Society guideline links: COVID-19 – Obstetric and neonatal health care

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: COVID-19 – Index of guideline topics".)

General guidelines on COVID-19 and pregnancy

●International

•International Federation of Gynecology and Obstetrics (FIGO): Statement on COVID-19 early pregnancy guidance (2020)

•FIGO: Statement on non-communicable diseases and COVID-19 (2020)

•International Society of Ultrasound in Obstetrics and Gynecology (ISUOG): Consensus statement on organization of routine and specialist obstetric ultrasound services in context of COVID-19 (2020)

•ISUOG: Consensus statement on rationalization of early-pregnancy care and provision of ultrasonography in context of SARS-CoV-2 (2020)

•ISUOG: Interim guidance on coronavirus disease 2019 (COVID-19) during pregnancy and puerperium – Information for healthcare professionals, update (2020)

•ISUOG: Position statement on safe performance of obstetric and gynecological scans and equipment cleaning in context of COVID-19 (2020)

•ISUOG: Position statement on use of personal protective equipment and hazard mitigation in relation to SARS-CoV-2 for practitioners undertaking obstetric and gynecological ultrasound (2020)

•North American Fetal Therapy Network (NAFTNet): Statement on fetal interventions in the setting of the coronavirus disease 2019 pandemic (2020)

●Canada

•Society of Obstetricians and Gynaecologists of Canada (SOGC): Committee opinion on COVID-19 and pregnancy (2020, reaffirmed 2021)

•SOGC: Prenatal screening update during the COVID-19 pandemic (2020, reaffirmed 2021)

•Diabetes Canada and SOGC: Joint consensus statement on the temporary alternative screening strategy for gestational diabetes screening during the COVID-19 pandemic, urgent update (2020)

•Maternal-Child University Network (MCUN) with Quebec Maternal-Fetal Medicine Group (GMFMQ): Guidelines for the management of the pregnant woman with COVID-19 admitted to the intensive care unit (ICU) (2020)

•SOGC: Corticosteroids in COVID-19 (2020)

●United States

•National Institutes of Health (NIH): COVID-19 treatment guidelines – Special considerations in pregnancy (2020, updated 2022)

•Society for Maternal-Fetal Medicine (SMFM): COVID-19 outpatient treatment for pregnant patients (2022)

•SMFM: COVID-19 and pregnancy – What maternal-fetal medicine subspecialists need to know (2020, updated 2022)

•Centers for Disease Control and Prevention (CDC): Considerations for inpatient obstetric healthcare settings (2021)

•SMFM: Management considerations for pregnant patients with COVID-19 (2021)

•SMFM: Practical guidance for treating pregnant persons with COVID-19 in resource-limited settings – Early lessons from the US epidemic (2020)

●United Kingdom

•Royal College of Obstetricians and Gynaecologists (RCOG), Royal College of Midwives (RCM), Royal College of Paediatrics and Child Health (RCPCH), Public Health England (PHE), and Public Health Scotland (PHS): Coronavirus (COVID-19) infection in pregnancy – Information for healthcare professionals (2022)

•RCOG, RCM, UK Teratology Information Service (UKTIS), MacDonald Obstetric Medicine Society (MOMS): Treatment of COVID-19 in pregnant patients (2022)

•British HIV Association (BHIVA): Statement on management of a pregnant woman living with HIV and infant testing during coronavirus (COVID-19) (2021)

•National Health Service (NHS) Scotland: COVID-19 clinical advice – Maternity care (2021)

•Scottish Intercollegiate Guidelines Network (SIGN): COVID-19 position statement – Maternal critical care provision (2020)

•The Faculty of Intensive Care Medicine (FICM), Intensive Care Society (ICS), Association of Anaesthetists, and Royal College of Anaesthetists (RCOA): Updated advice regarding PPE to be worn when managing pregnant women with known or suspected COVID-19 (2020)

●India

•Government of India Ministry of Health & Family Welfare (MHFW): Guidelines on operationalization of maternal health services during Covid-19 pandemic (2021)

•Federation of Obstetric and Gynaecological Societies of India (FOGSI), National Neonatology Forum of India (NNF), and Indian Academy of Pediatrics (IAP): Guidelines for perinatal-neonatal management of COVID-19 infection (2020)

