Modifying an obstetric unit to incorporate COVID19 without jeopardizing usual workflow: adapting to the ‘new normal’

Article Sidebar

PDF Download
Published Oct 29, 2020
DOI: https://doi.org/10.18103/mra.v8i10.2272

Downloads

Download data is not yet available.

Submit your own article

Register as an author to reserve your spot in the next issue of the Medical Research Archives.

Author Registration

Join the Society

The European Society of Medicine is more than a professional association. We are a community. Our members work in countries across the globe, yet are united by a common goal: to promote health and health equity, around the world.

Join Europe’s leading medical society and discover the many advantages of membership, including free article publication.

Membership

Main Article Content

Jayasree Sundar, MBBS, DGO, FRCOG
Director and Head, Department of Obstetrics and Gynaecology Birthright, by Rainbow Hospitals, New Delhi, India.
Chanchal Singh, MD (ObGyn), MRCOG, FICOG
Lead Consultant, Fetal Medicine Birthright, by Rainbow Hospitals, New Delhi, India.
Shivani Sabharwal, MBBS, PGDHHM, MBA (FMS)
Medical Director, Madhukar Rainbow Children’s Hospitals, New Delhi, India.
Neha Khandelwal, MBBS, MS (ObGyn)
Senior Consultant, Dept of Obstetrics and Gynaecology Birthright, by Rainbow Hospitals, New Delhi, India.
Naveen Prakash Gupta, MD (Paeds), DNB (Neonatology)
Senor Consultant, Neonatology, Madhukar Rainbow Children’s Hospitals, New Delhi, India.

Abstract

Objective: The exponential rise in pregnant women infected with COVID19 mandates that more and more hospitals cater to infected women while continuing their routine work. The aim of this paper is to report on rapid adaptation of an existing perinatal facility to provide care for COVID-positive pregnant women while safeguarding routine care and suggest a workflow algorithm. There is still no consensus on routine testing of asymptomatic women requiring admission for delivery.


Case report: We report delivery of our first two COVID-positive women, one of whom was asymptomatic and found to be positive on testing prior to planned induction of labour.


Conclusion: It is imperative that hospitals provide a safe zone within an existing facility to optimise care of infected women and their newborns without affecting routine obstetric care. Routine testing of asymptomatic women at high-risk of infection may make triage and segregation easier and minimise spread of infection.

Keywords: COVID-19, Coronavirus, Pregnancy, Labour, SARS-Cov-2

Article Details

How to Cite
SUNDAR, Jayasree et al. Modifying an obstetric unit to incorporate COVID19 without jeopardizing usual workflow: adapting to the ‘new normal’. Medical Research Archives, [S.l.], v. 8, n. 10, oct. 2020. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2272>. Date accessed: 27 apr. 2024. doi: https://doi.org/10.18103/mra.v8i10.2272.
ABNT APA BibTeX CBE EndNote - EndNote format (Macintosh & Windows) MLA ProCite - RIS format (Macintosh & Windows) RefWorks Reference Manager - RIS format (Windows only) Turabian
Issue
Vol 8 No 10 (2020): Vol.8 Issue 10 October 2020
Section
Case Reports

The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.

 

References

1. World Health Organization. Rolling updates on coronavirus disease (covid-19). 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen.
2. World Health Organization. Coronavirus disease (COVID-19 Situation report 202. August 2020. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200809-covid-19-sitrep-202.pdf?sfvrsn=2c7459f6_2
3. Royal College of Obstetrics and Gynecology. Coronavirus (COVID-19) Infection in Pregnancy: Information for healthcare professionals. Version 11: 24th July 2020.
4. Poon LC, Yang H, Lee JCS, Copel JA, Leung TY, Zhang Y, et al. ISUOG Interim Guidance on 2019 novel coronavirus infection during pregnancy and puerperium: information for healthcare professionals. Ultrasound Obstet Gynecol. 2020 May;55(5):700-708.
5. Abramowicz JS, Basseal JM, Brezinka C, Dall'Asta A, Deng J, Harrison G, et al. ISUOG Safety Committee Position Statement on use of personal protective equipment and hazard mitigation in relation to SARS-CoV-2 for practitioners undertaking obstetric and gynecological ultrasound. Ultrasound Obstet Gynecol. 2020 Jun;55(6):886-891.
6. Abu-Rustum RS, Akolekar R, Sotiriadis A, Salomon LJ, Costa FDS, Wu Q, et al. ISUOG Consensus Statement on organisation of routine and specialist obstetric ultrasound services in context of COVID-19. Ultrasound Obstet Gynecol. 2020 Jun;55(6):863-870.
7. Rasmussen SA, Smulian JC, Lednicky JA, Wen TS, Jamieson DJ. Coronavirus Disease 2019 (COVID-19) and Pregnancy: What obstetricians need to know. Am J Obstet Gynecol 2020 May;222(5):415-426.
8. Dashraath P, Wong JLJ, Lim MXK, Lim LM, Li S, Biswas A, et al. Coronavirus Disease 2019 (COVID-19) Pandemic and Pregnancy. Am J Obstet Gynecol. 2020 Jun;222(6):521-531.
9. The Federation of Obstetric and Gynaecological Societies of India (FOGSI), National Neonatology Forum (NNF), Indian Academy of Paediatrics (IAP). Perinatal-Neonatal Management of COVID-19. Version 2, May 2020.
10. Knight M, Bunch K, Vousden N, et al. UK Obstetric Surveillance System SARS-CoV-2 Infection in Pregnancy Collaborative Group. Characteristics and outcomes of pregnant women admitted to hospital with confirmed SARS-CoV-2 infection in UK: national population based cohort study. BMJ 2020;369:m2107.
11. Khalil A, Kalafat E, Benlioglu C, et al. SARS-CoV-2 infection in pregnancy: a systematic review and meta-analysis of clinical features and pregnancy outcomes. EClinical Medicine 2020.
12. Zeng H, Xu C, Fan J, Tang Y, Deng Q, Zhang W, et al. Antibodies in infants born to mothers with covid-19 pneumonia. JAMA 2020 Mar 26;323(18):1848-1849.
13. Zeng L, Xia S, Yuan W, Yan K, Xiao F, Shao J, et al. Neonatal early-onset infection with SARS-CoV-2 in 33 neonates born to mothers with covid-19 in Wuhan, China. JAMA Pediatr 2020. Mar 26;174(7):722-725.
14. Huff HV, Singh A. Asymptomatic Transmission During the COVID-19 Pandemic and Implications for Public Health Strategies. Clin Infect Dis. 2020 May 28:ciaa654.