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Adapting obstetric and neonatal services during the COVID-19 pandemic: a scoping review.
Gold, Shira; Clarfield, Lauren; Johnstone, Jennie; Diambomba, Yenge; Shah, Prakesh S; Whittle, Wendy; Abbasi, Nimrah; Arzola, Cristian; Ashraf, Rizwana; Biringer, Anne; Chitayat, David; Czikk, Marie; Forte, Milena; Franklin, Tracy; Jacobson, Michelle; Keunen, Johannes; Kingdom, John; Lapinsky, Stephen; MacKenzie, Joanne; Maxwell, Cynthia; Preisman, Mary; Ryan, Greg; Selk, Amanda; Sermer, Mathew; Silversides, Candice; Snelgrove, John; Watts, Nancy; Young, Beverly; De Castro, Charmaine; D'Souza, Rohan.
  • Gold S; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Clarfield L; Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
  • Johnstone J; Department of Laboratory Medicine and Pathobiology, Mount Sinai Hospital, Toronto, ON, Canada.
  • Diambomba Y; Department of Paediatrics, Mount Sinai Hospital, Toronto, ON, Canada.
  • Shah PS; Department of Paediatrics, Mount Sinai Hospital, Toronto, ON, Canada.
  • Whittle W; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Abbasi N; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Arzola C; Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
  • Ashraf R; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Biringer A; Department of Family Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
  • Chitayat D; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Czikk M; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Forte M; Department of Family Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
  • Franklin T; Department of Family and Community Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
  • Jacobson M; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Keunen J; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Kingdom J; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Lapinsky S; Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
  • MacKenzie J; Department of Nursing, Mount Sinai Hospital, Toronto, ON, Canada.
  • Maxwell C; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Preisman M; Department of Psychiatry, Mount Sinai Hospital, Toronto, ON, Canada.
  • Ryan G; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Selk A; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Sermer M; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Silversides C; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Snelgrove J; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Watts N; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada.
  • Young B; Department of Psychiatry, Mount Sinai Hospital, Toronto, ON, Canada.
  • De Castro C; Library and Information Services, Mount Sinai Hospital, Toronto, ON, Canada.
  • D'Souza R; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, Toronto, ON, M5G 1X5, Canada. rohan@mcmaster.ca.
BMC Pregnancy Childbirth ; 22(1): 119, 2022 Feb 11.
Article in English | MEDLINE | ID: covidwho-1974120
ABSTRACT

BACKGROUND:

The provision of care to pregnant persons and neonates must continue through pandemics. To maintain quality of care, while minimizing physical contact during the Severe Acute Respiratory Syndrome-related Coronavirus-2 (SARS-CoV2) pandemic, hospitals and international organizations issued recommendations on maternity and neonatal care delivery and restructuring of clinical and academic services. Early in the pandemic, recommendations relied on expert opinion, and offered a one-size-fits-all set of guidelines. Our aim was to examine these recommendations and provide the rationale and context to guide clinicians, administrators, educators, and researchers, on how to adapt maternity and neonatal services during the pandemic, regardless of jurisdiction.

METHOD:

Our initial database search used Medical subject headings and free-text search terms related to coronavirus infections, pregnancy and neonatology, and summarized relevant recommendations from international society guidelines. Subsequent targeted searches to December 30, 2020, included relevant publications in general medical and obstetric journals, and updated society recommendations.

RESULTS:

We identified 846 titles and abstracts, of which 105 English-language publications fulfilled eligibility criteria and were included in our study. A multidisciplinary team representing clinicians from various disciplines, academics, administrators and training program directors critically appraised the literature to collate recommendations by multiple jurisdictions, including a quaternary care Canadian hospital, to provide context and rationale for viable options.

INTERPRETATION:

There are different schools of thought regarding effective practices in obstetric and neonatal services. Our critical review presents the rationale to effectively modify services, based on the phase of the pandemic, the prevalence of infection in the population, and resource availability.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications, Infectious / Communicable Disease Control / Practice Guidelines as Topic / Perinatal Care / Delivery of Health Care / Maternal-Child Health Services / COVID-19 Type of study: Observational study / Prognostic study / Reviews Limits: Female / Humans / Infant / Infant, Newborn / Pregnancy Country/Region as subject: North America Language: English Journal: BMC Pregnancy Childbirth Journal subject: Obstetrics Year: 2022 Document Type: Article Affiliation country: S12884-022-04409-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications, Infectious / Communicable Disease Control / Practice Guidelines as Topic / Perinatal Care / Delivery of Health Care / Maternal-Child Health Services / COVID-19 Type of study: Observational study / Prognostic study / Reviews Limits: Female / Humans / Infant / Infant, Newborn / Pregnancy Country/Region as subject: North America Language: English Journal: BMC Pregnancy Childbirth Journal subject: Obstetrics Year: 2022 Document Type: Article Affiliation country: S12884-022-04409-4