Labor and delivery guidance for COVID-19
Labor and delivery guidance for COVID-19
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DOI：
10.1016/j.ajogmf.2020.100110
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发表时间：
2020-05-01
影响因子：
6.3
通讯作者：
Berghella, Vincenzo
中科院分区：
文献类型：
--
作者：
Boelig, Rupsa C.;Manuck, Tracy;Berghella, Vincenzo
本文介绍了当前针对分娩提供者和患者的2019年冠状病毒病(新冠肺炎)大流行(L&D)。其目标是为在入院前和入院时对孕妇进行适当的新冠肺炎筛查和检测的方法提供指导，通过最大限度地减少医院接触和适当的隔离来降低母亲和新生儿患新冠肺炎病的风险；并为新冠肺炎阳性妇女和新冠肺炎阳性危重妇女的管理提供具体指导。前5节讨论新冠肺炎大流行期间L&D的一般问题，针对所有妇女。这些内容包括：第1节：在去L妇产科医院就诊和/或入院前，对孕妇进行适当的新冠肺炎筛查、检测和准备；第2节：来L妇产科分流的患者的筛查；第3节：常规L妇产科工作流程的一般变化；第4节：产中护理；第5节：产后护理；第6节涉及L妇产科对新冠肺炎阳性或疑似孕妇的特殊护理；第7节涉及新冠肺炎阳性/疑似危重妇女的特殊护理。这些都是建议，可以根据当地的需求和能力进行调整。
This document addresses the current coronavirus disease 2019 (COVID-19) pandemic for providers and patients in labor and delivery (L&D). The goals are to provide guidance regarding methods to appropriately screen and test pregnant patients for COVID-19 prior to, and at admission to L&D reduce risk of maternal and neonatal COVID-19 disease through minimizing hospital contact and appropriate isolation; and provide specific guidance for management of L&D of the COVID-19-positive woman, as well as the critically ill COVID-19-positive woman.The first 5 sections deal with L&D issues in general, for all women, during the COVID-19 pandemic. These include Section 1: Appropriate screening, testing, and preparation of pregnant women for COVID-19 before visit and/or admission to L&D Section 2: Screening of patients coming to L&D triage; Section 3: General changes to routine L&D work flow; Section 4: Intrapartum care; Section 5: Postpartum care; Section 6 deals with special care for the COVID-19-positive or suspected pregnant woman in L&D and Section 7 deals with the COVID-19-positive/suspected woman who is critically ill. These are suggestions, which can be adapted to local needs and capabilities.