Open Access Open Access  Restricted Access Subscription or Fee Access

Adaptation of labor and delivery to COVID-19

Arunthevaraja Karuppiah, MBBS, MD, Shobana Bharadwaj, MBBS, Sarah Crimmins, MD, Emad Elsamadicy, MD, Joseph Rabin, MD, Bhavani Shankar Kodali, MBBS, MD

Abstract


As the novel coronavirus disease (COVID-19) escalates globally, and no end in sight, we describe an approach for adapting swiftly to the increasing number of COVID-19 parturients admitted into labor and delivery unit. The adaptability includes physical layout, triaging, quick testing, isolating confirmed parturients, access to designated intensive care units, facilitating emergent cesarean deliveries, and educating health care personnel. It is vital that other healthy parturients and healthcare providers must be protected from COVID-19. It is encouraged that institutions exchange and disseminate information to succeed in the global fight against this dreaded pandemic.


Keywords


COVID-19, labor and delivery unit, Parturients

Full Text:

PDF

References


Bauer M, Bernstein K, Dinges E, et al.: Obstetric anesthesia during the COVID-19 pandemic. Anesth Analg. 2020; 131(1): 7-15. doi:10.1213/ANE.0000000000004856.

Breslin N, Baptiste C, Gyamfi-Bannerman C, et al.: COVID-19 infection among asymptomatic and symptomatic pregnant women: Two weeks of confirmed presentations to an affiliated pair of New York City hospitals. Am J Obstet Gynecol MFM. 2020; 2(2): 100118.doi:10.1016/j.ajogmf.2020.100118.

Xia H, Zhao S, Wu Z, et al.: Emergency caesarean delivery in a patient with confirmed COVID-19 under spinal anaesthesia. Br J Anaesth. 2020; 124(5): e216-e218.

Wang X, Zhou Z, Zhang J, et al.: A case of 2019 novel coronavirus in a pregnant woman with preterm delivery. Clin Infect Dis. 2020; ciaa200. doi:10.1093/cid/ciaa200.




DOI: https://doi.org/10.5055/ajdm.2020.0359

Refbacks

  • There are currently no refbacks.