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Inpatient obstetric management of COVID-19
Janice Aubey1, Noelia Zork1, Jean-Ju Sheen1
1Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, 622 East 168th St PH 16-66, New York, NY, 10032, United States.
Insights
Pregnant patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection require careful inpatient management. Strategies involve risk stratification and planning to ensure safety for both patients and healthcare staff.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Critical Care Medicine
Background:
- The novel coronavirus (SARS-CoV-2) presents unique challenges in obstetric care due to its variable presentation and evolving knowledge.
- Pregnant individuals and healthcare providers face risks associated with SARS-CoV-2 infection.
Purpose of the Study:
- To outline inpatient management strategies for pregnant patients diagnosed with SARS-CoV-2.
- To identify key considerations for the care of these patients during the antepartum, intrapartum, and postpartum periods.
Main Methods:
- Review and synthesis of current knowledge regarding SARS-CoV-2 in pregnancy.
- Development of a framework for risk stratification based on disease severity and gestational age.
Main Results:
- Inpatient management should be tailored to individual patient risk, disease severity, and gestational age.
- Antenatal, intrapartum, and postpartum care require specific considerations to minimize transmission and optimize outcomes.
- Proactive planning for emergent situations is crucial for patient and staff safety.
Conclusions:
- Effective management necessitates a dynamic approach, adapting clinical practice as new data emerges.
- Healthcare providers must remain vigilant and flexible in managing SARS-CoV-2 in pregnant patients.
Objective:
To describe inpatient management strategies and considerations for pregnant patients with severe acute respiratory syndrome coronavirus 2 infection.
Findings:
The novel coronavirus has posed challenges to both obstetric patients and the staff caring for them, due to its variable presentation and current limited knowledge about the disease. Inpatient antepartum, intrapartum and postpartum management can be informed by risk stratification, severity of disease, and gestational age. Careful planning and anticipation of emergent situations can prevent unnecessary exposures to patients and clinical staff.
Conclusion:
As new data arises, management recommendations will evolve, thus practitioners must maintain a low threshold for adaptation of their clinical practice during obstetric care for patients with severe acute respiratory syndrome coronavirus 2 infection.
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