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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.

Authors :
Aziz A
Ona S
Martinez RH
Ring LE
Baptiste C
Syeda S
Sheen JJ
Gyamfi-Bannerman C
D'Alton ME
Goffman D
Landau R
Valderrama NE
Moroz L
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.)

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