Referrals for febrile, suspected and confirmed COVID-19 pregnant
women
1) Referral indication: The clinic does not have the ability to rescue
high-risk pregnant women, premature newborns; severe or critical
COVID-19 patients.
2) In addition to the necessary equipment, the ambulance for transfer
should also be equipped with fetal heart Doppler auscultation or
continuous electronic fetal heart monitor, disposable delivery supplies,
neonatal resuscitation sac and other basic rescue equipment and drugs
that can meet the first aid requirements of pregnant women and newborns.
3) During the period of waiting for transport, the changes and symptoms
of body temperature, respiration, heart rate, blood pressure and blood
oxygen saturation should be closely monitored for pregnant
woman115.Pu Jie, Liu Xinghui. Suggestions for the classification
and management of perinatal prevention and control during the epidemic
of new coronavirus pneumonia [J/OL]. Chin J Obstet Gynecol
, 2020,55 (2020-02-25). http://rs.yiigle.com/yufabiao/1182682.htm.
DOI: 10.3760/cma.j.cn112141-20200221-00123.
6.Ong SWX, Tan YK, Chia PY, et al. Air, Surface Environmental, and
Personal Protective Equipment Contamination by Severe Acute
Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) From a Symptomatic
Patient [published online ahead of print, 2020 Mar 4].JAMA . 2020;10.1001/jama.2020.3227. doi:10.1001/jama.2020.3227.
4) When the labor process of pregnant woman is onset before being
transferred to a designated hospital, or when the emergency delivery of
pregnancy is urgently terminated due to obstetrical indications, the
obstetrician should prepare for baby delivery with careful protective
measures.
In general, because of the very high contamination of
coronavirus6, classified management for pregnant
women, screening for accompanying family members and careful protection
for medical staff at outpatient obstetrical department is very necessary
and effective to protect pregnant women and avoid the expansion of the
coronavirus epidemics.