Clinical care of pregnant and postpartum women with COVID-19: Living recommendations from the National COVID-19 Clinical Evidence Taskforce

Joshua P Vogel; Britta Tendal; Michelle Giles; Clare Whitehead; Wendy Burton; Samantha Chakraborty; Saskia Cheyne; Teena Downton; David Fraile Navarro; Glenda Gleeson; Adrienne Gordon; Jenny Hunt; Jackie Kitschke; Steven McDonald; Nolan McDonnell; Philippa Middleton; Tanya Millard; Melissa Murano; Jeremy Oats; Rhiannon Tate; Heath White; Julian Elliott; Vijay Roach; Caroline S E Homer; National COVID-19 Clinical Evidence Taskforce

doi:10.1111/ajo.13270

Clinical care of pregnant and postpartum women with COVID-19: Living recommendations from the National COVID-19 Clinical Evidence Taskforce

Aust N Z J Obstet Gynaecol. 2020 Dec;60(6):840-851. doi: 10.1111/ajo.13270. Epub 2020 Oct 29.

Authors

Joshua P Vogel^{1

2}, Britta Tendal², Michelle Giles^{3

4

5

6

7}, Clare Whitehead^{5

8}, Wendy Burton⁹, Samantha Chakraborty¹⁰, Saskia Cheyne¹¹, Teena Downton¹², David Fraile Navarro¹³, Glenda Gleeson¹⁴, Adrienne Gordon^{15

16

17}, Jenny Hunt¹⁸, Jackie Kitschke¹⁹, Steven McDonald², Nolan McDonnell²⁰, Philippa Middleton^{21

22}, Tanya Millard², Melissa Murano², Jeremy Oats²³, Rhiannon Tate², Heath White², Julian Elliott^{2

3}, Vijay Roach²⁴, Caroline S E Homer^{1

25}; National COVID-19 Clinical Evidence Taskforce

Collaborators

National COVID-19 Clinical Evidence Taskforce:
Sharon McGowan, Nicola Ballenden, Terri-Lee Barrett, Vanessa Beavis, James Beckford Saunders, Tanya Buchanan, Marina Buchanan-Grey, Dawn Casey, Marita Cowie, Joseph Doyle, Mark Frydenberg, Danijela Gnjidic, Sally Green, Rohan Greenland, Ken Griffin, Stephan Groombridge, Louise Hardy, Alison Hodak, Anthony Holley, Vase Jovanovska, Sabina Knight, Kristin Michaels, Peter Morley, Julia Morphet, Suzi Nou, Phillip Russo, Megan Sarson, Alan Young, Sarah Norris, Bronwyn Morris-Donovan, Sharon Gurry, Eloise Hudson, Shauna Hurley, Declan Primmer, Samantha Timms, Susan Whicker, Sutapa Mukherjee, Jason Agostino, Karen Booth, Lucy Burr, Lyn Byers, Peter Cameron, Megan Cooper, Allen Cheng, Peter Fowler, Mark Frydenberg, Alan Glanville, Karin Leder, Steve McGloughlin, Brendan McMullan, Ewen McPhee, Brett Mitchell, Mark Morgan, Paul Myles, Chris O'Donnell, Michael Parr, Jane Phillips, Rebecca Randall, Wayne Varndell, Ian Whyte, Leeroy William, Rebecca Randall, Richard Brightwell, Lynda Condon, Amrita Deshpande, Adam Ehm, Monica Ferrie, Joanne Muller, Lara Pullin, Elizabeth Robinson, Adele Witt, Sarah Larkins, Mark Morgan, Georgina Taylor, Jason Agostino, Paul Burgess, Penny Burns, Lyn Byers, Kirsty Douglas, Ben Ewald, Dan Ewald, Dianna Fornasier, Sabina Knight, Carmel Nelson, Louis Peachey, David Peiris, Mieke Driel, Lucie Walters, Ineke Weaver, Lucy Burr, Simon Hendel, Kiran Shekar, Bronwyn Avard, Kelly Cairns, Allan Glanville, Nicky Gilroy, Paul Myles, Robert O'Sullivan, Owen Robinson, Chantal Sharland, Sally McCarthy, Peter Wark, Steve McGoughlin, Priya Nair, Carol Hodgson, Melissa Ankravs, Craig French, Kim Hansen, Sue Huckson, Jon Iredell, Carrie Janerka, Rose Jaspers, Ed Litton, Stephen Macdonald, Sandra Peake, Ian Seppelt, Asha Bowen, Brendan McMullan, David Tingay, Nan Vasilunas, Lorraine Anderson, James Best, Penny Burns, Simon Craig, Simon Erickson, Nick Fancourt, Zoy Goff, Vimbai Kapuya, Catherine Keyte, Lorelle Malyon, Danielle Wurzel, Meera Agar, Richard Lindley, Natasha Smallwood, Mandy Callary, Michael Chapman, Philip Good, Peter Jenkin, Deidre Morgan, Vasi Naganathan, Velandai Srikanth, Penny Tuffin, Elizabeth Whiting, Leeroy William, Patsy Yates, Bridget Barber, Jane Davies, Josh Davis, Dan Ewald, Amanda Gwee, Karin Leder, Gail Matthews, James McMahon, Trisha Peel, Chris Raftery, Megan Rees, Jason Roberts, Ian Seppelt, Tom Snelling, Brad Wibrow, Ross Baker, Jennifer Curnow, Briony Cutts, Anoop Enjeti, Andrew Forbes, Prahlad Ho, Adam Holyoak, Helen Liley, James McFadyen, Zoe McQuilten, Eileen Merriman, Helen Savoia, Chee Wee Tan, Huyen Tran, Chris Ward, Katrina Williams, Neil Ballard, Samantha Bendall, Neel Bhanderi, Lyn Byers, Simon Craig, Dan Ellis, Dan Ewald, Craig Fairley, Brett Hoggard, Minh Le Cong, Peter Morley, Priya Nair, Andrew Pearce, Tari Turner, Henriette Callesen, Sue Campbell, Jenny Ring, Agnes Wilson, David Henry, Sallie Pearson, Douglas Boyle, Kendal Chidwick, Wendy Chapman, Craig French, Chris Pearce, Tom Snelling, Lisa Bero, Quinn Grundy, Joel Lexchin, Barbara Mintzes

