Subject(s)
Asymptomatic Infections , COVID-19/complications , Psychotic Disorders/complications , Puerperal Disorders , Antipsychotic Agents/therapeutic use , Delusions/psychology , Female , Hallucinations/psychology , Haloperidol/therapeutic use , Humans , India , Olanzapine/therapeutic use , Psychotic Disorders/drug therapy , Psychotic Disorders/psychology , Restraint, Physical , Self-Injurious Behavior/psychology , Trihexyphenidyl/therapeutic use , Young AdultABSTRACT
OBJECTIVE: To provide a descriptive account of the challenges and administrative preparedness for establishing and sustaining safe obstetric services during the COVID-19 pandemic at Topiwala National Medical College & BYL Nair Charitable Hospital (NH), Mumbai, India. METHODS: The management of pregnant women with COVID-19 was implemented as per international (WHO, RCOG, ACOG) and national (Indian Council of Medical Research) recommendations and guidelines at an academic, tertiary care, COVID-19 hospital in India. RESULTS: Using a multidisciplinary approach and active engagement of a multispecialty team, obstetric services were provided to over 400 women with laboratory-confirmed COVID-19. A sustainable model is established for providing services to pregnant women with COVID-19 in Mumbai Metropolitan Region, India. CONCLUSION: With limited resources, it is possible to set up dedicated maternity services, aligned to international guidelines, for safe pregnancy outcomes in COVID-19 settings. This COVID-19 hospital addressed the challenges and implemented several known and novel methods to establish and sustain obstetric services for women with COVID-19. The model established in the present study can be replicated in other low- and middle-income countries.