Question 33344 — women

Summary

The active circulation of the virus on the national territory is associated with an increase in the number of symptomatic and asymptomatic carriers. In this context, the High Council of Public Health (HCSP) has issued recommendations concerning measures to prevent the transmission of SARS-CoV2 during childbirth in periods of high viral circulation. In its opinion of November 12, 2020, which takes into account in particular the position of National College of French Gynecologists and Obstetricians (CNGOF) as well as a summary of international recommendations, the HCSP has established that during childbirth, and in particular during the expulsion phase, the risk of aerosol emission is not clearly determined by the scientific literature and there is no consensus. It nevertheless remains possible. Also, during periods of high viral circulation, the HCSP considers, as a precaution, that during expulsive efforts with hyperventilation, double masking with the wearing of a mask for medical use (by the professional(s) and the woman giving birth, whether or not presenting symptoms of Covid-19) is recommended. However, based on the testimonies of women collected, it appears that wearing a mask during childbirth may be experienced differently or even poorly tolerated by the pregnant woman. This is why the HCSP recommends that the wearing of a mask by the woman giving birth should not be made compulsory and must take into account the wishes of the pregnant woman and her tolerance to wearing a mask. In addition, it is not recommended to wear an FFP2 type mask for a woman giving birth. Carrying out an RT-PCR, RT-LAMP or antigenic test is strongly recommended to facilitate knowledge of the infectious status of the parturient woman and allow to adapt protective measures. In order for these recommendations to be implemented in hospital establishments, a ministerial instruction was sent to them upon receipt of this opinion, on November 12, 2020.

Machine translation from French. The official text remains authoritative.

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