Adaptation of labor and delivery to COVID-19

Arunthevaraja Karuppiah, MBBS, MD; Shobana Bharadwaj, MBBS; Sarah Crimmins, MD; Emad Elsamadicy, MD; Joseph Rabin, MD; Bhavani Shankar Kodali, MBBS, MD

doi:10.5055/ajdm.2020.0359

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About The Authors

Arunthevaraja Karuppiah, MBBS, MD
United States

Obstetric Anesthesiology Clinical Fellow, Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland

Shobana Bharadwaj, MBBS
United States

Assistant Professor, Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, Maryland; Director, Obstetric Anesthesiology Fellowship Program, University of Maryland School of Medicine, Baltimore, Maryland

Sarah Crimmins, MD
United States

Assistant Professor, University of Maryland School of Medicine, Baltimore, Maryland; Director of Labor and Delivery, University of Maryland Medical Center, Baltimore, Maryland

Emad Elsamadicy, MD
United States

Maternal Fetal Medicine Fellow, University of Maryland School of Medicine, Baltimore, Maryland

Joseph Rabin, MD
United States

Assistant Professor, Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland

Bhavani Shankar Kodali, MBBS, MD
United States

Professor, Department of Anesthesiology, University of Maryland School of Medicine; Division Chief of Obstetric Anesthesiology, University of Maryland Medical Center, Baltimore, Maryland; Chief Safety Officer, Anesthesiology, University of Maryland Medical Center, Baltimore, Maryland

Adaptation of labor and delivery to COVID-19

Arunthevaraja Karuppiah, MBBS, MD, Shobana Bharadwaj, MBBS, Sarah Crimmins, MD, Emad Elsamadicy, MD, Joseph Rabin, MD, Bhavani Shankar Kodali, MBBS, MD

Abstract

As the novel coronavirus disease (COVID-19) escalates globally, and no end in sight, we describe an approach for adapting swiftly to the increasing number of COVID-19 parturients admitted into labor and delivery unit. The adaptability includes physical layout, triaging, quick testing, isolating confirmed parturients, access to designated intensive care units, facilitating emergent cesarean deliveries, and educating health care personnel. It is vital that other healthy parturients and healthcare providers must be protected from COVID-19. It is encouraged that institutions exchange and disseminate information to succeed in the global fight against this dreaded pandemic.

Keywords

COVID-19, labor and delivery unit, Parturients

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References

Bauer M, Bernstein K, Dinges E, et al.: Obstetric anesthesia during the COVID-19 pandemic. Anesth Analg. 2020; 131(1): 7-15. doi:10.1213/ANE.0000000000004856.

Breslin N, Baptiste C, Gyamfi-Bannerman C, et al.: COVID-19 infection among asymptomatic and symptomatic pregnant women: Two weeks of confirmed presentations to an affiliated pair of New York City hospitals. Am J Obstet Gynecol MFM. 2020; 2(2): 100118.doi:10.1016/j.ajogmf.2020.100118.

Xia H, Zhao S, Wu Z, et al.: Emergency caesarean delivery in a patient with confirmed COVID-19 under spinal anaesthesia. Br J Anaesth. 2020; 124(5): e216-e218.

Wang X, Zhou Z, Zhang J, et al.: A case of 2019 novel coronavirus in a pregnant woman with preterm delivery. Clin Infect Dis. 2020; ciaa200. doi:10.1093/cid/ciaa200.

DOI: https://doi.org/10.5055/ajdm.2020.0359

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American Journal of Disaster Medicine

Adaptation of labor and delivery to COVID-19

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