Managing a Department of Obstetrics and Gynecology in Times of COVID-19 Outbreak: The Foch Hospital Experience

Abstract

Departments of Gynecology and Obstetrics, as other departments, were faced with a major challenge at the outbreak of the COVID-19 pandemic. Fast restructuring was necessary in order to provide the means for COVID-related care. In this article we share our 1-year experience in reshaping our activities, managing healthcare workers and securing a pathway for pregnant patients, including potential, and confirmed COVID-19 cases. Priorities were set on ensuring patients' and healthcare workers' safety. Key containment measures included facemasks, systematic screening, dedicated spaces for COVID-19 cases with reinforced measures and vaccination campaign.

Impact of COVID-19 on Subclinical Placental Thrombosis and Maternal Thrombotic Factors

“…Indeed, to date, most of the population has either been infected by SARS-CoV-2 or has been vaccinated. Furthermore, the population involved in this study, presenting mainly with mild symptoms, was more representative of the majority of cases of COVID 19 in pregnancy, with, fortunately, only a few severe cases, due to a systematic screening of the patients at the beginning of labor [ 39 ]. The histology analysis was performed by one pathologist, which reduced inter-individual biases.…”

Case Report: Post-Partum SARS-CoV-2 Infection After the First French Uterus Transplantation

“…Per our hospital protocols, three systematic RT-PCR tests were performed on day 0, 2 and 7 of hospitalization for all patients; anyone who tested positive was triaged into a dedicated ward where 70% of healthcare workers had received at least one dose of SARS-CoV-2 vaccination ( 13 ). Tests on all three days for our patient were negative and she received one injection of mRNA vaccine (BNT162b2; Comirnati®, Pfizer-BioNTech) on day 28 post-partum.…”