Table 4.

Summary of guidelines for postpartum care of pregnant patients during the COVID-19 pandemic.

TITLE	Professional Society	ISUOG	CNOGF	ACOG	SMFM	RCOG	WHO	CDC	CatSalut	ISS/SIEOG
POSTPARTUM CARE	Placental or fetal tissue	Should be handled as infectious tissue in positive patients Consider qRT-PCR on placenta	N/A	N/A	N/A	N/A	N/A	N/A	N/A	N/A
	Length of stay	N/A	N/A	Expedited discharge should be considered. VD—1 day CS—2 days	Expedited discharge should be considered. VD—1 day CS—2 days	N/A	N/A	Same as general population	Expedited discharge should be considered	Asymptomatic→2 days Symptomatic→3 days
	Breastfeeding	Insufficient evidence Okay for asymptomatic patients, mothers should use masks and wash hands Separation and breast pumping suggested in critically ill patients	Limited evidence to advise against breastfeeding. Advise patients to: wash hands before handling baby, touching pumps or bottle; avoid coughing while baby is feeding; consider wearing face mask while feeding or handling baby;	N/A	Advice patients to: wash hands before handling baby, touching pumps or bottle; avoid coughing while baby is feeding; consider wearing face mask while feeding or handling baby; if breast pump us used, clean properly after each use; consider asking someone who is well to feed baby.	No contradictions Advice patients to: wash hands before handling baby, touching pumps or bottle; avoid coughing while baby is feeding; consider wearing face mask while feeding or handling baby; if breast pump us used, clean properly after each use; consider asking someone who is well to feed baby.	Women with COVID-19 can breastfeed if they wish to do so. They should: (1) Practice respiratory hygiene during feeding (2) wear a mask (3) Wash hands before and after touching the baby (4) Routinely clean and disinfect surfaces they have touched.	During separation encourage dedicated breast pump. Mother should use a facemask and practice hand hygiene after each feeding	Encourage breastfeeding support (1) Practice respiratory hygiene during breastfeeding. (2) wear a mask (3) hands and tissues hygiene before and after breastfeeding	Encourage breastfeeding support. Symptomatic: (1) hands and tissue hygiene (2) wear a surgical mask
	Skin to skin	Can be considered with appropriate PPE use for asymptomatic patients	N/A	N/A	N/A	Routine precautionary separation of a healthy baby and mother is not advised at this point.	Allow with precautions and good hygiene clean.	N/A	Individualize according to the conditions of the mother and the baby	N/A
	Postpartum pain control	N/A	N/A	N/A	No contraindication to NSAID use	N/A	N/A	N/A	N/A	N/A
	Postpartum visit	N/A	Encourage telehealth for postpartum visit	Encourage telehealth for postpartum visit. Delay comprehensive face to face postpartum visit to 12 weeks. Use telehealth before 12 weeks.	Encourage telehealth for postpartum visit	Encourage telehealth for postpartum visit	N/A	N/A	Stay at home policy and encourage of telehealth postpartum visits home visit by health professional (midwife) between 48–72 h after discharge	N/A

Vaginal Delivery (VD), Cesarean Section (CS).