From the trenches: inpatient management of coronavirus disease 2019 in pregnancy

Am J Obstet Gynecol MFM. 2020 Aug;2(3):100154. doi: 10.1016/j.ajogmf.2020.100154. Epub 2020 Jun 15.

Abstract

The novel coronavirus disease 2019 caused by the severe acute respiratory syndrome coronavirus 2 has become a pandemic. It has quickly swept across the globe, leaving many clinicians to care for infected patients with limited information about the disease and best practices for care. Our goal is to share our experiences of caring for pregnant and postpartum women with novel coronavirus disease 2019 in New York, which is the coronavirus disease 2019 epicenter in the United States, and review current guidelines. We offer a guide, focusing on inpatient management, including testing policies, admission criteria, medical management, care for the decompensating patient, and practical tips for inpatient antepartum service management.

Keywords: COVID-19 in pregnancy; coronavirus disease in pregnancy; critical care in pregnancy; critical care obstetrics; infectious disease in pregnancy; management of COVID-19.

MeSH terms

  • Adult
  • COVID-19 Testing* / methods
  • COVID-19* / blood
  • COVID-19* / diagnosis
  • COVID-19* / epidemiology
  • COVID-19* / therapy
  • Delivery, Obstetric* / methods
  • Delivery, Obstetric* / trends
  • Female
  • Humans
  • Infectious Disease Transmission, Vertical / prevention & control
  • New York
  • Obstetrics and Gynecology Department, Hospital / organization & administration
  • Obstetrics and Gynecology Department, Hospital / trends
  • Patient Care Management / methods
  • Patient Care Management / organization & administration
  • Patient Care Management / trends
  • Postnatal Care* / methods
  • Postnatal Care* / standards
  • Practice Guidelines as Topic
  • Pregnancy
  • Pregnancy Complications, Infectious* / blood
  • Pregnancy Complications, Infectious* / epidemiology
  • Pregnancy Complications, Infectious* / therapy
  • Pregnancy Complications, Infectious* / virology
  • Prenatal Care* / methods
  • Prenatal Care* / standards
  • SARS-CoV-2 / isolation & purification