孕产妇新型冠状病毒肺炎防控问答=COVID19 Prevention and Control Q&A for Pregnant Women:汉、英
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Question 20: What are the key points of multidisciplinary rescue and treatment for pregnant women with confirmed COVID-19?
Rescue and treatment for pregnant women with confirmed COVlD-19 should involve multiple departments with a clear and effective management procedure. The procedure for pregnant women with confirmed COVlD-19 is shown in figure 2.
Figure 2. Treatment procedure for pregnant women with confirmed COVID-19
Organize a multidisciplinary team to have pre-delivery and operative discussion and preparation for rescue and treatment. The multidisciplinary team should consist of medical staff from obstetrics, anesthesiology, neonatology,infectious department, hospital infection control and medical affairs departments. The timing to terminate pregnancy, delivery method, anesthesia method, possible emergency situations and treatment methods shall be discussed by the multidisciplinary team based on conditions of the patient.
The roles and responsibilities of each department are as follows:
(1) 2-3 skilled midwives or senior surgical staff from the obstetrics department for maternal rescue and treatment.
(2) The anesthesiologist manages the respiratory tract, vital signs or anesthesia for cesarean delivery.
(3) The neonatologist participates in the rescue of the newborn and the infection assessment and referral process after birth.
(4) lCU of the infectious department provides perioperative management of unstable postoperative vital signs.
(5) Hospital infection control department provides guidance for the protection of medical staff, disinfection of the patient’s transportation process and disinfection of the childbirth/surgery environment.
(6) The medical affairs department is responsible for rescue coordination and reporting of patient information.