Subject(s)
COVID-19 , Communicable Disease Control , Emergencies , Emergency Medical Services , Gynecology , Obstetrics , Adult , COVID-19/epidemiology , COVID-19/prevention & control , COVID-19/psychology , Communicable Disease Control/methods , Communicable Disease Control/statistics & numerical data , Disease Transmission, Infectious/prevention & control , Emergencies/epidemiology , Emergencies/psychology , Emergency Medical Services/methods , Emergency Medical Services/statistics & numerical data , Emergency Medical Services/trends , Female , Gynecology/methods , Gynecology/organization & administration , Gynecology/statistics & numerical data , Humans , Italy/epidemiology , Obstetrics/methods , Obstetrics/organization & administration , Obstetrics/statistics & numerical data , Organizational Innovation , Pregnancy , SARS-CoV-2 , Triage/statistics & numerical dataSubject(s)
COVID-19/prevention & control , Obstetrics/methods , Perinatology/methods , Practice Guidelines as Topic , Female , Fetal Monitoring/methods , Humans , Obstetrics/education , Perinatology/education , Postnatal Care/methods , Pregnancy , Prenatal Care/methods , SARS-CoV-2 , Telemedicine , Ultrasonography, Prenatal/methods , Visitors to PatientsABSTRACT
This document addresses the current coronavirus disease 2019 (COVID-19) pandemic for providers and patients in labor and delivery (L&D). The goals are to provide guidance regarding methods to appropriately screen and test pregnant patients for COVID-19 prior to, and at admission to L&D reduce risk of maternal and neonatal COVID-19 disease through minimizing hospital contact and appropriate isolation; and provide specific guidance for management of L&D of the COVID-19-positive woman, as well as the critically ill COVID-19-positive woman. The first 5 sections deal with L&D issues in general, for all women, during the COVID-19 pandemic. These include Section 1: Appropriate screening, testing, and preparation of pregnant women for COVID-19 before visit and/or admission to L&D Section 2: Screening of patients coming to L&D triage; Section 3: General changes to routine L&D work flow; Section 4: Intrapartum care; Section 5: Postpartum care; Section 6 deals with special care for the COVID-19-positive or suspected pregnant woman in L&D and Section 7 deals with the COVID-19-positive/suspected woman who is critically ill. These are suggestions, which can be adapted to local needs and capabilities.