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Building an obstetric intensive care unit during the COVID-19 pandemic at a tertiary hospital and selected maternal-fetal and delivery considerations.
- Source :
-
Seminars in perinatology [Semin Perinatol] 2020 Nov; Vol. 44 (7), pp. 151298. Date of Electronic Publication: 2020 Jul 24. - Publication Year :
- 2020
-
Abstract
- During the novel Coronavirus Disease 2019 pandemic, New York City became an international epicenter for this highly infectious respiratory virus. In anticipation of the unfortunate reality of community spread and high disease burden, the Anesthesia and Obstetrics and Gynecology departments at NewYork-Presbyterian / Columbia University Irving Medical Center, an academic hospital system in Manhattan, created an Obstetric Intensive Care Unit on Labor and Delivery to defray volume from the hospital's preexisting intensive care units. Its purpose was threefold: (1) to accommodate the anticipated influx of critically ill pregnant and postpartum patients due to novel coronavirus, (2) to care for critically ill obstetric patients who would previously have been transferred to a non-obstetric intensive care unit, and (3) to continue caring for our usual census of pregnant and postpartum patients, who are novel Coronavirus negative and require a higher level of care. In this chapter, we share key operational details for the conversion of a non-intensive care space into an obstetric intensive care unit, with an emphasis on the infrastructure, personnel and workflow, as well as the goals for maternal and fetal monitoring.<br /> (Copyright © 2020. Published by Elsevier Inc.)
- Subjects :
- COVID-19 therapy
Facility Design and Construction
Female
Fetal Monitoring
Humans
Patient Care Team
Personnel Staffing and Scheduling
Pregnancy
Pregnancy Complications, Infectious therapy
Tertiary Care Centers
Workflow
Critical Care organization & administration
Delivery Rooms organization & administration
Intensive Care Units organization & administration
Obstetrics organization & administration
Pregnancy Complications therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1558-075X
- Volume :
- 44
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Seminars in perinatology
- Publication Type :
- Academic Journal
- Accession number :
- 32859406
- Full Text :
- https://doi.org/10.1016/j.semperi.2020.151298