2020
DOI: 10.1080/14767058.2020.1749258
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Preparing an obstetric unit in the heart of the epidemic strike of COVID-19: quick reorganization tips

Abstract: COVID-19 is placing considerable strain on healthcare systems. Disaster and military medicine specialists were involved in the outbreak in Italy, after many units were overwhelmed. Health providers were caught off guard and personnel was unprepared to face this unprecedented threat. Local decisions accelerated the rate of the spread. Many countries declared a state of emergency and lockdown to contain the exponential transmission of the disease. The purpose of this review is to suggest quick key points of stra… Show more

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Cited by 65 publications
(68 citation statements)
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“…In this epidemic, it is essential to standardize screening, admission, and management of all suspected/confirmed pregnant women infected with COVID-19 and prepare maternity wards in the best possible way. Management should be performed in accordance with local, federal, and international guidelines, and strategies to quickly implement obstetric units have also been suggested [9,10]. Once a pregnant woman is suspected/confirmed COVID-19 infection, maternal care and childbirth would become complicated and challenging.…”
Section: Resultsmentioning
confidence: 99%
“…In this epidemic, it is essential to standardize screening, admission, and management of all suspected/confirmed pregnant women infected with COVID-19 and prepare maternity wards in the best possible way. Management should be performed in accordance with local, federal, and international guidelines, and strategies to quickly implement obstetric units have also been suggested [9,10]. Once a pregnant woman is suspected/confirmed COVID-19 infection, maternal care and childbirth would become complicated and challenging.…”
Section: Resultsmentioning
confidence: 99%
“…m. It is obligatory for all healthcare providers that self-protection, self-care and hand hygiene is important [21]. n. obstetric unit must be equipped to reusable, machine-washable instrument which can readily be disinfected [29].…”
Section: Recommendations For Health Care Provider In Deliverymentioning
confidence: 99%
“…Corollary to other sectors and groups, the COVID-19 outbreak has signi cantly altered the provisions and shape of medical services for expecting mothers worldwide. Guidelines on delivery and care are constantly evolving as we learn more about the illness (3,4,5,6,7). COVID-19 reinvigorated the debates on telemedicine, agility of healthcare systems, as well as overcrowding and under-nancing of healthcare workers, all having an impact on expectant and rst-time mothers as a particularly vulnerable group.…”
mentioning
confidence: 99%
“…As regards global context, it should be stated that early on in the COVID-19 epidemic, the issue of maternal health, particularly in the context of safety of delivery and vertical transmission, has been discussed in rapid response reactions (3,4,5,6,7). Based on the lessons of previous epidemiological threats, experts underscored that each case of a COVID-19 maternal infection will make subsequent prenatal, perinatal and postnatal care challenging, therefore sternly recommending emergency protocols, isolation and new-born quarantine (3,5,6). In early studies, clear guidelines on delivery were explicitly in focus, both to optimize the prognosis for mothers and children, and to prevent additional adverse outcomes.…”
mentioning
confidence: 99%
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