women carrying high-risk pregnancies (either preexisting chronic medical conditions in pregnancy or obstetrical disorders occurring in pregnancy) were at a higher risk of hospital admission, presence of severe respiratory symptoms, admission to the intensive care unit, and invasive mechanical ventilation. As per maternal outcomes, the occurrence of fetal and neonatal adverse events was significantly higher in symptomatic, compared with asymptomatic pregnant women. The incidence of a composite adverse fetal outcome was significantly higher when the infection occurred in the first trimester, and in fetuses with lower birthweight.

scholarly journals Delivery mode for the extremely premature fetus: a statement of the prematurity working group of the World Association of Perinatal Medicine

2009 ◽  
Vol 37 (6) ◽  
Author(s):  
Daniel W. Skupski ◽  
Anne Greenough ◽  
Stephen M. Donn ◽  
Birgit Arabin ◽  
Eduardo Bancalari ◽  
...  
Keyword(s):  
Working Group ◽  
Delivery Mode ◽  
Perinatal Medicine ◽  
World Association ◽  
The World

Management and Early Outcomes of Neonates Born to Women with SARS-CoV-2 in 16 U.S. Hospitals

2021 ◽  
Author(s):  
Jayme L. Congdon ◽  
Laura R. Kair ◽  
Valerie J. Flaherman ◽  
Kelly E. Wood ◽  
Mary Ann LoFrumento ◽  
...  
Keyword(s):  
Clinical Management ◽  
Neonatal Intensive Care ◽  
Clinical Care ◽  
Case Series ◽  
Neonatal Outcomes ◽  
Term Neonates ◽  
Key Points ◽  
Inpatient Management ◽  
Novel Coronavirus

Objective There is a paucity of evidence to guide the clinical care of late preterm and term neonates born to women with perinatal severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The objective of this case series is to describe early neonatal outcomes and inpatient management in U.S. hospitals. Study Design We solicited cases of mother–infant dyads affected by novel coronavirus disease 2019 (COVID-19) from the Better Outcomes through Research for Newborns (BORN) Network members. Using a structured case template, participating sites contributed deidentified, retrospective birth hospitalization data for neonates ≥35 weeks of gestation at birth with mothers who tested positive for SARS-CoV-2 before delivery. We describe demographic and clinical characteristics, clinical management, and neonatal outcomes. Results Sixteen U.S. hospitals contributed 70 cases. Birth hospitalizations were uncomplicated for 66 (94%) neonates in which 4 (6%) required admission to a neonatal intensive care unit. None required evaluation or treatment for infection, and all who were tested for SARS-CoV-2 were negative (n = 57). Half of the dyads were colocated (n = 34) and 40% directly breastfed (n = 28). Outpatient follow-up data were available for 13 neonates, all of whom remained asymptomatic. Conclusion In this multisite case series of 70 neonates born to women with SARS-CoV-2 infection, clinical outcomes were overall good, and there were no documented neonatal SARS-CoV-2 infections. Clinical management was largely inconsistent with contemporaneous U.S. COVID-19 guidelines for nursery care, suggesting concerns about the acceptability and feasibility of those recommendations. Longitudinal studies are urgently needed to assess the benefits and harms of current practices to inform evidence-based clinical care and aid shared decision-making. Key Points

WAPM-World Association of Perinatal Medicine practice guidelines: fetal central nervous system examination

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Valentina De Robertis ◽  
Cihat Sen ◽  
Ilan Timor-Tritsch ◽  
Rabih Chaoui ◽  
Paolo Volpe ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Practice Guidelines ◽  
Standard Of Care ◽  
Ultrasound Scan ◽  
Perinatal Medicine ◽  
Legal Standard ◽  
World Association ◽  
The World ◽  
Ultrasound Assessment

Abstract These practice guidelines follow the mission of the World Association of Perinatal Medicine in collaboration with the Perinatal Medicine Foundation, bringing together groups and individuals throughout the world, with the goal of improving the ultrasound assessment of the fetal Central Nervous System (CNS) anatomy. In fact, this document provides further guidance for healthcare practitioners for the evaluation of the fetal CNS during the mid-trimester ultrasound scan with the aim to increase the ability in evaluating normal fetal anatomy. Therefore, it is not intended to establish a legal standard of care. This document is based on consensus among perinatal experts throughout the world, and serves as a guideline for use in clinical practice.

Is intrauterine surgery justified? Report from the working group on ultrasound in obstetrics of the World Association of Perinatal Medicine (WAPM)

2016 ◽  
Vol 44 (7) ◽  
Author(s):  
Renato Augusto Moreira de Sá ◽  
Paulo Roberto Nassar de Carvalho ◽  
Asim Kurjak ◽  
Abdallah Adra ◽  
Aliyu Labaran Dayyabu ◽  
...  
Keyword(s):  
Working Group ◽  
Fetal Surgery ◽  
Perinatal Medicine ◽  
World Association ◽  
The World ◽  
Intrauterine Surgery ◽  
Ethical Approaches

AbstractFetal surgery involves a large number of heterogeneous interventions that vary from simple and settled procedures to very sophisticated or still-in-development approaches. The overarching goal of fetal interventions is clear: to improve the health of children by intervening before birth to correct or treat prenatally diagnosed abnormalities. This article provides an overview of fetal interventions, ethical approaches in fetal surgery, and benefits obtained from antenatal surgeries.

scholarly journals WAPM-World Association of Perinatal Medicine practice guidelines: fetal central nervous system examination

2021 ◽  
Vol 29 ◽  
Author(s):  
Valentina De Robertis ◽  
Cihat Şen ◽  
Ilan Timor-Tritsch ◽  
Rabih Chaoui ◽  
Paolo Volpe ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Practice Guidelines ◽  
Standard Of Care ◽  
Ultrasound Scan ◽  
Perinatal Medicine ◽  
Legal Standard ◽  
World Association ◽  
The World ◽  
Ultrasound Assessment

These practice guidelines follow the mission of the World Association of Perinatal Medicine (WAPM) in collaboration with the Perinatal Medicine Foundation, bringing together groups and individuals throughout the world, with the goal of improving the ultrasound assessment of the fetal central nervous system (CNS) anatomy. In fact, this document provides further guidance for healthcare practitioners for the evaluation of the fetal CNS during the mid-trimester ultrasound scan with the aim to increase the ability in evaluating normal fetal anatomy. Therefore, it is not intended to establish a legal standard of care. This document is based on consensus among perinatal experts throughout the world, and serves as a guideline for use in clinical practice.

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