CHAPTER 17

COVID-19 INFECTION IN PREGNANCY

INTRODUCTION

• The disease commonly spreads by transmitting droplets, lung secretions, and direct touch.
• Fortunately, most cases (80%) present as moderate sickness and asymptomatic infection. Around 20% of cases, usually affecting patients with comorbidities, display severe signs of the disease, such as pneumonia or other consequences, requiring hospitalization.

ETIOPATHOGENESIS

CLINICAL FEATURES OF COVID-19

CLASSIFICATION OF COVID-19 ILLNESS SEVERITY IN PREGNANCY

EFFECT OF COVID-19 ON PREGNANCY

MANAGEMENT OF ANTENATAL (PRENATAL) CARE FOR COVID-19 PREGNANCY

COVID-19-positive women

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Practice home isolation in a well-ventilated room and maintain respiratory and hand cleanliness. Utilize a triple-layer medical mask and dispose off it after a duration of 8 hours

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Maintain a lateral posture for rest, ensure proper hydration, maintain a balanced diet, and perform warm water gargles

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Regular monitoring of body temperature, heart rate, and blood oxygen saturation every 4 hours using a thermometer and pulse oximeter

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The recommended symptomatic treatment for fever, running nose, and cough is to take a tablet of paracetamol 650 mg three to four times daily

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Admit to hospital if high risk (uncontrolled hypertension, diabetes, chronic kidney disease, chronic pulmonary disease or malignancy or danger signs during home isolation such as <95% O2 saturation, respiratory rate >30 breaths/min, or fever >39°C)

POSTNATAL (POSTPARTUM) CARE

Nursing Management

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