Current literature and clinical guidelines do not include pregnant women as an a priori risk group for COVID-19. However, a gender vision of health begs the question: Why are pregnant women not considered a risk group for COVID-19? The answer is clear: historically, most community scientific studies have not considered female gender, or pregnancy as a state, to be a focus of special interest or effort. Unfortunately, this bias seems to be maintained in the COVID-19 epidemic: most current guidelines for diagnosing SARS-CoV-2 infection during pregnancy apply the same standard criteria as for the general population. This pandemic is an opportunity to begin redressing this historic gender bias against pregnant women, and to achieve this, we recommend two actions that are easy to implement, and would have a large impact. First, routinely test for SARS-CoV-2 infection in all pregnant women with clinical or epidemiological suspicion, regardless of gestational age or the clinical severity. Second, routinely test for SARS-CoV-2 infection in all pregnant women at admission for delivery. These actions are essential to understand the true impact of COVID-19 throughout pregnancy, and will improve how we manage many aspects of pre- and postnatal care. It is the scientific community's responsibility to guide, even to anticipate, the recommendations of our respective governments' health policies. If we do not agree to consider pregnant women as a distinct priority subgroup of the population during this pandemic, once again we will miss an opportunity to overcome this historic bias.

译文

目前的文献和临床指南没有将孕妇作为新型冠状病毒肺炎的先验风险人群。然而,性别对健康的看法回避了一个问题: 为什么孕妇不被认为新型冠状病毒肺炎的风险群体?答案很明确: 从历史上看,大多数社区科学研究都没有将女性性别或怀孕视为一种状态,作为特别感兴趣或努力的重点。不幸的是,这种偏见似乎在COVID-19流行病中得以维持: 目前大多数诊断怀孕期间SARS-CoV-2感染的指南都采用与普通人群相同的标准。这场大流行是一个机会,可以开始纠正这种针对孕妇的历史性性别偏见,为了实现这一目标,我们建议采取两项易于实施并产生重大影响的行动。首先,对所有有临床或流行病学怀疑的孕妇进行常规SARS-CoV-2感染检测,无论胎龄或临床严重程度如何。第二,在所有孕妇入院分娩时常规检测SARS-CoV-2感染情况。这些行动对于了解新型冠状病毒肺炎在整个怀孕期间的真正影响至关重要,并将改善我们如何管理产前和产后护理的许多方面。科学界有责任指导甚至预测我们各自政府卫生政策的建议。如果我们不同意在这场大流行期间将孕妇视为人口中的一个独特的优先群体,我们将再次错过克服这一历史性偏见的机会。

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