アブストラクト
| Title | 産科領域のCOVID-19 |
|---|---|
| Subtitle | 第1回WEBセミナー |
| Authors | 日向俊輔* |
| Authors (kana) | |
| Organization | *北里大学病院周産母子成育医療センター産科麻酔部門 |
| Journal | 分娩と麻酔 |
| Volume | |
| Number | 103 |
| Page | 62-69 |
| Year/Month | 2021 / 11 |
| Article | 報告 |
| Publisher | 日本産科麻酔学会 |
| Abstract | 「緒言」2019年12月に中国武漢市で蔓延した新型コロナウイルス感染症(coronavirus disease 2019;COVID-19)は中国のみならず全世界に拡大し, 2021年4月時点で全世界での感染者数が1億4千万人を超えた. このパンデミックの中, 妊婦や新生児への感染例も増加し, 周産期領域における知見も徐々に蓄積されてきた. 本稿ではCOVID-19感染の妊婦での特徴, 分娩様式や胎児への影響, 妊娠中のmessenger RNA(mRNA)ワクチン接種の影響, 今後も続くCOVID-19時代の産科麻酔について, 現存するエビデンスを基に展望を述べる. なお, 本稿は2020年12月〜2021年1月に開催された日本産科麻酔学会第1回ウェブセミナーの要約であるが, COVID-19の知見は日々刷新されているため, 2021年4月現在までの知見に基づく内容にアップデートした. したがって上記セミナーの講演内容とは異なる点も多い. |
| Practice | 臨床医学：一般 |
| Keywords |
- 全文ダウンロード： 従量制、基本料金制の方共に770円(税込) です。
参考文献
- 1) Wiersinga WJ, Rhodes A, Cheng AC, et al. Pathophysiology, Transmission, Diagnosis, and Treatment of Coronavirus Disease 2019 (COVID-19): A Review. JAMA 2020;324:782-93.
- 2) Delahoy M, Whitaker M, Halloran A, et al. Characteristics and Maternal and Birth Outcomes of Hospitalized Pregnant Women with Laboratory-Confirmed COVID-19-COVID-NET, 13 States, March l-August 22, 2020. MMWR Morb Mortal Wkly Rep 2020;69:1347-54.
- 3) 奥冨俊之, 加藤里絵, 天野完. 緊急産科手術の麻酔に備える(第2版). 東京:克誠堂出版, 2019.
- 4) Wong S, Chow KM, Leung TN, et al. Pregnancy and perinatal outcomes of women with severe acute respiratory syndrome. Am J Obstet Gynecol 2004;191:292-7.
- 5) 日本産婦人科学会. 新型コロナウイルス感染症(COVID-J9)関連情報妊産婦の皆様へ. http://www.jsog.or.jp/uploads/files/news/20200407_COVID19.pdf
残りの38件を表示する
- 6) 日本産婦人科医会. 「新型コロナウイルス感染症(COVID-19)についての実態調査」の結果について. 調査結果の概要と本調査からの提言. https://www.jaog.or.jp/wp/wp-content/uploads/2020/09/study202009_summary.pdf
- 7) Allotey J, Stallings E, Bonet M, et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis. BMJ 2020;370:m3320.
- 8) Zanbrano LD, Ellington S, Sridet P, et al. Update: Characteristics of Symptomatic Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status-United States, January 22-October 3. 2020. MMWR Morb Mortal Wkly Rep 2020;69:1641-7.
- 9) Woodworth KR, Olsen EO, Neelamet V, et al. Birth and Infant Outcomes Following Laboratory-Confirmed SARS-CoV-2 Infection in Pregnancy-SET-NET, 16 Jurisdictions, March 29-October 14, 2020. MMWR Morb Mortal Wkly Rep 2020;69:1635-40.
- 10) Vivanti A, Vauloup-Fellous C, Prevot S, et al. Transplacental transmission of SARS-CoV-2 infection. Nat Commun 2020;11:3572.
- 11) Shanes ED, Mithal LB, Otero S, et al. Placental Pathology in COVID-19. American journal of clinical pathology. 2020;154:23-32.
- 12) Ernst LM. Maternal vascular malperfusion of the placental bed. APMIS 2018;126:551-60.
- 13) Kotlvar A, Grechukhina O, Chcn A, et al. Vertical transmission of coronavirus disease 2019: a systematic review and meta-analysis. Am J Obstet Gynecol 2021;224:35-53, e3.
- 14) Vivanti A, Vauloup-Fellous C, Prevot S, et al. Transplacental transmission of SARS-CoV-2 infection. Nat Commun 2020;11:3572.
- 15) 日本小児科学会, 新生児委員会報告, 新型コロナウイルス感染(疑い)の妊婦から出生した新生児の診療・管理体制に関する調査(要約), http://www.jpeds.or.jp/uploads/files/20210322_shinseiji_covid19_hokoku.pdf
- 16) Gross R, Conzelmann C, Muller J, et al. Detection of SARS-CoV-2 in human brcastmilk. Lancet 2020;395:1757-8.
- 17) Khalil A, Dadelszen P, Draycott T, et al. Change in the Incidence of Stillbirth and Preterm Delivery During the COVID-19 Pandemic. JAMA 2020;324:705-6.
