Considerations and Recommendations for Obstetric Anesthesia Care During COVID-19 Pandemic - Saudi Anesthesia Society Guidelines

1 Department of Anesthesia and Critical Care, King Abdulaziz University, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
2 Department of Anesthesiology, Obstetric Anesthesiology, King Abdulaziz Medical City, National Guard, Saudi Arabia
3 Department of Anesthesiology, Pain Management, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia
4 Department of Anesthesia and Critical Care Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia

Correspondence Address:
Omar Alyamani,
Department of Anesthesia and Critical Care, Ground Floor, King Abdulaziz University Hospital, Faculty of Medicine, King Abdulaziz University, P.O. Box 80215, Jeddah - 21589 Jeddah
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sja.SJA_310_20

Introduction: Severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) emerged in Wuhan, China late 2019 and became a pandemic causing coronavirus disease 2019 (COVID-19). Despite its lower mortality rate compared to the other coronaviruses, it has a higher human-to-human transmission rate. Anesthesiologists may benefit from a review of the current evidence related to the obstetric patient with COVID-19. Methods: We reviewed the literature for relevant articles as well as experts' opinions from related medical societies' websites. Conclusion: There are several anesthetic considerations in the care of pregnant women with COVID-19 due to their unique physiological changes. We provide considerations and recommendations for departmental and institutional leadership as well as the obstetric anesthesia providers. These recommendations may apply and can be edited, for future droplet or airborne based pandemics. The rapidly evolving literature makes it important to get updates directly from the relevant medical societies' websites.

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