During a crisis such as the coronavirus disease 2019(COVID-19)pandemic,a hospital can suspend all elective surgery to expand capacity for intensive care;1 however,the clinical care on the Labor and Delivery Unit(L&...During a crisis such as the coronavirus disease 2019(COVID-19)pandemic,a hospital can suspend all elective surgery to expand capacity for intensive care;1 however,the clinical care on the Labor and Delivery Unit(L&D)cannot be delayed.Pregnant patients must come to the hospital for their obstetric care and delivery,and patients may express concerns and fear regarding the risk of nosocomial infection.The CO VID-19 pandemic poses multiple challenges specifically for L&D Units around the world,such as:(1)caring for CO VID-19 and non COVID-19 pregnant patients simultaneously on the same unit;and(2)the mode of delivery cannot be pre-determined and emergent cesarean delivery is sometimes necessary.Therefore,strategies and guidelines are desperately needed to protect pregnant patients and health care workers(HCWs)from viral transmission while at the same time ensuring safe and swift responses to obstetric emergencies.Throughout the CO VID-19 pandemic,we have learned an enormous amount about how to provide safe obstetric care.Here we report and share our strategies and experience as the CO VID-19 pandemic is accelerating and global peak is still to come.展开更多
文摘During a crisis such as the coronavirus disease 2019(COVID-19)pandemic,a hospital can suspend all elective surgery to expand capacity for intensive care;1 however,the clinical care on the Labor and Delivery Unit(L&D)cannot be delayed.Pregnant patients must come to the hospital for their obstetric care and delivery,and patients may express concerns and fear regarding the risk of nosocomial infection.The CO VID-19 pandemic poses multiple challenges specifically for L&D Units around the world,such as:(1)caring for CO VID-19 and non COVID-19 pregnant patients simultaneously on the same unit;and(2)the mode of delivery cannot be pre-determined and emergent cesarean delivery is sometimes necessary.Therefore,strategies and guidelines are desperately needed to protect pregnant patients and health care workers(HCWs)from viral transmission while at the same time ensuring safe and swift responses to obstetric emergencies.Throughout the CO VID-19 pandemic,we have learned an enormous amount about how to provide safe obstetric care.Here we report and share our strategies and experience as the CO VID-19 pandemic is accelerating and global peak is still to come.