- 18) 日本産婦人科感染症学会. 新型コロナウイルス感染症(COVID-19)への対応について 医療者向けガイドライン 第5版(医療者向け). http://jsidog.kenkyuukai.jp/images/sys/information/20200903101531-C4Al94F30B5A775296238BgC0D16F93F826E5DC74886AA3260F7D7508631DAB8.pdf
- 19) Martinez-Perez O, Vouga M, Melguizo SC, et al. Association Between Mode of Delivery Among Pregnant Women With COVID-19 and Maternal and Neonatal Outcomes in Spain. JAMA 2020;324:296-9.
- 20) Katz D, Bateman BT, Kjaer K, et al. The Society for Obstetric Anesthesia and Perinatology Coronavirus Disease 2019 Registry: An Analysis of Outcomes Among Pregnant Women Delivering During the Initial Severe Acute Respiratory Syndrome Coronavirus-2 Outbreak in the United States. Anesth Analg 2021;133:462-73.
- 21) Bamber JH, Lueas DN COVID-19 and access to labour epidural analgesia in UK hospitals. Anaesthesia 2020;75 :1119-20.
- 22) Bauer M, Bernstein K, Dinges E, et al. Obstetric Anesthesia During the COVID-19 Pandemic. Anesth Analg 2020;131:7-15.
- 23) Moutchia J, Pokharel P, Kerri A, et al. Clinical laboratory parameters associated with severe or critical novel coronavirus disease 2019 (COVID-19): A systematic review and meta-analysis. PLoS One 2020;15:e0239802.
- 24) Shi Y, Wang Y, Shao C, et al. COVID-19 infection: the perspectives on immune rcsponses. Cell Death Differ 2020;27:1451-4.
- 25) Han H, Yang L, Liu R, et al. Prominent changes in blood coagulation of patients with SARS-CoV-2 infection. Clin Chem Lab Med 2020;58:1116-20.
- 26) Thachil J, Tang N Gando S, et al. ISTH interim guidance on recognition and management of coagulopathy in COVID-19. J Thromb Haemost 2020;18:1023-6
- 27) 日本産婦人科医会・日本・母体救命システム普及協議会監. 産科の感染防御ガイド:新型コロナウイルス感染症に備える指針. 東京:メディカ出版 2020.
- 28) Society for Obstetric Anesthesia and Perinatelogy(SOAP), Interim Considerations for Obstetric Anesthesia Care related to COVID19. https://soap.org/wp-content/uploads/2020/05/SOAP_COVID-19_Obstetric_Anesthesia_Care_052220.pdf
- 29) Obstetric Anaesthetists' Association(OAA), OAA Covid-19 Resources. https://www.oaaanaes.ac.uk/OAA_COVID19_Resources
- 30) Lippi G, Plebani M, Henry BM. Thrombocytopenia is associated with severe coronavirus disease 2019(COVID-19) infections: A meta-analysis. Clinica chimica acta; international journal of clinical chemistry. 2020;506:145-8.
- 31) Liu Y, Sun W, Guo Y, et al. Association between platelet parameters and mortality in coronavirus disease 2019: Retrospective cohort study. Platelets 2020;31:490-6.
- 32) Bauer ME, Chiware R, Pancaro C. Neuraxial procedures in COVID-19 positive parturients: a review of current reports. Anesth analg. 2020;131:e22-4.
- 33) Chen R, Zhang Y, Huang L, et al. Safety and efficacy of different anesthetic regimens for parturients with COVID-19 undergoing Cesarean delivery: a case series of 17 patients. Can J Anaesth 2020;67:655-63.
- 34) Zhong Q, Liu YY, Luo Q, et al. Spinal anaesthesia for patients with coronavirus disease 2019 and possible transmission rates in anaesthetists: retrospective, single-centre, observational cohort study. Br J Anaesth 2020;124:670-5.
- 35) Mochizuki J, Nakamura M, Iwahata S, et al. First report in Japan of a delivery of a woman with the 2019 novel coronavirus disease. J Obstet Gynaecol Res 2021;47:407-10.
- 36) Wang M, Schapero M, Iverson R, et al. Obstetric Hemorrhage Risk Associated with Novel COVID-19 Diagnosis from a Single-Institution Cohort in the United States. Am J Perinatol 2020;37:1411-6.
- 37) Kinsey K, Ganz E, Khalil S, et al. Intraoperative coagulopathy during cesarean section as an unsuspected initial presentation of COVID-19: a case report. BMC Pregnancy Chiidbirth 2020;20:481.
- 38) Polack FP, Thomas SJ, Kitchin N, et al. Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine. N Engl J Med 2020;383:2603-15.
- 39) Baden L, Sahly H, Essink B, et al. Efficacy and Safety of the mRNA-1273 SARS-CoV-2 Vaccine. N Engl J Med 2021;384:403-6.
- 40) Amit S, Regev-Yochay G, Afek A, et al. Early rate reductions of SARS-CoV-2 infection and COVID-19 in BNT162b2 vaccine recipients. Lancet 2021 Mar 6;397:875-7.
- 41) Centers for disease control and prevention; Information about COVID-19 Vaccines for People who Are Pregnant or Breastfeeding. Updated Mar.18, 2021. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations/pregnancy.html
- 42) Shimabukuro TT, Kim SY, Myers TR, et al. Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons. N Engl J Med 2021;384:2273-82.
- 43) Gray KJ, Bordt E, Atyeo C, et al. Coronavirus disease 2019 vaccine response in pregnant and lactating women: a cohort study. Am J Obstet Gynecol 2021 225:303. e1-303. e17.
