Adaptation of prenatal care and ultrasound.
Semin Perinatol
; 44(7): 151278, 2020 11.
Article
in English
| MEDLINE | ID: covidwho-1027935
ABSTRACT
In the spring of 2020, expeditious changes to obstetric care were required in New York as cases of COVID-19 increased and pandemic panic ensued. A reduction of in-person office visits was planned with provider appointments scheduled to coincide with routine maternal blood tests and obstetric ultrasounds. Dating scans were combined with nuchal translucency assessments to reduce outpatient ultrasound visits. Telehealth was quickly adopted for selected prenatal visits and consultations when deemed appropriate. The more sensitive cell-free fetal DNA test was commonly used to screen for aneuploidy in an effort to decrease return visits for diagnostic genetic procedures. Antenatal testing guidelines were modified with a focus on providing evidence-based testing for maternal and fetal conditions. For complex pregnancies, fetal interventions were undertaken earlier to avoid serial surveillance and repeated in-person hospital visits. These rapid adaptations to traditional prenatal care were designed to decrease the risk of coronavirus exposure of patients, staff, and physicians while continuing to provide safe and comprehensive obstetric care.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Prenatal Care
/
Ultrasonography, Prenatal
/
Telemedicine
/
Delivery of Health Care
/
COVID-19
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Female
/
Humans
/
Pregnancy
Country/Region as subject:
North America
Language:
English
Journal:
Semin Perinatol
Year:
2020
Document Type:
Article
Affiliation country:
J.semperi.2020.151278
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