Oral communication abstracts obstetrical ultrasound for patients in underserved rural and remote communities where this service is not available. The objective of this study is to assess the feasibility of providing obstetrical ultrasound services remotely using a telerobotic ultrasound system in a remote community isolated due to COVID-19. Methods: A telerobotic ultrasound system was used to remotely perform obstetrical ultrasound exams in La Loche, Canada, a remote community without regular access to obstetrical ultrasound. Using a telerobotic ultrasound system, a sonographer 605km away remotely controlled an ultrasound probe and ultrasound settings. 21 exams were performed in a 5-week period during a COVID-19 outbreak, including limited first, second and third trimester exams (n = 11) and complete second trimester exams (n = 10). Radiologists interpreted all exams and determined adequacy of images for diagnosis. Results: Of 11 limited obstetrical exams, radiologists indicated images were adequate in 9 (81%) cases, adequate with some reservations in 1 (9%) case and inadequate in 1 (9%) case. Of 10 second trimester complete obstetrical exams, radiologists indicated images were adequate in 2 (20%) cases, adequate with some reservations in 3 (30%) cases and inadequate in 5 (50%) cases. Second trimester complete obstetrical exams were limited due to a combination of body habitus, fetal lie and telerobotic technology. Conclusions: A telerobotic ultrasound system may be used to answer focused clinical questions such as fetal viability and fetal presentation in a timely manner while minimising patient travel to larger centres and potential exposure to SARS-CoV-2 during the COVID-19 pandemic. The COVID-19 pandemic may catalyse the implementation of telerobotic sonography to bring greater accessibility and equity in the delivery of obstetrical ultrasound to patients in rural and remote communities.

S Suspicious (all patients were considered suspicious) A Avoid (avoid contact with surgical mask and face shield in all patients and health personnel) R Respiratory (respiratory triage) S Saturation (oxygen saturation) C Critical patient (clinical, biochemical and imaging criteria) O Obstetric (obstetric condition) V Viability (fetal viability) Results: In the General Hospital of Mexico during April-May 2020, 161 patients were hospitalised, 149 as SARS-CoV2 suspects and 12 patients confirmed by rt-PCR, maternal age 27 +-7.5 years, gestational age 39.2 +-2.2 weeks. 83/149 (55.7%) Caesarean section, 66/149 (44.3%) vaginal delivery, so far without maternal or neonatal mortality. With the implementation of the protocol, there is no SARS-CoV2 infection in health personnel. Conclusions: There are limited data on the impact of the current outbreak of COVID-19 in pregnant women, the important thing is to establish management guidelines according to the tools that each care centre has to reduce maternal-fetal morbidity and mortality as well as protect staff from health to work in it. We intend this protocol to be a useful tool for other obstetric care hospitals, we recommend that delivery care be by obstetric indication and not by the positive SARS-CoV2 test. VP45.27 Lung ultrasound in pregnant women with COVID-19 as the unique lung imaging modality