•MHFW: Guidance note on provision of reproductive, maternal, newborn, child, adolescent health plus nutrition (RMNCAH+N) services during & post COVID-19 pandemic (2020)

•Indian Council of Medical Research (ICMR)–National Institute for Research in Reproductive Health (NIRRH): Guidance for management of pregnant women in COVID-19 pandemic (2020)

●Australia–New Zealand

•National COVID-19 Clinical Evidence Taskforce: Living guidelines on caring for people with COVID-19 – Pregnancy and perinatal care (2022)

•New South Wales (NSW) Health: Guidance for maternity services (2022)

•Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG): Coronavirus disease (COVID-19) in pregnancy – A guide for resource-limited environments (2020)

●Japan

•[In Japanese] Japan Society for Infectious Diseases in Obstetrics and Gynecology (JSIDOG): Response to new coronavirus infection (COVID-19) – Focusing on perinatal medical care, 6th edition (2021)

•[In Japanese] JSIDOG: About the new coronavirus infection (COVID-19) – For those who are pregnant or wish to become pregnant, 12th edition (2020)

Labor and delivery

●International

•International Federation of Gynecology and Obstetrics (FIGO): Statement on safe motherhood and COVID-19, update (2021)

•International Confederation of Midwives (ICM): Women's rights in childbirth must be upheld during the coronavirus pandemic (2020)

●Canada

•Canadian Paediatric Society (CPS): Practice point on delivery room considerations for infants born to mothers with suspected or confirmed COVID-19 (2020, updated 2021)

•Society of Obstetricians and Gynaecologists of Canada (SOGC), College of Family Physicians of Canada (CFPC), National Aboriginal Council of Midwives (NACM), Canadian Association of Perinatal and Women's Health Nurses (CAPWHN), and Canadian Association of Midwives (CAM): Joint statement on the issue of support persons in labour in Canada (2020)

●United States

•Society for Maternal-Fetal Medicine (SMFM) and Society for Obstetric Anesthesia and Perinatology (SOAP): Labor and delivery COVID-19 considerations (2020)

Evaluation and care of neonates

●Canada

•Canadian Paediatric Society (CPS): Practice point on NICU care for infants born to mothers with suspected or confirmed COVID-19 (2020, updated 2021)

•Canadian Association of Perinatal and Women's Health Nurses (CAPWHN): COVID-19 – Suggestions for the care of the perinatal population (2020)

●United States

•American Academy of Pediatrics (AAP): Management of infants born to mothers with suspected or confirmed COVID-19 (2020, updated 2022)

•AAP: Guidance on newborn screening during COVID-19 (2020)

●Australia–New Zealand

•New South Wales (NSW) Health: Guidance for neonatal services (2022)

•NSW Health: Critical care management of neonatal patients (2021)

Breastfeeding

●International

•World Health Organization (WHO): Breastfeeding and COVID-19 – Scientific brief (2020)

●Canada

•Canadian Paediatric Society (CPS): Practice point on breastfeeding and COVID-19 (2020, updated 2021)

●United States

•American Academy of Pediatrics (AAP): Post-hospital discharge guidance for breastfeeding parents or newborn infants with suspected or confirmed SARS-CoV-2 infection (2022)

•American Academy of Family Physicians (AAFP): Considerations for pregnancy, breastfeeding, and COVID-19 (2020, updated 2021)

•Centers for Disease Control and Prevention (CDC): Care for breastfeeding people – Interim guidance on breastfeeding and breast milk feeds in the context of COVID-19 (2021)

●Australia–New Zealand

•New South Wales (NSW) Health: Guidance on infant feeding (2022)

Vaccination

●International

•International Federation of Gynecology and Obstetrics (FIGO): Statement on COVID-19 vaccination for pregnant and breastfeeding women (2021)

•International Society of Infectious Diseases in Obstetrics and Gynecology (ISIDOG): Consensus guidelines on COVID-19 vaccination for women before, during and after pregnancy (2021)

•World Health Organization (WHO): Interim recommendations on COVID-19 vaccination of pregnant and lactating women, update (2021)

