FEATURES OF THE USE OF OBSTETRIC ANAESTHETIC SUPPORT FOR PREGNANT WOMEN WITH COVID-19

Abstract

Annotation: The available data on COVID-19 and pregnancy indicate that pregnancy and childbirth increase the likelihood of infection with the virus due to changes in the body, primarily in the respiratory and immune system organs. However, the association with the deterioration of the clinical picture in comparison with non-pregnant women of the same age group has not been proven. In this article (literature review), we analyzed data about how COVID-19 affects the course of pregnancy and examined the features of the application of anesthesia for patients undergoing cesarean section, based on international experience, due to the fact that pregnant women who develop pneumonia associated with COVID-19, have an increased risk of obstetric complications, premature birth, premature rupture of membranes, preeclampsia, cesarean section. Complications associated with a new coronavirus infection increase the need to receive anesthesia, which should be safe for the woman in labor, the fetus and medical personnel. Our knowledge of the epidemiology, pathogenesis, disease progression and clinical course of COVID-19 is constantly changing as more and more information becomes available. The research is based on articles on cases, case series, observational studies and randomized controlled trials describing women affected by coronavirus during pregnancy issued in 2019-2021. As a result of the study, it was concluded that in pregnant and maternity women with COVID-19, it is recommended to use conduction analgesia methods.