Labor and delivery guidance for COVID-19

Area of Science:

• Obstetrics and Gynecology
• Infectious Diseases
• Public Health

Background:

• The COVID-19 pandemic presents unique challenges for labor and delivery (L&D) services.
• Pregnant individuals require specific considerations due to potential risks to both mother and neonate.
• Standard L&D protocols needed adaptation to mitigate SARS-CoV-2 transmission.

Purpose of the Study:

• To offer guidance for screening and testing pregnant patients for COVID-19.
• To outline methods for minimizing maternal and neonatal COVID-19 risk in L&D settings.
• To provide management strategies for COVID-19-positive pregnant women, including critically ill cases.

Main Methods:

• The document outlines a multi-section approach to L&D management during the pandemic.
• Sections cover pre-admission screening, triage, workflow adjustments, intrapartum care, and postpartum care.
• Specific protocols address care for COVID-19-positive or suspected pregnant women.

Main Results:

• The guidance details appropriate screening and testing protocols for pregnant patients.
• Strategies are provided to reduce maternal and neonatal exposure and infection risks.
• Management plans are outlined for various scenarios of COVID-19 in L&D.

Conclusions:

• Adaptable guidelines are essential for L&D units to manage the COVID-19 pandemic effectively.
• Comprehensive management, from screening to critical care, is necessary for COVID-19-positive pregnant patients.
• These recommendations aim to ensure safe L&D practices during infectious disease outbreaks.