•Academy of Breastfeeding Medicine (ABM): Statement on considerations for COVID-19 vaccination in lactation (2020)

●Canada

•Society of Obstetricians and Gynaecologists of Canada (SOGC): Statement on COVID-19 vaccination in pregnancy (2020, revised and reaffirmed 2022)

•Canadian Association of Emergency Physicians (CAEP): Statement on COVID-19 vaccinations and pregnant and breastfeeding women (2020)

●United States

•American College of Obstetricians and Gynecologists (ACOG): Practice advisory on COVID-19 vaccination considerations for obstetric–gynecologic care (2020, updated 2022)

•Centers for Disease Control and Prevention (CDC): COVID-19 vaccines while pregnant or breastfeeding (2022)

•Society for Maternal-Fetal Medicine (SMFM): Provider considerations for engaging in COVID-19 vaccine counseling with pregnant and lactating patients (2020, updated 2022)

•SMFM: SARS-CoV-2 bivalent vaccination in pregnancy (2022)

•SMFM: Statement on SARS-CoV-2 vaccination in pregnancy (2020)

●Europe

•European Board & College of Obstetrics and Gynaecology (EBCOG): Position statement on COVID-19 vaccination for pregnant and breastfeeding women (2021)

●United Kingdom

•National Health Service (NHS) England: Guidance on pregnancy and COVID-19 vaccination (2021, updated 2022)

•Joint Committee on Vaccination and Immunisation (JCVI): Advice on priority groups for COVID-19 vaccination (2020)

●India

•Government of India Ministry of Health & Family Welfare (MHFW): Operational guidance for COVID-19 vaccination of pregnant women (2021)

●Australia–New Zealand

•Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG): COVID-19 vaccination when pregnant or breastfeeding and for those planning pregnancy (2022)

●Japan

•[In Japanese] Japan Society for Infectious Diseases in Obstetrics and Gynecology (JSIDOG): To expectant and nursing mothers – About the new coronavirus (messenger RNA) vaccine, 2nd report (2021)

•[In Japanese] JSIDOG: For pregnant women considering COVID-19 vaccination and those who wish to become pregnant, 2nd edition (2021)

Resources for patients — The following links provide resources about COVID-19 for non-clinicians. These resources come from select society and government-sponsored guidelines from several countries and regions around the world.

●[International] International Society of Ultrasound in Obstetrics and Gynecology (ISUOG): Patient information – COVID-19 and pregnancy

●[International] World Health Organization (WHO): Coronavirus disease (COVID-19) – Breastfeeding

●[International] WHO: Coronavirus disease (COVID-19) – Pregnancy, childbirth and the postnatal period

●[United States] American College of Obstetricians and Gynecologists (ACOG): COVID-19, pregnancy, childbirth, and breastfeeding – Answers from Ob-Gyns

●[United States] Centers for Disease Control and Prevention (CDC): Breastfeeding and caring for newborns if you have COVID-19

●[United States] CDC: Pregnant and recently pregnant people at increased risk for severe illness from COVID-19

●[United States] Society for Maternal-Fetal Medicine (SMFM): Information for pregnant people & families

●[United Kingdom] National Health Service (NHS) Scotland: Coronavirus (COVID-19) – Pregnancy and newborn babies

●[United Kingdom] Royal College of Obstetricians and Gynaecologists (RCOG): Coronavirus (COVID-19), infection and pregnancy FAQs

●[Australia–New Zealand] New South Wales (NSW) Health: COVID-19 advice for pregnant women and new parents

●[Australia–New Zealand] Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG): Coronavirus (COVID-19) information hub

●[Japan] Japan Society for Infectious Diseases in Obstetrics and Gynecology (JSIDOG): About the new coronavirus infection (COVID-19) for those who are pregnant or wish to become pregnant, 13th edition

UpToDate also offers "The Basics" patient education pieces, which are written by the doctors and editors at UpToDate. These are written in plain language, at the 5^th to 6^th grade reading level, and answer the main questions a person is likely to have. (See "Patient education: COVID-19 overview (The Basics)" and "Patient education: COVID-19 and children (The Basics)" and "Patient education: COVID-19 and pregnancy (The Basics)" and "Patient education: COVID-19 vaccines (The Basics)".)