Rapid Deployment of a Drive-Through Prenatal Care Model in Response to the Coronavirus Disease 2019 (COVID-19) Pandemic
Rapid Deployment of a Drive-Through Prenatal Care Model in Response to the Coronavirus Disease 2019 (COVID-19) Pandemic
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DOI：
10.1097/aog.0000000000003923
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发表时间：
2020-07-01
影响因子：
7.2
通讯作者：
Belfort, Michael
中科院分区：
文献类型：
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作者：
Turrentine, Mark;Ramirez, Mildred;Belfort, Michael
2019年冠状病毒病（COVID-19）已被宣布为整个美国的公共卫生紧急事件。在提供产前保健的同时限制产科保健专业人员和患者接触COVID-19是一项挑战。虽然减少产前检查的频率和实施远程保健干预措施提供了一些选择，但仍然需要病人与保健专业人员之间的互访。我们开发了一种免下车产前护理模式，孕妇在接受医疗保健专业人员评估时将留在车内，从而减少了患者、医疗保健专业人员和工作人员接触COVID-19的可能性。免下车产前检查将包括一些机构无法通过远程保健接触进行的关键内容，例如用于评估妊娠高血压疾病的血压测量、胎儿心率评估和选定的基于超声的测量或观察，以及面对面的患者-保健专业人员互动，从而减少由于计划的产科保健专业人员的门诊次数减少而导致的患者焦虑以及对在门诊环境中暴露于病毒的恐惧。我们描述了一个快速发展的驱动器通过产前护理模式，预计将减少33%，每个病人的人在诊所就诊的数量与传统的产前护理模式相比，使用设备和用品，在美国的大多数产科诊所可以访问。
Coronavirus disease 2019 (COVID-19) has been declared a public health emergency for the entire United States. Providing access to prenatal health care while limiting exposure of both obstetric health care professionals and patients to COVID-19 is challenging. Although reductions in the frequency of prenatal visits and implementation of telehealth interventions provide some options, there still remains a need for patient-health care professional visits. A drive-through prenatal care model was developed in which pregnant women would remain in their automobiles while being assessed by the health care professional, thus reducing potential patient, health care professional, and staff exposure to COVID-19. Drive-through prenatal visits would include key elements that some institutions cannot perform by telehealth encounters, such as blood pressure measurements for evaluation for hypertensive disorders of pregnancy, fetal heart rate assessment, and selected ultrasound-based measurements or observations, as well as face-to-face patient-health care professional interaction, thereby reducing patient anxiety resulting from the reduction in the number of planned clinic visits with an obstetric health care professional as well as fear of virus exposure in the clinic setting. We describe the rapid development of a drive-through prenatal care model that is projected to reduce the number of in-person clinic visits by 33% per patient compared with the traditional prenatal care paradigm, using equipment and supplies that most obstetric clinics in the United States can access.