Anesthesia Consideration for a Pregnant with Positive COVID 19: A Narrative Review
Author(s): Ayman Albarrak, Mohammed Albattat, Ali Ibrahim Alshaqaqiq, Mohammed Al-Falah, Hussain Alshaqaqiq, Abdullah Alshakhs, Ahmed Al-Essa, Mustafa Alkathim, Muteb Alotaibi, Ali Alturaifi, Ali alsulaiman,
Pregnancy is not known to increase the susceptibility to contract the coronavirus disease (COVID-19) infection, but the visits for prenatal care, labor and postpartum care for women with testing positive for COVID 19 should be separated from other non-infected personal. Parturient should wear surgical masks. Mothers could transmit the virus to their newborns through airborne droplets when in close contact particularly during breastfeeding. Symptomatic mothers should keep at least six feet apart from the newborn to reduce the risk of virus transmission. Breastfeeding should only be allowed following mother recovery with special attention to frequent hands washing and breast hygiene-Team approach for the healthcare workers involved in labor wards should be planned in advance to minimize cross infection with COVID 19. Early epidural analgesia can reduce the need for general anesthesia if cesarean section is to be indicated, but recent coagulation studies are needed in particular platelets count. The timing of donning of the PEE used during labor can contradict with the need to urgently manage neonatal distress, this need to be staff wise organized.