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Abstract
COVID-19 leads to cytokine storm, systemic inflammatory response and coagulopathy, which is one of the worst prognostic factors. Coagulopathy in COVID-19 is accompanied by a pronounced increase in the level of D-dimer and degradation products of fibrin / fibrinogen, while deviations of other indicators (prothrombin time, activated partial thromboplastin time, platelet count) are relatively rare at the onset of the disease. All pregnant women are offered a screening test for coagulation, including the determination of the level of D-dimer and fibrinogen. For coagulopathy associated with COVID-19, empiric anticoagulant therapy is required to prevent venous thrombosis and thromboembolism, as well as standard maintenance therapy for sepsis-induced coagulopathy or disseminated intravascular coagulation syndrome.
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Temporary guidelines: prevention, diagnosis and treatment of new coronavirus infection (COVID-19). The Ministry of Health of Russia. Version 13.1 (09.11.2021). 235 p. Russian (Временные методические рекомендации: профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19). Минздрав России. Версия 13.1 (09.11.2021). 235 с.)
Organization of medical care for pregnant women, women in labor, maternity hospitals and newborns with a new coronavirus infection COVID-19. Methodological recommendations. Version 4 (06/16/2021). Russian (Организация оказания медицинской помощи беременным, роженицам, родильницам и новорожденным при новой коронавирусной инфекции COVID-19. Методические рекомендации. Версия 4 (16.06.2021))
Wang SS, Zhou X, Lin XG, et al. Experience of Clinical Management for Pregnant Women and Newborns with Novel Coronavirus Pneumonia in Tongji Hospital, China. Curr Med Sci. 2020; 40(2): 285-289. DOI: 10.1007/s11596-020-2174-4
Breslin N, Baptiste C, Gyamfi-Bannerman C, et al. COVID-19 infection among asymptomatic and symptomatic pregnant women: Two weeks of confirmed presentations to an affiliated pair of New York City hospitals. Am J Obstet Gynecol MFM. 2020. DOI: 10.1016/j.ajogmf.2020.100118
Liu D, Li L, Wu Х, et al. Pregnancy and Perinatal Outcomes of Women With Coronavirus Disease (COVID-19) Pneumonia: A Preliminary Analysis. AJR Am J Roentgenol. 2020; 18: 1-6. DOI: 10.2214/AJR.20.23072
Westgren M, Pettersson K, Hagberg H, Acharya G. Severe maternal morbidity and mortality associated with COVID-19: The risk should not be down-played. Acta Obstet Gynecol Scand. 2020; May 9. DOI: 10.1111/aogs.13900
Collin J, Byström E, Carnahan A, Ahrne M. Pregnant and postpartum women with SARS-CoV-2 infection in intensive care in Sweden. Acta Obstet Gynecol Scand. 2020; May 9. DOI: 10.1111/aogs.13901
Hantoushzadeh S, Shamshirsaz AA, Aleyasin A, et al. Maternal Death Due to COVID-19 Disease. Am J Obstet Gynecol. 2020; Apr 28; pii: S0002-9378(20)30516-0. DOI: 10.1016/j.ajog.2020.04.030
Poon LC, Yang H, Lee JC, et al. ISUOG Interim Guidance on 2019 novel coronavirus infection during pregnancy and puerperium: information for healthcare professionals. Ultrasound Obstet Gynecol. 2020. DOI: 10.1002/uog.22013
Vallejo V, Ilagan JG. A Postpartum Death Due to Coronavirus Disease 2019 (COVID-19) in the United States. Obstet Gynecol. 2020; May 8. DOI: 10.1097/AOG.0000000000003950
Di Renzo GC, Makatsariya AD, Tsibizova VI, et al. Obstetric and perinatal care units functioning during the COVID-19 pandemic. Annals of the Russian academy of medical sciences. 2020; 75(1): 83-92. Russian (Ди Ренцо Д.К., Макацария А.Д., Цибизова В.И. и др. О принципах работы перинатального стационара в условиях пандемии коронавируса //Вестник РАМН. 2020; 75(1): 83-92. DOI: 10.15690/vramn1324)
Yang Z, Wang M, Zhu Z, Liu Y. Coronavirus disease 2019 (COVID-19) and pregnancy: a ic review. J Matern Fetal Neonatal Med. 2020; Apr 30: 1-4. DOI: 10.1080/14767058.2020.1759541
Pierce-Williams RAM, Burd J, Felder L, et al. Clinical course of severe and critical COVID-19 in hospitalized pregnancies: a US cohort study. Am J Obstet Gynecol MFM. 2020; May 8: 100134. DOI: 10.1016/j.ajogmf.2020.100134
Li J, Wang Y, Zeng Y, et al. Critically ill pregnant patient with COVID-19 and neonatal death within two hours of birth. Int J Gynaecol Obstet. 2020; May 5. DOI: 10.1002/ijgo.13189
Vallejo V, Ilagan JG. A Postpartum Death Due to Coronavirus Disease 2019 (COVID-19) in the United States. Obstet Gynecol. 2020; May 8. DOI: 10.1097/AOG.0000000000003950