According to the available data there is no evidence that pregnant women are at high risk of COVID–19 infection. However, changes of immune system in their bodies during pregnancy may increase the risk of some infections, therefore it is important to protect them from coronavirus infection.

Accordingly, in the event of an epidemic, all antenatal and perinatal care providers should consider the following recommendations:

a) Antenatal care provider establishes communication with all pregnant women registered in their medical facility (by telephone, internet and any other available online service) and provides recommendations on safety and rules of relationship with medical facility under the COVID-19 pandemic;

b) During pregnancy in case of acute respiratory symptoms (dry throat, dry cough, high fever, diarrhea, etc.), primary communication with the family doctor/obstetrician-gynecologist is carried out by telephone consultation, during which a detailed medical anamnesis is collected on patient’s complaints as well as to reveal risky contacts for infection with COVID -19 (including the travel history);

(c) In the event that an anamnesis of COVID-19 infection is not associated with a risky contacts, the management of the pregnancy (if necessary at home) shall be performed by the family doctor in communication with the obstetrician-gynecologist of antenatal care provider, taking into account the patient's condition and gestation age;

d) The following recommendations should be considered regarding the visit of a pregnant to a medical facility:

·         Telephone and internet services should be used for consultation with the doctor;

·         If necessary a visit to the medical facility should be scheduled at a time when contact with other patients is completely ruled out;

·         Additional visits must be limited as much as possible;

·         For outpatient admission and consultation should be used the consulting room, the waiting room of which is separated from the common waiting area of the facility;

·         During the visit to the facility, the pregnant should wear a mask and treat her hands with antiseptic/sanitizer before entering;

·         All medical care providers should be equipped with a surgical mask and strictly adhere to appropriate safety precautions.

e) All pregnant women with confirmed or suspected COVID-19 infections (regardless of the severity of the disease and gestation age) are to be hospitalized in the perinatal service provider inpatient medical facility identified by the relevant order of the Minister;

f) In case of a negative result of the COVID-19 test, the decision to hospitalize the pregnant  is made by the family doctor  and obstetrician-gynecologist of antenatal care provider, taking into account the severity of the disease and the gestation age;

g) As soon as the signs of respiratory  infection (high fever, cough, shortness of breath, etc.)  are revealed with pregnant women who are in quarantine/self-isolation, regardless of the severity of the disease and the gestation age, they are to be hospitalized in the perinatal service provider inpatient medical facility identified by the relevant order of the Minister.