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COVID-19 Obstetrics Task Force, Lombardy, Italy: Executive management summary and short report of outcome.
Ferrazzi, Enrico M; Frigerio, Luigi; Cetin, Irene; Vergani, Patrizia; Spinillo, Arsenio; Prefumo, Federico; Pellegrini, Edda; Gargantini, Gianluigi.
  • Ferrazzi EM; Unit of Obstetrics, Department of Mother Neonate and Child, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Mangiagalli Centre, Milan, Italy.
  • Frigerio L; Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
  • Cetin I; Department of Obstetrics and Gynecology, Papa Giovanni XXIII Hospital Bergamo, Bergamo, Italy.
  • Vergani P; Department of Women, Mothers and Neonates, Buzzi Children's Hospital - ASST Fatebenefratelli-Sacco Milan, Milan, Italy.
  • Spinillo A; Department of Clinical and Biological Sciences, University of Milan, Milan, Italy.
  • Prefumo F; Department of Maternal Fetal Medicine, Fondazione MBBM, San Gerardo Hospital, University of Milano Bicocca, Monza, Italy.
  • Pellegrini E; Department of Obstetrics and Gynecology, IRCCS Foundation Policlinico San Matteo, University of Pavia, Pavia, Italy.
  • Gargantini G; Department of Obstetrics and Gynecology, Ospedali Riuniti Bresca and University of Brescia, Brescia, Italy.
Int J Gynaecol Obstet ; 149(3): 377-378, 2020 Jun.
Article in English | MEDLINE | ID: covidwho-47393
ABSTRACT
From February 24, 2020, a COVID-19 obstetric task force was structured to deliver management recommendations for obstetric care. From March 1, 2020, six COVID-19 hubs and their spokes were designated. An interim analysis of cases occurring in or transferred to these hubs was performed on March 20, 2020 and recommendations were released on March 24, 2020. The vision of this strict organization was to centralize patients in high-risk maternity centers in order to concentrate human resources and personal protective equipment (PPE), dedicate protected areas of these major hospitals, and centralize clinical multidisciplinary experience with this disease. All maternity hospitals were informed to provide a protected labor and delivery room for nontransferable patients in advanced labor. A pre-triage based on temperature and 14 other items was developed in order to screen suspected patients in all hospitals to be tested with nasopharyngeal swabs. Obstetric outpatient facilities were instructed to maintain scheduled pregnancy screening as per Italian guidelines, and to provide pre-triage screening and surgical masks for personnel and patients for pre-triage-negative patients. Forty-two cases were recorded in the first 20 days of hub and spoke organization. The clinical presentation was interstitial pneumonia in 20 women. Of these, seven required respiratory support and eventually recovered. Two premature labors occurred.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Health Care Rationing / Coronavirus Infections / Pandemics / Ambulatory Care Facilities / Patient Care / Hospitals, Maternity / Obstetrics Type of study: Prognostic study Limits: Female / Humans / Pregnancy Country/Region as subject: Europa Language: English Journal: Int J Gynaecol Obstet Year: 2020 Document Type: Article Affiliation country: Ijgo.13162

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Health Care Rationing / Coronavirus Infections / Pandemics / Ambulatory Care Facilities / Patient Care / Hospitals, Maternity / Obstetrics Type of study: Prognostic study Limits: Female / Humans / Pregnancy Country/Region as subject: Europa Language: English Journal: Int J Gynaecol Obstet Year: 2020 Document Type: Article Affiliation country: Ijgo.13162