Document/date of publication/Category | TN 07/202011 (04/08/2020) | TN 09/202012 (04/10/2020) | TN 12/2020133 (04/18/2020) | Protocol FEBRASGO15 (04/27/2020) | TN 13/202014 (05/04/2020) | Gestation and COVID16 (05/19/2020) | NB care in birth room17 (05/25/2020) |
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COVID-19 testing | No mention | Testing in the labor service only for symptomatic pregnant women | Testing in the labor service only for symptomatic pregnant women | Testing in the labor service for all pregnant women and companions | Testing in the labor service only for symptomatic pregnant women | No mention | No mention |
Adaptation to the social/cultural aspects | No mention | No mention | No mention | No mention | Care for all puerperal women in social vulnerability | No mention | No mention |
Prenatal follow-up | Continuity in asymptomatic pregnant women | No mention | Continuity in asymptomatic pregnant women | No mention | Continuity in asymptomatic pregnant women | No mention | No mention |
Postponement of elective procedures for 14 days to symptomatic pregnant women, morphological ultrasound for follow-up of fetal growth | No mention | Home isolation for 14 days for symptomatic pregnant women | No mention | Isolation for 7 to 10 days for symptomatic pregnant women | No mention | No mention | |
Abortion | No mention | No mention | No mention | In asymptomatic patients with retained abortion expectant conduct may be offered up to 4 weeks | No mention | No mention | No mention |
Type of delivery | No mention | SARSCoV-2 is not indicative for cesarean sectio | No mention | Indicates cesarean section for women with severe or critical symptoms. For the others, vaginal delivery | Indicates cesarean section for women with severe or critical symptoms. For the others, vaginal delivery | Indication of cesarean section only in cases of severe respiratory symptoms | No mention |
No mention | Does not recommend labor in water immersion | No mention | Does not recommend labor in water immersion | No mention | No mention | No mention | |
Labor induction | No mention | Labor induction in case of clinical decompensation | No mention | Labor induction when the pregnant women is in adequate clinical conditions | No mention | No mention | No mention |
Labor location | No mention | Does not recommend home birth for suspect or confirmed women | No mention | Recommends hospital delivery for all pregnant women | Delivery and labor follow up in location with maternal-fetus management | Delivery and labor follow up in location with maternal-fetus management | No mention |
No mention | Recommends PPP rooms for confirmed or suspect pregnant women | No mention | No mention | No mention | No mention | No mention | |
Home birth | No mention | - | No mention | Does not recommend | No mention | No mention | No mention |
Labor companion | No mention | After negative confirmation of Covid-19 for the screening, a companion wearing mask is allowed | No mention | According to the rules of each institution. After negative confirmation of Covid-19 for the screening, a companion wearing mask is allowed | After negative confirmation of Covid-19 for the screening, a companion wearing mask is allowed | No mention | Allowed since asymptomatic/a |
Presence of doulas | No mention | No mention | No mention | Does not recommend | No mention | No mention | No mention |
Offering of liquids during labor | No mention | No mention | No mention | No mention | Allowed | No mention | No mention |
Pain relieving methods | No mention | Recommended | No mention | Recommended | No mention | No mention | No mention |
Umbilical cord clamping | Inconclusive | No mention | No mention | Wait 1 to 3 minutes | No mention | Opportune clamping | Variable according to the NB's vitality |
Skin-to-skin contact | No mention | No mention - |
No mention | Not recommended skin-to-skin contact to patients with COVID- 19 | Hygiene before and after contact with the NB, including bath in the bed, use of caps. | No mention | Hygiene before and after contact with the NB, including bath in the bed, use of caps. |
Breastfeeding in the first hour | No mention | No mention | No mention | No mention | No mention | Recommended since it is according to the necessary preventive procedures. | Puerperal women in adequate overall status should maintain breastfeeding following necessary protection procedures |
Newborn's bath | No mention | No mention | No mention | Drying and warming of NB, followed by bath | No mention | No mention | NB should be dried up with intact umbilical cord, bath right after birth not necessary |
Time of binomial's discharge | No mention | 24 hours for healthy binomial | No mention | - | 24 hours for healthy binomial | No mention | No mention |
Breastfeeding at home | No mention | Recommended | No mention | Recommends use of mask and hand hygiene before and after | Recommends use of mask and hand hygiene before and after | Recommends use of mask and hand hygiene before and after | No mention |