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Impact of the COVID-19 Outbreak on Routine Obstetrical Management

Raanan Meyer1,2,3, Gabriel Levin4, Natav Hendin3

  • 1Department of Obstetrics and Gynecology, Sheba Medical Center, Tel Hashomer, Israel.

The Israel Medical Association Journal : IMAJ
|November 25, 2020
PubMed

Insights

The COVID-19 pandemic did not significantly impact overall obstetric care, including emergency department referrals and delivery modes. Timely preparation minimized negative effects on obstetrical emergency departments.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Disease Epidemiology
  • Public Health

Background:

  • The COVID-19 pandemic necessitated resource reallocation, potentially disrupting routine healthcare.
  • A dedicated obstetrics and gynecology complex was established for COVID-19-exposed patients to maintain routine care.
  • This study addresses the impact of these infection control measures on obstetric services.

Purpose of the Study:

  • To evaluate the effect of COVID-19 pandemic infection control measures on obstetric care.
  • To assess changes in the obstetrical emergency department and delivery unit during the pandemic.

Main Methods:

  • Retrospective data collection from February to March 2020.
  • Comparison of 2020 data with a parallel period in 2019.
  • Analysis of emergency department referrals, treatment duration, urgent referrals, and delivery unit admissions.

Main Results:

  • No significant difference in mean treatment duration or urgent referral rates between 2020 and 2019.
  • A significant reduction in emergency department referrals was observed only in the final week of the study period.
  • The proportion of women admitted in active labor increased, while delivery modes and overall delivery numbers remained consistent.

Conclusions:

  • Effective preparation and management can mitigate the negative impact of COVID-19 on obstetrical emergency departments.
  • Obstetric care can be sustained during pandemics with appropriate strategies.
Abstract

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