Managing Labour in Women with COVID-19

Area of Science:

• Obstetrics and Gynecology
• Infectious Diseases
• Critical Care Medicine

Background:

• The COVID-19 pandemic, caused by SARS-CoV-2, has significantly impacted global health systems and maternal health.
• Initial experiences with managing pregnant and laboring women with COVID-19 were limited, necessitating rapid adaptation and learning.

Purpose of the Study:

• To outline the essential components for managing pregnant and laboring women with COVID-19.
• To emphasize the need for a multidisciplinary approach and robust infection control measures.

Main Methods:

• Management involves a multidisciplinary team including anesthesiologists, obstetricians, neonatologists, and infection control experts.
• Implementation of clear patient triage policies based on disease severity and labor stage.
• Utilization of dedicated facilities and personal protective equipment (PPE) to protect staff and patients.

Main Results:

• Effective management requires specialized tertiary care centers for high-risk patients requiring intensive care and respiratory support.
• Strict adherence to infection prevention principles, including dedicated spaces and PPE, is vital.
• Training hospital staff in updated infection control measures is essential.

Conclusions:

• A coordinated, multidisciplinary strategy is paramount for optimizing maternal and neonatal outcomes in COVID-19 positive parturients.
• Continuous training and adaptation of infection control protocols are necessary throughout the pandemic.
• Comprehensive care, including breastfeeding support and newborn care, must be integrated into the management plan.