1. COVID-19 in obstetrics 2020: the experience at a New York City medical center.
- Author
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Dayal AK, Razavi AS, Jaffer AK, Prasad N, and Skupski DW
- Subjects
- COVID-19, Coronavirus Infections complications, Coronavirus Infections therapy, Critical Care statistics & numerical data, Emergency Service, Hospital statistics & numerical data, Female, Hospital Administration, Humans, Infant, Newborn, New York City epidemiology, Obstetrics statistics & numerical data, Personal Protective Equipment statistics & numerical data, Personnel Staffing and Scheduling, Pneumonia, Viral complications, Pneumonia, Viral therapy, Pregnancy, Pregnancy Complications, Infectious epidemiology, Pregnancy Complications, Infectious therapy, SARS-CoV-2, Surge Capacity organization & administration, Surge Capacity statistics & numerical data, Betacoronavirus, Coronavirus Infections epidemiology, Hospitals statistics & numerical data, Obstetrics methods, Pandemics, Pneumonia, Viral epidemiology, Pregnancy Complications, Infectious virology
- Abstract
The global spread of the SARS-CoV-2 virus during the early months of 2020 was rapid and exposed vulnerabilities in health systems throughout the world. Obstetric SARS-CoV-2 disease was discovered to be largely asymptomatic carriage but included a small rate of severe disease with rapid decompensation in otherwise healthy women. Higher rates of hospitalization, Intensive Care Unit (ICU) admission and intubation, along with higher infection rates in minority and disadvantaged populations have been documented across regions. The operational gymnastics that occurred daily during the Covid-19 emergency needed to be translated to the obstetrics realm, both inpatient and ambulatory. Resources for adaptation to the public health crisis included workforce flexibility, frequent communication of operational and protocol changes for evaluation and management, and application of innovative ideas to meet the demand.
- Published
- 2020
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