Affiliations

¹ Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia.
² Cochrane Australia, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
³ Alfred Hospital, Melbourne, Victoria, Australia.
⁴ Monash Health, Melbourne, Victoria, Australia.
⁵ Royal Women's Hospital, Melbourne, Victoria, Australia.
⁶ Sunshine Hospital, Melbourne, Victoria, Australia.
⁷ Department of Obstetrics and Gynaecology, Monash University, Melbourne, Victoria, Australia.
⁸ Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia.
⁹ Morningside General Practice Clinic, Brisbane, Queensland, Australia.
¹⁰ Department of General Practice, School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.
¹¹ NHMRC Clinical Trials Centre, University of Sydney, Sydney, New South Wales, Australia.
¹² Australian College of Rural and Remote Medicine, Brisbane, Queensland, Australia.
¹³ Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
¹⁴ Central Australia Primary and Public Health - Midwifery and Women's Health, Alice Springs, Northern Territory, Australia.
¹⁵ RPA Newborn Care, Sydney Local Health District, Discipline of Obstetrics, Gynaecology and Neonatology, Central Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
¹⁶ Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia.
¹⁷ Sydney Institute for Women, Children and their Families, Sydney Local Health District, Sydney, New South Wales, Australia.
¹⁸ Victorian Aboriginal Health Service, Melbourne, Victoria, Australia.
¹⁹ Australian College of Midwives representative, Midwifery Group Practice, Women's and Children's Hospital, Adelaide, South Australia, Australia.
²⁰ Faculty of Health and Medical Sciences, Obstetrics and Gynaecology, University of Western Australia, Perth, Western Australia, Australia.
²¹ SAHMRI, Women and Children's Hospital, Adelaide, South Australia, Australia.
²² Faculty of Medical and Health Sciences, The University of Adelaide, Adelaide, South Australia, Australia.
²³ Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
²⁴ North Shore Private Hospital, Sydney, New South Wales, Australia.
²⁵ Centre for Midwifery, Child and Family Health in the Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia.

Abstract

To date, 18 living recommendations for the clinical care of pregnant and postpartum women with COVID-19 have been issued by the National COVID-19 Clinical Evidence Taskforce. This includes recommendations on mode of birth, delayed umbilical cord clamping, skin-to-skin contact, breastfeeding, rooming-in, antenatal corticosteroids, angiotensin-converting enzyme inhibitors, disease-modifying treatments (including dexamethasone, remdesivir and hydroxychloroquine), venous thromboembolism prophylaxis and advanced respiratory support interventions (prone positioning and extracorporeal membrane oxygenation). Through continuous evidence surveillance, these living recommendations are updated in near real-time to ensure clinicians in Australia have reliable, evidence-based guidelines for clinical decision-making. Please visit https://covid19evidence.net.au/ for the latest recommendation updates.

Keywords: Australia; COVID-19; guidelines; perinatal care; pregnancy.

© 2020 The Authors. Australian and New Zealand Journal of Obstetrics and Gynaecology published by John Wiley & Sons Australia, Ltd on behalf of Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

Publication types

Practice Guideline
Research Support, Non-U.S. Gov't

MeSH terms

Australia
COVID-19 / therapy*
Female
Humans
Postpartum Period*
Pregnancy
Pregnancy Complications, Infectious / therapy*
Prenatal Care / methods*
SARS-CoV-2

Abstract

Publication types

MeSH terms

Grants and funding