Obstetric and perinatal care units functioning during the COVID-19 pandemic

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Abstract


The rapid spread of COVID-19 and the large number of cases put a significant burden on the health systems of any developed country. Specialists in natural disasters and military medicine should be involved in the provision of medical care and observance of anti-epidemic measures. In some countries, including Italy, they were involved only after the situation was dramatically worsening with many clinical units and hospitals overloaded by infected patients. To curb the spread of COVID-19, most countries declared a state of emergency, and unprecedented measures have been taken to strengthen quarantine in suspected or positive symptomatic subjects. Nevertheless, the crisis associated with the unexpectedly global scale and tragedy of the pandemic and the inconsistency of actions of both society and individuals and specialized medical services, lead to insufficient effectiveness of the measures taken in a number of regions. In the present day, it is vital for every person to change its mindset ― relying on personal responsibility to comply with all recommendations of quarantine and anti-epidemic measures, and to reorganize departments and resources of medical institutions at all levels in order to withstand the spread of infection and at the same time provide all those in need with the necessary and appropriate medical care. Particular attention should be paid to the obstetric care service, given that even in “normal” times, the obstetric hospital is an area of increased responsibility for the life and health of mother and child and future mankind. Fulfillment of existing orders, instructions of national and regional committees, international and national protocols and clinical protocols should undoubtedly lead to a positive result, but this requires additional training of medical personnel at all levels. The purpose of this review is to propose quick key strategies for reassessing the maternity and neonatal wards/ hospitals based on the experience of health systems and organizations which faced the spread of this new coronavirus; this advice may be applied along with binding tight instructions in obstetric hospitals in order to proactively respond to a likely wave of growth in COVID-19.


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About the authors

Gian Carlo Di Renzo

I.M. Sechenov First Moscow State Medical University (Sechenov University); University of Perugia

Author for correspondence.
Email: giancarlo.direnzo@unipg.it
ORCID iD: 0000-0002-0293-6385

Italy, 8-2, Trubetskaya street, Moscow, 119992; Perugia

Professor

Alexander D. Makatsariya

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: gemostasis@mail.ru
ORCID iD: 0000-0001-7415-4633
SPIN-code: 7538-2966
Scopus Author ID: 6602363216
ResearcherId: M-5660-2016
Mendeley Profile: https://www.mendeley.com/profiles/alexander-makatsariya1/
https://internist.ru/lectors/detail/makatsariya-/

Russian Federation, 8-2, Trubetskaya street, Moscow, 119992

MD, PhD, Academician of Russian Academy of Sciences

Valentina I. Tsibizova

Almazov National Medical Research Centre

Email: tsibizova.v@gmail.com
ORCID iD: 0000-0001-5888-0774

Russian Federation, 2 Akkuratova str., Saint- Petersburg, 197341

Doctor, Departments of Functional and Ultrasound Diagnostics

Federica Capanna

Hôpitaux Universitaires de Genève

Email: federicacapanna@gmail.com
ORCID iD: 0000-0003-0782-5104

Switzerland, Genève

MD, assistant professor Department of Obstetrics and Gynaecology

Bartha Rasero

University Hospital “La Paz”

Email: joseluisbartha@me.com
ORCID iD: 0000-0002-3476-3685

Spain, Madrid

MD, PhD, Full Professor of Department of Obstetrics and Gynecology

Eduard V. Komlichenko

Almazov National Medical Research Centre

Email: e_komlichenko@mail.ru
ORCID iD: 0000-0003-2943-0883
ResearcherId: N-5315-2015

Russian Federation, 2 Akkuratova str., Saint- Petersburg, 197341

MD, PhD, Deputy Director of the Institute of Perinatology and Pediatrics, Almazov National Medical Research Centre

Tatiana M. Pervunina

Almazov National Medical Research Centre

Email: ptm.pervunina@yandex.ru
ORCID iD: 0000-0002-7514-2260

Russian Federation, 2 Akkuratova str., Saint- Petersburg, 197341

PhD, Director of the Institute of Perinatology and Pediatrics

Jamilya Kh. Khizroeva

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: jamatotu@gmail.com
ORCID iD: 0000-0002-0725-9686
SPIN-code: 8225-4976
Scopus Author ID: 57194547147
ResearcherId: F-8384-2017
Mendeley Profile: https://www.mendeley.com/impact/jamilya-khizroeva2/

Russian Federation, 8-2, Trubetskaya street, Moscow, 119992

MD, PhD, Professor

Victoria O. Bitsadze

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: vikabits@mail.ru
ORCID iD: 0000-0001-8404-1042
SPIN-code: 5930-0859
Scopus Author ID: 6506003478
ResearcherId: F-8409-2017
Mendeley Profile: https://www.mendeley.com/profiles/victoria-bitsadze/

Russian Federation, 8-2, Trubetskaya street, Moscow, 119992

MD, PhD, Professor

Andrei S. Shkoda

L.A. Vorokhobov City Clinical Hospital Sixty-seven

Email: 67gkb@mail.ru
2/44, Salyama Adilya str., Moscow, 123423

MD, PhD, the head 

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Supplementary files

Supplementary Files Action
1.
Fig. 1. The algorithm for pregnant women upon admission to the obstetric hospital

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2.
Fig. 2. Organization of the COVID zone

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