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)

•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)

●United States

•National Institutes of Health (NIH): COVID-19 treatment guidelines – Special considerations during pregnancy and after delivery (updated 2023)

•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)

•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 – Mate8 (2021)

•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)

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

●India

•Federation of Obstetric and Gynaecological Societies of India (FOGSI), Indian National Neonatology Forum (NNF), and Indian Academy of Pediatrics (IAP): Guidelines for perinatal-neonatal management of COVID-19 infection (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 Clinical Evidence Taskforce: Living guidelines on caring for people with COVID-19 – Pregnancy and perinatal care (updated 2023)

•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): About the new coronavirus infection (COVID-19) for those who are pregnant or wish to become pregnant, 13th edition (2021)

•[In Japanese] JSIDOG: Response to new coronavirus infection (COVID-19) – Focusing on perinatal medical care, 6th edition (2021)

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): Position statement on care considerations for infants born to mothers with suspected or confirmed SARS-CoV-2 infection (2023)

•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): Position statement on care considerations for infants born to mothers with suspected or confirmed SARS-CoV-2 infection (2023)

•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 (updated 2022)

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

Breastfeeding

●International

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

●Canada

•Canadian Paediatric Society (CPS): Position statement on care considerations for infants born to mothers with suspected or confirmed SARS-CoV-2 infection (2023)

●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 (updated 2022)

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

•Centers for Disease Control and Prevention (CDC): COVID-19 and breastfeeding (2021)

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 2023)

•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 2023)

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

•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)

•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 (MoHFW): 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 in pregnant and breastfeeding women and those planning pregnancy (updated 2023)

●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] 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): Pregnancy, breastfeeding, fertility and COVID-19 vaccination

●[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)".)