Adapting obstetric and neonatal services during the COVID-19 pandemic: a scoping review

BMC Pregnancy and Childbirth

Anne Biringer¹  Milena Forte¹  Tracy Franklin²  Jennie Johnstone³  Joanne MacKenzie⁴  Yenge Diambomba⁵  Prakesh S. Shah⁵  Mary Preisman⁶  Beverly Young⁶  Cynthia Maxwell⁷  Amanda Selk⁷  Rohan D’Souza⁷  Greg Ryan⁷  Candice Silversides⁷  Rizwana Ashraf⁷  John Snelgrove⁷  Marie Czikk⁷  Shira Gold⁷  David Chitayat⁷  Johannes Keunen⁷  Wendy Whittle⁷  John Kingdom⁷  Nancy Watts⁷  Michelle Jacobson⁷  Mathew Sermer⁷  Nimrah Abbasi⁷  Stephen Lapinsky⁸  Cristian Arzola⁸  Lauren Clarfield⁸  Charmaine De Castro⁹ 

[1] Department of Family Medicine, Mount Sinai Hospital, Toronto, ON, Canada;Department of Family and Community Medicine, Mount Sinai Hospital, Toronto, ON, Canada;Department of Laboratory Medicine and Pathobiology, Mount Sinai Hospital, Toronto, ON, Canada;Department of Nursing, Mount Sinai Hospital, Toronto, ON, Canada;Department of Paediatrics, Mount Sinai Hospital, Toronto, ON, Canada;Department of Psychiatry, Mount Sinai Hospital, Toronto, ON, Canada;Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, University of Toronto, 700 University Avenue, Room 3-908, M5G 1X5, Toronto, ON, Canada;Faculty of Medicine, University of Toronto, Toronto, ON, Canada;Library and Information Services, Mount Sinai Hospital, Toronto, ON, Canada;

关键词: COVID-19;    Pandemics;    Coronavirus;    Severe acute respiratory syndrome-related coronavirus 2;    SARS-CoV-2;    Pregnancy;    Postnatal care;    Neonatology;    Perinatology;    Perinatal care;    Obstetrics;    Obstetrical;    Maternity;    Clinical protocols;    Patient care planning;    Algorithms;    Hospital restructuring;    Hospital planning;    Health planning guidelines;    Quality improvement;    Ambulatory care;    Simulation training;    Personnel management;    Medical staff;    Medical education;    Residency training;    Anaesthesia;    Ultrasonography;   

DOI  :  10.1186/s12884-022-04409-4

来源: Springer

【 摘 要 】

BackgroundThe provision of care to pregnant persons and neonates must continue through pandemics. To maintain quality of care, while minimizing physical contact during the Severe Acute Respiratory Syndrome-related Coronavirus-2 (SARS-CoV2) pandemic, hospitals and international organizations issued recommendations on maternity and neonatal care delivery and restructuring of clinical and academic services. Early in the pandemic, recommendations relied on expert opinion, and offered a one-size-fits-all set of guidelines. Our aim was to examine these recommendations and provide the rationale and context to guide clinicians, administrators, educators, and researchers, on how to adapt maternity and neonatal services during the pandemic, regardless of jurisdiction.MethodOur initial database search used Medical subject headings and free-text search terms related to coronavirus infections, pregnancy and neonatology, and summarized relevant recommendations from international society guidelines. Subsequent targeted searches to December 30, 2020, included relevant publications in general medical and obstetric journals, and updated society recommendations.ResultsWe identified 846 titles and abstracts, of which 105 English-language publications fulfilled eligibility criteria and were included in our study. A multidisciplinary team representing clinicians from various disciplines, academics, administrators and training program directors critically appraised the literature to collate recommendations by multiple jurisdictions, including a quaternary care Canadian hospital, to provide context and rationale for viable options.InterpretationThere are different schools of thought regarding effective practices in obstetric and neonatal services. Our critical review presents the rationale to effectively modify services, based on the phase of the pandemic, the prevalence of infection in the population, and resource availability.

【 授权许可】

CC BY